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Critical Care
Published in: Critical Care 1/2020

Open Access 01-12-2020 | Research

Vital-sign circadian rhythms in patients prior to discharge from an ICU: a retrospective observational analysis of routinely recorded physiological data

Authors: Shaun Davidson, Mauricio Villarroel, Mirae Harford, Eoin Finnegan, Joao Jorge, Duncan Young, Peter Watkinson, Lionel Tarassenko

Published in: Critical Care | Issue 1/2020

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Excerpt

Patient care in an intensive care unit (ICU) typically involves maintaining homeostasis or ‘normalisation’ of vital signs [1‐3], where the body is unable to provide this for itself. However, the process of controlling and regulating vital signs, combined with sedation, inflammation, environmental light, and noise levels, can disrupt a patient’s natural circadian rhythms [4]. ICU practice in general does not emphasise support of a patient’s circadian rhythms, though there is a growing desire to improve upon this [5]. Chronically disrupted circadian rhythms are associated with metabolic disorders such as obesity and diabetes, cardiovascular disease, and cancer [6‐9]. In an ICU, disruption or loss of a patient’s circadian rhythms is associated with complications such as immune system disruption [10], delirium [11, 12], and mortality [13, 14]. …
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Metadata
Title
Vital-sign circadian rhythms in patients prior to discharge from an ICU: a retrospective observational analysis of routinely recorded physiological data
Authors
Shaun Davidson
Mauricio Villarroel
Mirae Harford
Eoin Finnegan
Joao Jorge
Duncan Young
Peter Watkinson
Lionel Tarassenko
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2020
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-020-02861-2

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