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Published on: March 26, 2019
Sleep Disruptions in Hospitalized Adults Sustaining a Traumatic Brain Injury: A Scoping Review
Catherine Leclerc1, Charles Gervais, Danny Hjeij
1Author Affiliations: Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Cœur de Montréal, CIUSSS du Nord-de-l'Île-de-Montréal, Montréal, Québec, Canada (Mss Leclerc and Hjeij, Mr Gervais, and Drs Williamson, Bernard, Duclos, and Arbour); Department of Psychology, Université de Montréal, Montréal, Québec, Canada (Ms Leclerc and Mr Gervais); Faculty of Medicine (Drs Briand and Bernard), Faculty of Pharmacy (Dr Williamson), and Faculty of Nursing (Dr Arbour), Université de Montréal, Montréal, Québec, Canada; Division of Trauma Research, Departments of Surgery and of Neurological Sciences, Hôpital du Sacré-Coeur de Montréal, CIUSSS du Nord-de-l'Île-de-Montréal, Montréal, Québec, Canada (Drs Briand, Bernard, Duclos, and Arbour); and Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada (Dr Duclos).
Hospitalized traumatic brain injury (TBI) patients experience significant sleep disturbances, with most not getting adequate nighttime sleep. Internal factors like TBI severity and external factors like noise impact sleep quality during recovery.
Area of Science:
- Neuroscience
- Sleep Medicine
- Rehabilitation Medicine
Background:
- Traumatic brain injury (TBI) survivors often face sleep disturbances during recovery.
- Hospitalized TBI patients' sleep-wake patterns and influencing factors are not well understood.
Purpose of the Study:
- To review existing literature on sleep and sleep measurement in hospitalized TBI adults.
- To identify internal and external factors associated with poor sleep in this population.
Main Methods:
- A scoping review was conducted following PRISMA guidelines.
- Searches were performed across MEDLINE, PsycINFO, CINAHL, and Web of Science databases.
Main Results:
- Thirty studies were reviewed, focusing on nighttime sleep duration, wake after sleep onset, and sleep efficiency.
- Eighty percent of studies indicated insufficient nighttime sleep in hospitalized TBI patients.
- Internal factors (TBI severity, cognitive status, analgesia) and external factors (noise, light, care activities) were linked to sleep disruptions.
Conclusions:
- Knowledge regarding sleep disturbances in hospitalized TBI patients is growing but incomplete.
- Further research is needed to identify specific sleep phenotypes and risk factors.
- Understanding these factors can guide clinical interventions to improve TBI patient sleep.
