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Sleep Disturbance Trajectories in Critically Ill Children Post-ICU Discharge: A Longitudinal Observational Study
Wenchao Wang1, Xiaorui Fan2, Yuxia Yang1
1Children's Hospital of Fudan University, Shanghai 201102, China.
Children (Basel, Switzerland)
|May 4, 2026
Summary
Children
Area of Science:
- Pediatric critical care medicine
- Pediatric sleep medicine
- Child psychology and development
Background:
- Sleep disturbances significantly impact children's development, but post-pediatric intensive care unit (PICU) sleep changes and influencing factors remain understudied.
- Understanding sleep quality trajectories after PICU discharge is crucial for addressing developmental impacts.
- This study investigates sleep quality changes and associated factors in children following PICU admission.
Purpose of the Study:
- To explore the changes in sleep quality among critically ill children after PICU discharge.
- To identify factors influencing children's sleep quality up to three months post-PICU discharge.
- To inform targeted interventions for improving sleep in this vulnerable population.
Main Methods:
- A longitudinal observational study conducted at a tertiary children's hospital from November 2022 to November 2023.
- The Children's Sleep Habits Questionnaire (CSHQ) assessed sleep problems at multiple time points: PICU admission, and 1 week to 3 months post-discharge.
- Latent category growth modeling, univariate analysis, and logistic regression analyzed sleep trajectories and influencing factors.
Main Results:
- Sleep disturbances were prevalent, peaking at 83.5% one month post-PICU discharge.
- Latent trajectory analysis identified three distinct sleep change patterns: high, moderate, and no sleep disorders.
- Child's age and surgical history were identified as independent factors associated with persistent sleep disturbances.
Conclusions:
- The first month post-PICU discharge represents a critical period for sleep disturbances, necessitating timely interventions.
- Persistent sleep disorders post-PICU highlight the need for ongoing monitoring and support.
- Findings underscore the importance of addressing sleep quality to support children's overall recovery and development after critical illness.
Keywords:
childrenparentspediatric intensive care unitpost-intensive care syndromesleep qualitytrajectoryMore Related Videos
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