TY - JOUR
T1 - Sleep Measure Validation in a Pediatric Neurocritical Care Acquired Brain Injury Population
AU - Poppert Cordts, Katrina M.
AU - Hall, Trevor A.
AU - Hartman, Mary E.
AU - Luther, Madison
AU - Wagner, Amanda
AU - Piantino, Juan
AU - Guilliams, Kristin P.
AU - Guerriero, Rejean M.
AU - Jara, Jalane
AU - Williams, Cydni N.
N1 - Funding Information:
Williams is supported by the Agency for Healthcare Research and Quality, grant number K12HS022981. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. Dr. Guilliams is supported by the National Institute of Neurologic Disorders and Stroke grant number K23NS099472. Dr. Piantino is supported by the National Heart, Lung and Blood Institute grant number K12HL133115.
Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Background/Objective: Lingering morbidities including physical, cognitive, emotional, and psychosocial sequelae, termed the Post-Intensive Care Syndrome, persist years after pediatric neurocritical care (PNCC) hospitalization. Sleep disturbances impact other Post-Intensive Care Syndrome domains and are under-evaluated to date due to a lack of appropriate measurement tools. The present study evaluated the validity of the Sleep Disturbance Scale for Children (SDSC) to address the growing need for assessing sleep problems after PNCC. Methods: We conducted a prospective observational study of youth aged 3–17 years with acquired brain injury (N = 69) receiving care through longitudinal PNCC programs at two tertiary academic medical centers. Parents completed the SDSC and provided proxy reports of internalizing symptoms, health-related quality of life (HRQOL), fatigue, pain behavior, and cognitive function within 3 months of hospital discharge. Evidence for the validity of the SDSC was established by utilizing the full sample for psychosocial measure comparisons and by comparing SDSC outcomes by severity (Low Risk, Mild-Moderate Risk, and High Risk defined by reported standardized T-scores). Results: Internal consistency of the SDSC was good (α =.81). Within the full sample, increased sleep disturbances on the SDSC were significantly correlated with Post-Intensive Care Syndrome measures, including worse physical (r =.65), psychological (r =.62), and cognitive (r = −.74) sequelae. Youth in the High Risk group evidenced greater dysfunction in mental acuity, pain behavior, internalizing symptoms, and social engagement. Findings revealed both statistically and clinically significant impacts of sleep disturbances as measured by the SDSC on HRQOL. Conclusions: The SDSC is a valid and reliable measure for assessing sleep disturbances in children after PNCC. Results support the use of the SDSC to measure sleep disturbances after PNCC. Targeted interventions for sleep disturbances may be key to overall patient recovery.
AB - Background/Objective: Lingering morbidities including physical, cognitive, emotional, and psychosocial sequelae, termed the Post-Intensive Care Syndrome, persist years after pediatric neurocritical care (PNCC) hospitalization. Sleep disturbances impact other Post-Intensive Care Syndrome domains and are under-evaluated to date due to a lack of appropriate measurement tools. The present study evaluated the validity of the Sleep Disturbance Scale for Children (SDSC) to address the growing need for assessing sleep problems after PNCC. Methods: We conducted a prospective observational study of youth aged 3–17 years with acquired brain injury (N = 69) receiving care through longitudinal PNCC programs at two tertiary academic medical centers. Parents completed the SDSC and provided proxy reports of internalizing symptoms, health-related quality of life (HRQOL), fatigue, pain behavior, and cognitive function within 3 months of hospital discharge. Evidence for the validity of the SDSC was established by utilizing the full sample for psychosocial measure comparisons and by comparing SDSC outcomes by severity (Low Risk, Mild-Moderate Risk, and High Risk defined by reported standardized T-scores). Results: Internal consistency of the SDSC was good (α =.81). Within the full sample, increased sleep disturbances on the SDSC were significantly correlated with Post-Intensive Care Syndrome measures, including worse physical (r =.65), psychological (r =.62), and cognitive (r = −.74) sequelae. Youth in the High Risk group evidenced greater dysfunction in mental acuity, pain behavior, internalizing symptoms, and social engagement. Findings revealed both statistically and clinically significant impacts of sleep disturbances as measured by the SDSC on HRQOL. Conclusions: The SDSC is a valid and reliable measure for assessing sleep disturbances in children after PNCC. Results support the use of the SDSC to measure sleep disturbances after PNCC. Targeted interventions for sleep disturbances may be key to overall patient recovery.
KW - Brain injury
KW - Critical care
KW - Hospitalization
KW - Outcomes
KW - Pediatric
KW - Quality of life
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85076037762&partnerID=8YFLogxK
U2 - 10.1007/s12028-019-00883-5
DO - 10.1007/s12028-019-00883-5
M3 - Article
C2 - 31797275
AN - SCOPUS:85076037762
SN - 1541-6933
VL - 33
SP - 196
EP - 206
JO - Neurocritical Care
JF - Neurocritical Care
IS - 1
ER -