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Search Results for Sleep
Abstract Number: 182
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Children with sleep apnea are at increased risk for adverse respiratory events following surgical procedures involving the airway such as tonsillectomy. Risk following sedation for non-invasive procedures is unclear. The objective of this study was to identify risk factors for overnight desaturation events (ODE) in patients with sleep apnea admitted after sedated magnetic resonance […]
Abstract Number: 185
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rapid Response System (RRS) was designed as a safety tool for early detection and intervention of a deteriorating patient on a general floor in a hospital and Modified Early Warning System (MEWS) scores can be used to identify these patients. Obstructive Sleep Apnea (OSA) has been described as an independent risk factor for long […]
Abstract Number: 195
SHM Converge 2023
Background: Hospital-associated sleep loss and poor overall sleep efficiency are associated with poor glycemic control and exacerbated insulin resistance. in diabetic patients. The relationship between sleep, sleep hygiene, and diabetes is confounded by social determinants of health, such as health literacy. The evaluation of insomnia often utilizes complex sleep diaries or logs that may not […]
Abstract Number: 200
SHM Converge 2024
Background: Routine patient care including vital signs checks, lab draws, medication administration, during the night contributes to the already disturbed sleep of inpatients. This study aimed to assess the performance of automated risk scores to stratify the risk of an overnight deterioration to better inform letting low-risk patients sleep and more intensively monitoring and/or intervening […]
Abstract Number: 213
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Acute hospitalization can precipitate insomnia- the insomnia being related to the underlying illness, medications, change from usual nighttime routines and a sleep disruptive hospital environment. Both insomnia and the drugs used to treat it may contribute to delirium, increased fall rates, increased restraint use, increased length of stay and lower patient/ customer satisfaction. In […]
Abstract Number: 216
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite the importance of sleep to recovery from acute illness and the patient experience, hospitalizations are far from restful. Currently, Medicare focuses on noise, but other disruptions to patient sleep such as lab draws, vitals and pain must also be considered. In order to improve in-hospital sleep via a patient-centered approach, it is important […]
Abstract Number: 227
Hospital Medicine 2020, Virtual Competition
Background: Interventions to improve inpatient sleep rely on the ability to objectively quantify sleep; however existing methods of measurement (wrist actigraphy and patient survey) are resource intensive and impose a burden on patients. To overcome these barriers, we developed “sleep opportunity” (SLOP), a surrogate metric for sleep derived solely from the electronic health record (EHR). […]
Abstract Number: 238
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The 2011 AAP policy statement regarding recommendations for a safe infant sleeping environment included hospitalized infants, but unsafe sleep practices continue to be common in hospitalized infants. Safe sleep position compliance was observed to be low at Baystate Chidlren’s Hospital (BCH), as described in a prior abstract (http://abstract.staging.hospitalmedicine.org/abstract/improving-infant-safe-sleep-practices-in-the-inpatient-setting-using-qi-methodology/). Interventions designed to improve rates of […]
Abstract Number: 254
Hospital Medicine 2020, Virtual Competition
Background: Rest is critical to healing, yet a child’s sleep during an inpatient hospital admission is often disrupted. One such disruption is oral medication administration, which is commonly scheduled around the clock (q6h, q8h, q12h) by default, despite comparable efficacy during waking hours. Previous studies suggest that flexible medication times help inpatients sleep longer and […]
Abstract Number: 260
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sleep disturbance has negative impact on physical coordination, metabolism, cognitive performance, immune function, coagulation cascade, cardiac risk and is associated with an increased risk of falls in hospitalized patients. The number of adverse events related to falls is startling and it poses a major health risk for patients in acute care facilities. As the […]