Session Type
Meeting
Search Results for Sleep
Plenary Presentations
Abstract Number: 2
SHM Converge 2024
Background: Although hospitals should be a place of healing and restoration, multiple studies demonstrate that hospitalized patients face acute sleep deprivation due to potentially modifiable disruptions (vitals, medications, tests). Acute inpatient sleep deprivation is also associated with worse health outcomes both in-hospital and post-discharge. While staff-directed sleep interventions show benefits, no study has tested whether […]
Abstract Number: 17
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Excessive daily routine laboratory testing for hospitalized patients is a contributor to poor hospital sleep, iatrogenic anemia, and excessive costs. Recommendations from the Choosing Wisely™ campaign specifically state to avoid sleep interruptions for routine care (American Academy of Nursing) and to avoid routine labs for stable patients (Society of Hospital Medicine). The purpose of […]
Abstract Number: 60
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The development of delirium is a common source of morbidity and mortality in the hospitalized elderly, with an estimated incidence of 30-60%. Sleep deprivation is a common and modifiable risk factor for iatrogenic delirium in hospitalized patients. It is unclear from the literature how many hours of sleep hospitalized patients actually get on average […]
Abstract Number: 84
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Disruptions in normal life routines (such as sleep, function, nutrition, etc.) that commonly occur as part of routine hospital care may be traumatic for acutely ill patients and lead to a generalized condition of high risk after discharge that has been described as “post-hospitalization syndrome.” We created the ARCHES cohort study to measure these […]
Abstract Number: 138
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital-acquired delirium is a common cause of increased morbidity and mortality. In an earlier pilot study, we identified through surveys that adult medicine inpatients slept an average of 4 hours. Also, multiple factors including environmental noise, vital sign checks, and lab draws were recognized as barriers to sleep. Based on this information and prior […]
Abstract Number: 143
SHM Converge 2021
Background: Sleep is critical to children’s health and recovery, but pediatric inpatient sleep is often disrupted by nonessential overnight interruptions. The COVID-19 pandemic necessitated social distancing policies which minimized contact with low-risk patients. These policies have the potential to decrease overnight disruptions and improve sleep for hospitalized patients. Methods: This cohort study compared sleep disruptions […]
Abstract Number: 152
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Although 1 in 10 people suffer from chronic insomnia, the prevalence among hospitalized patients is likely higher, due to common comorbidities such as depression and chronic pain in this population. We aimed to assess the prevalence of undiagnosed insomnia among hospitalized adults and examine the associations between severity of insomnia and in-hospital sleep duration […]
Abstract Number: 161
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sleep is generally poor in hospitalized patients and sleep deprivation has many harmful effects, including delirium, insulin resistance, hypertension, and impaired function of the immune system. In this quality improvement (QI) project, our goal was to delay early morning phlebotomy blood collections to improve sleep for our patients, while not negatively impacting hospitalists’ perception […]
Abstract Number: 174
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalized patients get fewer than five hours of sleep a night. Poor sleep leads to increased rates of delirium, falls, and hypertension, and decreased patient satisfaction. Purpose: To improve sleep among hospitalized patients through a resident-led project aimed at minimizing nighttime disruptions and changing culture. Description: In a needs assessment survey, hospitalized patients reported […]
Abstract Number: 178
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Baystate Children’s Hospital serves a population that is vulnerable to unsafe sleep practices. By July 2017, there were 6 cases of accidental infant deaths in Hampden County MA, attributed to unsafe sleeping practices, primarily due to co-sleeping. In Springfield, MA, infant mortality rate (9.2%) is double that of the state rate (4.4%). Rates of […]