Faculty mentor/PI email address
vsalasky@virtua.org
Keywords
Delirium, neurocritical care, feasibility study, intracerebral hemorrhage, hemorrhagic stroke, sleep monitoring
IRB or IACUC Protocol Number
G25040
Date of Presentation
5-6-2026 12:00 AM
Poster Abstract
Background. Neuro intensive care unit (ICU) patients often experience sleep deprivation due to serial neurologic assessments, among other factors. Subjective sleep disturbance has been associated with increased delirium risk in patients with intracerebral hemorrhage (ICH).1 However, relationships between specific sleep features, delirium and subsequent outcomes in neurocritically ill patients have not been studied.1 Additionally, ICH-related clinical research has not historically been conducted at Virtua Our Lady of Lourdes (VOLOL) Hospital. This study aimed to assess feasibility of obtaining quantitative sleep data, delirium assessments, and 90-day functional outcomes in neurocritical care patients with ICH.
Hypothesis. We hypothesized that 90-day functional outcome assessment would be achievable in most (≥ 75%) eligible neuro ICU patients with ICH.
Methods. Consecutive neuro ICU admissions at VOLOL were screened. Eligible patients or surrogates were approached for consent. Ambulatory polysomnography (PSG) was performed for 24-48 hours during ICU admission. Ninety-day follow up was conducted via telephone using modified Rankin scale (mRS) and Quality of Life in Neurological Disorders (Neuro-QoL) Cognitive Function and Sleep Disturbance.2,3
Results. 21 out of 57 screened patients were eligible. 15 of these 21 patients have completed a sleep study. One third of study participants experienced delirium during ICU admission. Of patients due for follow up, 5 of 7 completed the questionnaires. Median mRS was 2, median Neuro-QoL Sleep Disturbance T-score was 45.6, and median Neuro-QoL Cognitive Function T-score was 51.7.
Conclusion. Initial data suggests that obtaining 90-day functional outcomes is feasible in neuro ICU patients with ICH.
Disciplines
Medicine and Health Sciences | Nervous System Diseases | Neurosciences
Included in
Feasibility of 90-Day Follow Up for Patients with Intracerebral Hemorrhage: Early Data from a Neuro ICU Sleep Quality and Delirium Study
Background. Neuro intensive care unit (ICU) patients often experience sleep deprivation due to serial neurologic assessments, among other factors. Subjective sleep disturbance has been associated with increased delirium risk in patients with intracerebral hemorrhage (ICH).1 However, relationships between specific sleep features, delirium and subsequent outcomes in neurocritically ill patients have not been studied.1 Additionally, ICH-related clinical research has not historically been conducted at Virtua Our Lady of Lourdes (VOLOL) Hospital. This study aimed to assess feasibility of obtaining quantitative sleep data, delirium assessments, and 90-day functional outcomes in neurocritical care patients with ICH.
Hypothesis. We hypothesized that 90-day functional outcome assessment would be achievable in most (≥ 75%) eligible neuro ICU patients with ICH.
Methods. Consecutive neuro ICU admissions at VOLOL were screened. Eligible patients or surrogates were approached for consent. Ambulatory polysomnography (PSG) was performed for 24-48 hours during ICU admission. Ninety-day follow up was conducted via telephone using modified Rankin scale (mRS) and Quality of Life in Neurological Disorders (Neuro-QoL) Cognitive Function and Sleep Disturbance.2,3
Results. 21 out of 57 screened patients were eligible. 15 of these 21 patients have completed a sleep study. One third of study participants experienced delirium during ICU admission. Of patients due for follow up, 5 of 7 completed the questionnaires. Median mRS was 2, median Neuro-QoL Sleep Disturbance T-score was 45.6, and median Neuro-QoL Cognitive Function T-score was 51.7.
Conclusion. Initial data suggests that obtaining 90-day functional outcomes is feasible in neuro ICU patients with ICH.