Characterizing pediatric inpatient sleep duration and disruptions.
Hospital
Pediatrics
Sleep
Journal
Sleep medicine
ISSN: 1878-5506
Titre abrégé: Sleep Med
Pays: Netherlands
ID NLM: 100898759
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
29
09
2018
revised:
05
01
2019
accepted:
23
01
2019
pubmed:
29
3
2019
medline:
8
7
2020
entrez:
29
3
2019
Statut:
ppublish
Résumé
To contextualize inpatient sleep duration and disruptions in a general pediatric hospital ward by comparing in-hospital and at-home sleep durations to recommended guidelines and to objectively measure nighttime room entries. Caregivers of patients four weeks - 18 years of age reported patient sleep duration and disruptions in anonymous surveys. Average at-home and in-hospital sleep durations were compared to National Sleep Foundation recommendations. Objective nighttime traffic was evaluated as the average number of room entries between 11:00pm and 7:00am using GOJO brand hand-hygiene room entry data. Among 246 patients, patients slept less in the hospital than at home with newborn and infant cohorts experiencing 7- and 4-h sleep deficits respectively (Newborn: 787 ± 318 min at home vs. 354 ± 211 min in hospital, p < 0.001; Infants: 703 ± 203 min at home vs. 412 ± 152 min in hospital, p < 0.01). Newborn children also experienced >2 h sleep deficits at home when compared to NSF recommendations (Newborns: 787 ± 318 min at home vs. 930 min recommended, p < 0.05). Objective nighttime traffic measures revealed that hospitalized children experienced 7.3 room entries/night (7.3 ± 0.25 entries). Nighttime traffic was significantly correlated with caregiver-reported nighttime awakenings (Spearman Rank Correlation Coefficient: 0.83, p < 0.001). Hospitalization is a missed opportunity to improve sleep both in the hospital and at home.
Identifiants
pubmed: 30921685
pii: S1389-9457(18)30743-3
doi: 10.1016/j.sleep.2019.01.030
pmc: PMC6760863
mid: NIHMS1520449
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
87-91Subventions
Organisme : NHLBI NIH HHS
ID : K24 HL136859
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK092949
Pays : United States
Organisme : NHLBI NIH HHS
ID : R25 HL116372
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.
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