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Evaluating Sleep Challenges in Hospitalized Youth.

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Hospitalized youth experience sleep disruptions from alarms and noise, with frequent vital sign checks increasing daytime sleepiness. Reducing overnight monitoring may improve pediatric patient sleep quality.

Keywords:
mental healthpediatricsquality improvementsleep disruptionvital signs

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Area of Science:

  • Pediatric Hospital Medicine
  • Sleep Science
  • Patient Experience

Background:

  • Sleep quality is crucial for pediatric recovery.
  • Hospital environments can disrupt patient sleep.
  • Understanding sleep disruptions in non-intensive care unit (ICU) settings is important.

Purpose of the Study:

  • To characterize sleep quality and identify sleep disruptions in hospitalized youth outside the ICU.
  • To assess the impact of clinical monitoring frequency on daytime sleepiness.

Main Methods:

  • A survey-based study involving 45 pediatric patients (ages 8-17) hospitalized for ≥3 days outside the ICU.
  • Utilized sleep diaries, Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD), and an Inpatient Sleep Disruptors Questionnaire.
  • Correlated overnight clinical monitoring frequency with daytime sleepiness using descriptive and comparative statistics.

Main Results:

  • Most participants (79%) reported fair to good sleep, with normal average sleep time and ESS-CHAD scores.
  • Equipment alarms, vital sign monitoring, and noise were identified as primary sleep disruptors.
  • Increased frequency of vital sign checks (every 4 hours vs. every shift) was associated with significantly higher daytime sleepiness (p=0.04).

Conclusions:

  • While many hospitalized youth report adequate sleep, a notable portion experiences impaired sleep quality and elevated daytime sleepiness.
  • Frequent vital sign monitoring and environmental noise are significant contributors to sleep disruption.
  • Reducing the frequency of overnight vital sign monitoring in clinically stable pediatric patients may enhance sleep quality and reduce daytime sleepiness.