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Search Results for Sleep
Abstract Number: 264
Hospital Medicine 2020, Virtual Competition
Background: Obstructive sleep apnea (OSA) is defined as a sleep disorder marked by pauses in breathing of 10 seconds or more causing unrestful sleep and accompanied by loud or abnormal snoring, daytime sleepiness, irritability, and depression. According to the National Sleep Foundation, more than 18 million Americans have OSA, 80% of whom are undiagnosed. The […]
Abstract Number: 265
SHM Converge 2024
Background: Poor sleep is common in hospitalized patients due to multiple factors, including disruption of the circadian rhythm. Greater exposure to natural light for hospitalized patients has been associated with improved outcomes, including increased survival in acute myocardial infarction. Few studies have examined programmable artificial lighting systems in hospital patient rooms, and few have achieved […]
Abstract Number: 303
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients are often disrupted at night for routine medical care, some of which is unnecessary. These sleep disruptions have implications for patient satisfaction, delirium, mobility, immune status, as well as hospital outcomes such as length of stay and readmissions. Interventions to improve inpatient sleep would benefit from the ability to objectively measure sleep, […]
Abstract Number: 338
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Evidence-based medicine and research are the backdrops to our everyday practice of medicine. Although there are defined steps in carrying research project to publication, there is paucity in the translation of research to practice.(1,2) Over 45% hospitalized patients report poor sleep during their most vulnerable time citing the hospital environment and sleep disruptions from […]
Abstract Number: 351
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: With the increasing focus on patient experience over the last decade in American healthcare, it is not surprising that numerous interventions to improve sleep in the hospital setting have arisen. However, measuring sleep in the inpatient setting can be challenging. The majority of inpatient sleep studies have focused in the ICU, primarily using patient-reported […]
Abstract Number: 367
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In the outpatient setting, untreated obstructive sleep apnea (OSA) is associated with myriad adverse clinical outcomes including myocardial infarction, heart failure, arrhythmias, and cerebrovascular disease. However, little is known about the impact of treated versus untreated OSA on short-term outcomes in patients hospitalized with acute illness. We propose that the recurrent hypopnea and apnea […]
Abstract Number: 376
SHM Converge 2023
Background: Hospital-acquired delirium induced via disruptions of the sleep cycle contributes to increased mortality and morbidity in hospitalized patients (1,2). Surveys of hospitalized general internal medicine patients at our institution, a tertiary academic medical center, have found that sleep duration is decreased in the hospital, with inpatients sleeping on average 4-6 hours, and reporting worse […]
Abstract Number: 417
Hospital Medicine 2020, Virtual Competition
Background: Overnight disruptions in sleep during acute care hospitalizations contribute to lower patient satisfaction, higher risk of delirium, and potentially, increased length of stay. One primary offender of quality sleep is high frequency collection of vital signs during overnight hours. Protocols for reduction in collection of overnight vital signs have been successfully implemented at other […]
Abstract Number: I13
SHM Converge 2022
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey distributed by The Center for Medicare and Medicaid (CMS) services measures patient perceptions of hospital experience and impacts annual CMS reimbursement. This study focuses on the “Quiet at Night” variable, to identify the top box institutions and identify the key characteristics that enable […]
Abstract Number: O17
SHM Converge 2022
Background: While sleep is critical for health and healing, the hospital setting is not conducive to sleep and few efforts have been made to improve the sleeping environment. To date, there have been no efforts to describe the current practices to improve the sleep of hospitalized patients at highly-ranked hospitals. Methods: A multicenter mixed-methods study […]