A Narrative Review: Actigraphy as an Objective Assessment of Perioperative Sleep and Activity in Pediatric Patients.
A Narrative Review: Actigraphy as an Objective Assessment of Perioperative Sleep and Activity in Pediatric Patients.
复制标题
DOI：
10.3390/children4040026
复制
发表时间：
2017-04-18
期刊：
影响因子：
--
通讯作者：
Koh J
中科院分区：
文献类型：
--
作者：
Conrad N;Karlik J;Lewandowski Holley A;Wilson AC;Koh J
睡眠是儿科健康的重要组成部分，对于认知发展至关重要。体动记录仪是一种经过验证的客观工具，用于捕获睡眠和运动数据，越来越多地在围手术期使用。本综述的目的是介绍最近在围手术期使用体动记录仪的儿科研究，强调文献中的空白，并为未来的研究提供建议。使用 OVID 和 PubMed 数据库完成文献检索，并根据与主题的相关性选择纳入的文章。文献检索得出 13 篇利用体动记录测量的论文。审查结果表明，体动记录仪已用于识别术后睡眠不良的预测因素和危险因素，检查围手术期疼痛和睡眠模式之间的关联，并评估住院和门诊环境中的活动和能量消耗。我们建议扩大体动记录仪研究范围，包括通过体动记录仪评估睡眠：预测儿科人群的功能恢复，研究高危儿科患者的术后睡眠，测试围手术期干预措施的有效性，以及评估难以获得睡眠和活动自我报告数据的特殊人群的结果。
Sleep is an important component of pediatric health and is crucial for cognitive development. Actigraphy is a validated, objective tool to capture sleep and movement data that is increasingly being used in the perioperative context. The aim of this review is to present recent pediatric studies that utilized actigraphy in the perioperative period, highlight gaps in the literature, and provide recommendations for future research. A literature search was completed using OVID and PubMed databases and articles were selected for inclusion based on relevance to the topic. The literature search resulted in 13 papers that utilized actigraphic measures. Results of the review demonstrated that actigraphy has been used to identify predictors and risk factors for poor postoperative sleep, examine associations among perioperative pain and sleep patterns, and assess activity and energy expenditure in both inpatient and outpatient settings. We propose expansion of actigraphy research to include assessment of sleep via actigraphy to: predict functional recovery in pediatric populations, to study postoperative sleep in high-risk pediatric patients, to test the efficacy of perioperative interventions, and to assess outcomes in special populations for which self-report data on sleep and activity is difficult to obtain.