Sleep Quality in Patients with Heart Failure in the Spanish Population: A Cross-Sectional Study

Jorge-Samitier, Pablo; Durante, Ángela; Gea-Caballero, Vicente; Antón-Solanas, Isabel; Fernández-Rodrigo, María Teresa; Juárez‐Vela, Raúl

doi:10.3390/ijerph17217772

Cited by 10 publications

(12 citation statements)

References 30 publications

(78 reference statements)

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“…All of these factors would be in line with the published evidence, highlighting the percentages of the chronic use of hypnotics, both in the general population at admission with 57% and those who subsequently developed ADE who consumed them daily with 68% [ 7 , 10 , 13 , 34 , 35 , 36 ]. Comparing these data with those of our previous studies carried out in the same unit that applied the drugs in 32.4% of patients hospitalized for COVID-19 [ 23 ], which rose up to 40% among those who developed ADE and 35% relating to HF and sleep quality disorder [ 37 ], a significant increase in the use of these drugs was perceived, whose differences could be found in age, functional, and cognitive impairment.…”

Section: Discussionsupporting

confidence: 61%

Clinical and Epidemiological Approach to Delirium in an Acute Care Unit: A Cross-Sectional Study

Jorge-Samitier

Juárez‐Vela²,

Santolalla‐Arnedo³

et al. 2022

IJERPH

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During hospital admissions, the union of various factors, those related to acute pathology, dependency conditions, cognitive impairment, change of habitual environment, and others, can cause delirium. Acute delirium in the elderly (ADE) occurs in around a third of patients over 70 years of age. The syndrome generates serious complications that increase hospital morbidity and mortality and a high cost for the health administration. This study aimed to determine the clinical and epidemiological profile of ADE in an internal medicine unit. A descriptive cross-sectional study was carried out using a convenience test. A total of 356 patients participated between September and November 2021. Sociodemographic variables, predisposing and precipitating factors of ADE, methods of action against ADE, and the impact on functional and cognitive deterioration were analyzed. A total of 35.1% of the patients developed ADE, mostly of the hyperactive type and of nocturnal appearance. ADE was mainly treated with psychoactive drugs and 22% required mechanical restraint, with non-pharmacological preventive strategies, support, and caregiver training being the main tools for controlling ADE during hospital admission.

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Section: Discussionsupporting

confidence: 61%

Clinical and Epidemiological Approach to Delirium in an Acute Care Unit: A Cross-Sectional Study

Jorge-Samitier

Juárez‐Vela²,

Santolalla‐Arnedo³

et al. 2022

IJERPH

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“…Figure A3 ( Appendix A ), in turn, shows results of APIM research on caregiver quality of life and emotional aspects of dealing with HF patients. Although prior studies indicated similar patterns of relationships [ 55 , 56 , 65 , 66 , 67 , 68 ], an analysis employing the APIM revealed complex interrelationships between patient and caregiver features. Researchers should consider exploring self-care phenomena using the APIM model to analyze the interdependence between the members of the dyad.…”

Section: Discussionmentioning

confidence: 88%

Heart Failure Care: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model (APIM)—A Scoping Review

Uchmanowicz

Faulkner

Vellone

et al. 2022

IJERPH

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Self-care behaviors are essential for the effective treatment of heart failure (HF), and poor self-care may lead to adverse clinical events in patients with HF. A growing body of literature addresses the need to analyze the characteristics of both patient and caregiver since they are in mutual, long-term interaction, and their reactions to events are dependent on each other. One of the most common approaches for analyzing data on HF self-care dyads is the Actor–Partner Interdependence Model (APIM). The purpose of this study was to conduct a scoping review to answer the following question: what did we learn from HF dyadic studies based on the APIM approach? Medline, Academic Search Ultimate, and CINAHL Complete databases were searched, using the terms “dyad,” “dyadic,” and “heart failure,” for studies published between 2009 and April 2021. Fifteen studies were reviewed from a pool of 106 papers. Studies using the APIM approach revealed interrelated patient and caregiver characteristics that influence self-care and explain many complex dyadic behaviors. Our analysis provided evidence that (1) APIM is a useful analytical approach; (2) a family-oriented approach can improve the functioning of a patient with HF; and (3) social support from caregivers significantly enhances patients’ adaptation to illness.

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“…Awotidebe et al [ 19 ] reported a significantly worse sleep quality in patients with heart failure compared with healthy controls. In a Spanish study by Jorge-Samitier et al [ 20 ] on a group of 203 patients admitted for decompensated heart failure, poor sleep quality was noted in 73.3%. Javadi et al [ 21 ] revealed poor sleep quality in 91% of hospitalized patients with heart failure.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Polysomnographic Features Associated with Poor Sleep Quality in Patients with Obstructive Sleep Apnea

et al. 2022

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Background and Objectives: Poor sleep quality in patients with obstructive sleep apnea (OSA) may be associated with different clinical and polysomnographic features. The aim of this study was to identify features associated with poor sleep quality in OSA patients. Materials and Methods: This was a cross-sectional study enrolling patients with OSA confirmed by polysomnography (PSG). In addition to gathering clinical data, patients were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), and the Clinical Global Impression Scale. Univariate and multivariable analyses were performed to identify factors associated with an increased risk of poor sleep quality in this population. Results: Among 505 enrolled patients (mean age of 57.1 years, 69.7% male) poor quality of sleep (PSQI score ≥ 5) was confirmed in 68.9% of them. Multivariable analysis revealed the following factors associated with poor sleep quality: chronic heart failure (OR 3.111; 95% CI, 1.083–8.941, p = 0.035), male sex (OR 0.396; 95% CI, 0.199–0.787, p = 0.008), total ESS score (OR 1.193; 95% CI, 1.124–1.266, p < 0.001), minimal saturation during sleep (OR 1.034; 95% CI, 1.002–1.066, p = 0.036), and N3 percentage of total sleep time (OR 1.110; 95% CI, 1.027–1.200, p = 0.009). Conclusions: Our study suggests that both the female sex and coexistence of heart failure are independent risk factors for poor sleep quality. Moreover, we hypothesize that nocturnal hypoxia may lead to a misperception of sleep quality and may explain the counterintuitive association between a higher proportion of deep sleep and poor sleep quality.

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Sleep Quality in Patients with Heart Failure in the Spanish Population: A Cross-Sectional Study

Cited by 10 publications

References 30 publications

Clinical and Epidemiological Approach to Delirium in an Acute Care Unit: A Cross-Sectional Study

Clinical and Epidemiological Approach to Delirium in an Acute Care Unit: A Cross-Sectional Study

Heart Failure Care: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model (APIM)—A Scoping Review

Clinical and Polysomnographic Features Associated with Poor Sleep Quality in Patients with Obstructive Sleep Apnea

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