Characterizing pediatric inpatient sleep duration and disruptions
| Autor: | David Gozal, Vineet M. Arora, Leah B. Peirce, Kelsey Hopkins, Samantha Anderson, Nicola M. Orlov, Michael Chamberlain, Amarachi I Erondu, Christopher S. Lyttle |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Sleep Wake Disorders medicine.medical_specialty Adolescent Article Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Pediatric hospital medicine Humans Child business.industry Infant Newborn Infant General Medicine Entry (data) Hospitals Pediatric Caregivers 030228 respiratory system Emergency medicine Sleep Deprivation Female Sleep (system call) business Missed opportunity Child Hospitalized 030217 neurology & neurosurgery Sleep duration |
| Zdroj: | Sleep Med |
| ISSN: | 1389-9457 |
| Popis: | OBJECTIVE: 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 objectively measure nighttime room entries. METHODS: Caregivers of patients 4 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 hand-hygiene room entry data. RESULTS: Among 246 patients, patients slept less in the hospital than at home with newborn and infant cohorts experiencing 7- and 4-hour sleep deficits respectively (Newborn: 787 ± 318 min at home vs. 354 ± 211 min in hospital, p2 hour 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 10 room entries/night (10 ± 5.9 entries). Nighttime traffic was significantly correlated with caregiver-reported nighttime awakenings (Spearman Rank Correlation Coefficient: 0.58, p=.04). CONCLUSION: Hospitalization is a missed opportunity to improve sleep both in the hospital and at home. |
| Databáze: | OpenAIRE |
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