Critical care medicine
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Critical care medicine · May 2016
Review Meta AnalysisThe Efficacy of Earplugs as a Sleep Hygiene Strategy for Reducing Delirium in the ICU: A Systematic Review and Meta-Analysis.
A systematic review and meta-analysis to assess the efficacy of earplugs as an ICU strategy for reducing delirium. ⋯ Placement of earplugs in patients admitted to the ICU, either in isolation or as part of a bundle of sleep hygiene improvement, is associated with a significant reduction in risk of delirium. The potential effect of cointerventions and the optimal strategy for improving sleep hygiene and associated effect on patient-centered outcomes remains uncertain.