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Practice in the neurological ICU at the time under study did not involve deliberate transfer of patients to window rooms or preferential assignment to window rooms as confirmed by the distribution of patients in each room (see Table S1 in Additional file 1).
See related research by Wunsch et al., http://ccforum.com/content/15/2/R81 Wunsch and colleagues analyzed the effect of window rooms on critically ill patients admitted to the ICU with subarachnoid hemorrhage, and concluded that the presence of a window in an ICU room did not improve their outcomes [ 1].
However, we cannot fully exclude the possibility that the small number of patients who were transferred to or from window rooms were moved because of a perception that light may be beneficial, creating some bias toward the null hypothesis of no difference between groups.
Despite anecdotal support for moving critically ill patients to window rooms when available, as well as specific guidelines from the SCCM regarding the need for windows in each room when constructing new ICUs [ 17], there is a paucity of clinical data on the topic of the effect of natural light on outcomes of critically ill patients.
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Including these patients, 44.6% received ≤ 50% of their care in a non-window room and 55.4% received > 50% of their care in a window room.
Of the 910 patients in the original cohort, 37 (4%) were transferred from a window room to a nonwindow room, and 79 (9%) were transferred from a nonwindow room to a window room.
Of 789 SAH patients, 455 (57.7%) received care in a window room and 334 (42.3%) received care in a nonwindow room.
The initial analysis excluded these patients and was performed only on patients who received all of their care in either a window room or a nonwindow room.
NA, not enough data available (1 or 2 patients each) We examined the patients who were transferred either from or to a window room during their ICU stay.
Length of ICU stay, length of hospital stay and other secondary outcomes were not affected by receiving care in a window room.
We categorized these patients on the basis of their having received more or less than 50% of their care in a window room.
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