Insomnia among hospitalized elderly patients: Prevalence, clinical characteristics and risk factors

Isaia, Gianluca; Corsinovi, Laura; Bo, Mario; Santos-Pereira, Poliana; Michelis, Giuliana; Aimonino, N.; Zanocchi, Mauro

doi:10.1016/j.archger.2010.03.001

Cited by 63 publications

(51 citation statements)

References 41 publications

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“…Etiologies of NOI were noticed to be similar to the findings in previous studies [9,12,14]. Patients with NOI in our study reported more sleep disruption due to staff interruptions, noise/brightness, and symptoms or illness related causes when compared to other studies.…”

Section: Discussionsupporting

confidence: 89%

“…However, clinical insomnia and severe insomnia were found only in 10% of all patients. The incidence of new-onset clinically significant insomnia in our study was lower than that in previous studies (38%–57%) [12,13]. We attribute it to the fact that other studies have included patients with chronic insomnia.…”

Section: Discussioncontrasting

confidence: 79%

“…Anyone who scored above 7 was considered to have insomnia. The ISI has been validated to screen and assess the severity of insomnia in both general populations and inpatients [11,12]. Based on the ISI score, insomnia was categorized into clinically non-significant (ISI<8), subclinical (ISI 8–14), clinical/moderately severe (ISI 15–22), and severe insomnia (ISI 23–28).…”

Section: Methodsmentioning

confidence: 99%

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New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

Raja

Waldhorn

et al. 2017

Journal of Community Hospital Internal Medicine Perspectives

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Background: Insomnia is common in hospitalized patients. However, no study has examined new onset of insomnia in patients without a prior history of insomnia. Objectives: Incidence of new onset of insomnia in inpatients, associated factors and resolution rate after 2 weeks. Method: This is a prospective observational study conducted at a community hospital. We used the Insomnia Severity Index questionnaire to screen for insomnia in all patients located in the general medical floors from day 3 to day 5 of their hospital stay. We excluded patients with a prior insomnia history. Results: Out of the 205 patients who met the inclusion criteria, 75 patients (36%) reported insomnia. Severe insomnia was present in 3% of patients. Difficulty in maintaining sleep is the most common symptom. Frequent staff disruptions due to blood draws and vital signs checks were reported by 68% as the cause of insomnia, followed by illness associated causes (64%) and sleep disruption due to noise and or brightness (23%). Patients with insomnia had more awakenings due to noise, brightness, and staff interruptions than those without insomnia (1.35 times vs. 0.9 times, p = 0.027). Patients with respiratory symptoms, cardiac monitoring, oxygen use, private rooms, and no sedative use did not have a higher insomnia risk. Patients with insomnia had significant lower satisfaction scores than patients without insomnia (4.53 vs. 4.05, p = 0.001) but did not have a different length of stay (6.18 vs. 6.19, p = 0.97). In 31% of patients with insomnia who were able to be contacted two weeks after discharge, 75% of them had insomnia resolution. Conclusion: New onset of insomnia occurred in 36% of hospitalized patients. Most common causes are staff disruption and disease symptoms. It was usually short-term and could decrease patients’ satisfaction score.

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Section: Discussionsupporting

confidence: 89%

Section: Discussioncontrasting

confidence: 79%

Section: Methodsmentioning

confidence: 99%

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New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

Raja

Waldhorn

et al. 2017

Journal of Community Hospital Internal Medicine Perspectives

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“…This study is consistent with the study conducted in Egypt which reported that prevalence of insomnia among elderly was 36.4% [13] Similar study conducted in Italy also reported that 36.7% of the respondents had insomnia [14] and another study conducted in Iran revealed that 39.2% had insomnia [9] and a study in North India identified that 32% had insomnia [8]. But the present study is contrary with the study conducted in Sweden which yielded that 13.3% reported insomnia [5].…”

Section: Discussionsupporting

confidence: 82%

Factors Associated with Insomnia among Elderly of a Selected Community of Lalitpur

Timalsina¹

2017

J Gerontol Geriatr Res

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Insomnia is a common health problem among elderly. An analytical cross-sectional study was aimed to identify the factors associated with insomnia among elderly. Non-probability purposive sampling technique was used for the selection of 64 elderlies of Ward No. 2 of Karyabinayak Municipality, Lalitpur. Data collection was done from 18th to 30th of September 2016 by using structured interview schedule related to socio-demographic variables and Pittsburgh Insomnia Rating Scale. Descriptive and inferential statistics namely chi-square test was used to analyze data using SPSS software version 16 and findings were presented on the relevant tables and figures. The findings of the study revealed that 40.6% of the respondents have insomnia. Furthermore, there is significant association of health problems during night sleep with insomnia (p=0.003). However, there is no significant association of age, gender, marital status, educational status, current working status, financial dependency, disease and medicine use at present with insomnia. Based on the findings of this study, it is concluded that insomnia is present among less than half elderly and the elderly who have health problems during night sleep have insomnia. Therefore, the awareness program regarding insomnia should be raised for early detection and appropriate management in order to decrease sleep related health problems and improve quality of life.

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“…It is mentioned that the incidence of any sleep disorder ranges from 50% to 80% in patients diagnosed with a psychiatric disorder. Sleep disorders are quite common in anxiety, depression, bipolar disorder, attention deficit, and hyperactivity (19,20). Sleep quality is an indicator of many psychiatric diseases and also a cause of these diseases (3,4).…”

Section: Discussionmentioning

confidence: 99%

Sleep Quality and Factors Affecting It in Patients with Chronic Psychiatric Disorders

Özkan¹,

Çoban²,

Sarac³

et al. 2015

Erciyes Med J

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Objective: The study aimed to determine sleep quality and factors affecting it in patients with chronic psychological disorders. Results: According to the data obtained, the mean scores of PSQI were as follows: sleep duration, 1.17±1.09 h; sleep efficacy, 1.23±0.97; daytime dysfunction, 1.40±1.01; sleep disorder, 1.16±0.83; sleep latency, 2.80±1.58; sleeping pills, 1.35±0.76; and global PSQI, 9.13±2.37. In total, 93.2% of the patients were found to have a bad sleeping quality. As the global PSQI scores increased, sleeping time, sleeping pill use, sleeping quality, sleeping activity, sleep latency, and daytime dysfunction scores also increased (p<0.05). In addition, there was a positive correlation among them. The correlation between the global PSQI scores and marital status and between the place of residence and occupational-professional status was found to be significant (p<0.05). Conclusion:As patients with chronic psychiatric disorders have frequent sleep problems, planning interventions for the sleep problems of patients can be recommended.

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Insomnia among hospitalized elderly patients: Prevalence, clinical characteristics and risk factors

Cited by 63 publications

References 41 publications

New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

Factors Associated with Insomnia among Elderly of a Selected Community of Lalitpur

Sleep Quality and Factors Affecting It in Patients with Chronic Psychiatric Disorders

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