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Prevalence and Correlates of Sleep Disorders Among Pediatric Inpatients in a Tertiary Pediatric Hospital

Sulhi Alfakeh1, Rahaf L Mandili2, Rajwa N Aljabri2

  • 1Department of Psychiatry, King Abdulaziz University Hospital, Jeddah, SAU.

Cureus
|March 16, 2023
PubMed

Insights

Pediatric inpatients frequently experience sleep disorders, with most children waking distressed at night. Bedtime resistance and sleep anxiety are the most common issues affecting hospitalized children.

Area of Science:

  • Pediatric Sleep Medicine
  • Clinical Psychology
  • Hospital Management

Background:

  • Sleep disorders are defined as disturbances in sleep timing, quality, or quantity, leading to daytime impairment.
  • These disturbances significantly impact the functional status of individuals, particularly in vulnerable populations.
  • Understanding sleep disorder prevalence in pediatric inpatients is crucial for improving care.

Purpose of the Study:

  • To describe the effects of sleep disorders on pediatric inpatients at King Abdulaziz University Hospital (KAUH).
  • To estimate the prevalence of sleep disorders among these patients during 2021-2022.
  • To identify and rank specific sleep habit issues affecting hospitalized children.

Main Methods:

  • Utilized two validated scoring systems: the Children's Sleep Habits Questionnaire (CSHQ) and the Pediatric Sleep Questionnaire.
  • Assessed sleep habits through questionnaires administered to pediatric inpatients.
  • Analyzed data using SPSS version 23 and GraphPad Prism version 8 for statistical analysis.

Main Results:

  • Evaluated sleep disorders and correlations in 98 pediatric inpatients at KAUH (2021-2022).
  • The average hospital stay was 11.97 days, with an average of 2.85 previous admissions.
  • The 'sleep behavior' domain of the CSHQ indicated most children experienced night awakenings with distress.

Conclusions:

  • Bedtime resistance and sleep anxiety were identified as the most prevalent sleep disturbances.
  • These findings highlight significant sleep challenges faced by pediatric inpatients.
  • Interventions targeting sleep behavior, bedtime resistance, and sleep anxiety may improve outcomes for hospitalized children.

Keywords:
children’s sleep habits questionnairepediatric inpatientpediatric sleep questionnairesleep disordersleep study

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