Sleep Quality of Hospitalized Patients, Contributing Factors, and Prevalence of Associated Disorders

Kulpatcharapong, Santi; Chewcharat, Pol; Ruxrungtham, Kiat; Gonlachanvit, Sutep; Patcharatrakul, Tanisa; Chaitusaney, Busarakum; Muntham, Dittapol; Reutrakul, Sirimon; Chirakalwasan, Naricha

doi:10.1155/2020/8518396

Cited by 37 publications

(38 citation statements)

References 29 publications

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“…The financial gain from SDD after AF ablation has not been previously explored. From the patient perspective, SDD facilitates better quality of overnight rest at home 16 and the shorter length of stay reduces the risk of hospital acquired infections, which is particularly relevant in the era of the Covid‐19 pandemic 17 . From the hospital perspective, SDD reduces the operating costs associated with extended management of patients deemed appropriate for discharge and allows re‐allocation of healthcare resources, primarily the hospital bed, to other patients in need.…”

Section: Discussionmentioning

confidence: 99%

Barriers and financial impact of same‐day discharge after atrial fibrillation ablation

Chu

Zhang

Musikantow

et al. 2021

Pacing Clinical Electrophis

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Background Same‐day discharge (SDD) after atrial fibrillation (AF) ablation is increasingly being considered. This study examined the barriers and financial impact associated with SDD in a contemporary cohort of patients undergoing elective AF ablation. Methods A single center retrospective review was conducted of the 249 first case‐of‐the‐day outpatient AF ablations performed in 2019 to evaluate the proportion of patients that could have undergone SDD. Barriers to SDD were defined as any intervention that prevented SDD by 8 p.m. The financial impact of SDD was based on savings from avoidance of the overnight hospital stay and revenue related to management of chest pain facilitated by a vacant hospital bed. Results SDD could have occurred in 157 patients (63%) without change in management and in up to 200 patients (80%) if avoidable barriers were addressed. Barriers to SDD included non‐clinical logistical issues (43%), prolonged post‐procedure recovery (42%) and minor procedural complications (15%). On multivariate analysis, factors associated with barriers to SDD included increasing age (P = .01), left ventricular ejection fraction ≤ 35% (P = .04), and severely dilated left atrium (P = .04). The financial gain from SDD would have ranged from $1,110,096 (assuming discharge of 63% of eligible patients) to $1,480,128 (assuming 80% discharge) over the course of a year. Conclusions Up to 80% of patients undergoing outpatient AF ablation were amenable to SDD if avoidable delays in care had been anticipated. Based on reduced hospital operating expenses and increased revenue from management of individuals with chest pain, this would translate to a financial savings of ∼$1.5 million.

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Section: Discussionmentioning

confidence: 99%

Barriers and financial impact of same‐day discharge after atrial fibrillation ablation

Chu

Zhang

Musikantow

et al. 2021

Pacing Clinical Electrophis

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“…Research has shown that, prevalence of sleep disturbance among critical ill and hospitalized patients has been shown to be more than (50%), and of the remaining sleep time only 3.0% to 4.0% in REM stage [3]. In another study High prevalence of poor sleep quality in hospitalized patients to be ranging between 43% and 91% [4].…”

Section: Introductionmentioning

confidence: 90%

The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients

Khalik¹,

Elbaky²,

Ahmed³

et al. 2020

AJNS

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Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group's patients at the medical ward and MICU had no Confusion," with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.

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“…Research demonstrates that poor sleep quality after the first night of hospital admission is high compared to baseline sleep quality at home (50% vs. 18.8%, p < 0.001 in one Thai sample; mean 5.5 versus 7.0 hours, p < 0.0001 in a Canadian sample). 100,101 However, sub-analyses demonstrated that results did not differ by sex. 101 Women are also more likely than men to report post-discharge and post-ICU sleep disturbances.…”

Section: Sex Insomnia and Cvdmentioning

confidence: 82%

Elucidating the Relationship Between Insomnia, Sex, and Cardiovascular Disease

Leeds

Shechter

Alcántara

et al. 2020

Gender and the Genome

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Sex differences in cardiovascular disease (CVD) mortality have been attributed to differences in pathophysiology between men and women and to disparities in CVD management that disproportionately affect women compared to men. Similarly, there has been investigation of differences in the prevalence and presentation of insomnia attributable to sex. Few studies have examined how sex and insomnia interact to influence CVD outcomes, however. In this review, we summarize the literature on sex-specific differences in the prevalence and presentation of insomnia as well as existing research regarding the relationship between insomnia and CVD outcomes as it pertains to sex. Research to date indicate that women are more likely to have insomnia than men, and there appear to be differential associations in the relation between insomnia and CVD by sex. We posit potential mechanisms of the relationship between sex, insomnia and CVD, discuss gaps in the existing literature, and provide commentary on future research needed in this area. Unraveling the complex relations between sex, insomnia, and CVD may help to explain sex-specific differences in CVD, and identify sex-specific strategies for promotion of cardiovascular health. Throughout this review, terms “men” and “women” are used as they are in the source literature, which does not differentiate between sex and gender. The implications of this are also discussed.

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Sleep Quality of Hospitalized Patients, Contributing Factors, and Prevalence of Associated Disorders

Cited by 37 publications

References 29 publications

Barriers and financial impact of same‐day discharge after atrial fibrillation ablation

Barriers and financial impact of same‐day discharge after atrial fibrillation ablation

The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients

Elucidating the Relationship Between Insomnia, Sex, and Cardiovascular Disease

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