If you’re staying overnight at a hospital, your sleep may be negatively impacted at a time when your body needs its restorative benefits most. Sleep is essential to overall health and healing. Studies have found that poor sleep can impact your recovery, sense of wellness, and immune system. There are many reasons you may find it difficult to sleep well in the hospital, but there are ways to improve your rest. A Wake-Up Call: What’s Keeping You from Sleep in the HospitalThere are many factors that make it difficult to get quality sleep while in a hospital. Hospital routines may play a role. The timing of certain medications, blood draws, and blood pressure testing can interrupt your sleep. These may be unavoidable causes of nighttime awakenings. Other factors, such as light and noise, are part of the hospital environment. Noise from beeping monitors, pumps, ventilators, cleaning machines, staff, and even other patients can make it hard to sleep. A 2021 study examined sleep in hospitalized children minute-by-minute to find that light and noise led to frequent nighttime awakenings. Children in this study experienced a large sleep deficit. On average, they slept at least two hours less per night than they slept at home before hospitalization. Other factors that may negatively impact the appropriate quality and quantity of nighttime sleep can include pain, side effects from medications, and daytime napping. How to Improve Your Sleep During Your Hospital StayIt may seem like many of the factors keeping you awake in the hospital are out of your control. But there are ways to improve your sleep during your hospital stay, such as:
A recent study introduced several sleep hygiene interventions to a group of hospitalized patients. They provided an eye mask, earplugs, and non-caffeinated tea to patients. Health care providers were instructed to ask if patients wanted window shades closed or lights turned off. Relaxing music was played at bedtime. Finally, signs promoting the importance of quietness at night were placed around the unit. Researchers found that the patients’ self-reported sleep improved after these interventions. Sleep plays an important role in health and recovery. Have a conversation with your medical provider about ways to improve your sleep during your hospital stay. Related articles: Promoting better sleep can improve mental state in hospitals Reviewed by: Anne Marie Morse, DO 1. Colten Harvey R, Altevogt Bruce M., editors. Institute of Medicine (US) Committee on Sleep Medicine and Research. Washington (DC): National Academies Press (US); 2006. Sleep Disorders and Sleep Deprivation. An Unmet Public Health Problem. [PubMed] [Google Scholar] 2. Colten Harvey R, Altevogt Bruce M., editors. Institute of Medicine (US) Committee on Sleep Medicine and Research. Washington (DC): National Academies Press (US); 2006. Sleep Disorders and Sleep Deprivation. An Unmet Public Health Problem. [PubMed] [Google Scholar] 3. Pilkington S. Causes and consequences of sleep deprivation in hospitalised patients. Nurs Stand. 2013 Aug 7–13;27(49):35–42. [PubMed] [Google Scholar] 4. Krumholz HM. Post-hospital syndrome--an acquired, transient condition of generalized risk. N Engl J Med. 2013;368(2):100–2. [PMC free article] [PubMed] [Google Scholar] 5. Arora VM, Chang KL, Fazal AZ, Staisiunas PG, Meltzer DO, Zee PC, Knutson KL, Van Cauter E. Objective sleep duration and quality in hospitalized older adults: associations with blood pressure and mood. J Am Geriatr Soc. 2011;59(11):2185–6. [PMC free article] [PubMed] [Google Scholar] 6. Shah MS, Spampinato LM, Beveridge C, Meltzer DO, Arora VM. Quantifying Post Hospital Syndrome: Sleeping Longer and Physically Stronger? [abstract] [Accessed March 24, 2016];Journal of Hospital Medicine. 2016 11(suppl 1) http://www.shmabstracts.com/abstract/quantifying-post-hospital-syndrome-sleeping-longer-and-physically-stronger/ [Google Scholar] 7. Shear TC, Balachandran JS, Mokhlesi B, Spampinato LM, Knutson KL, Meltzer DO, Arora VM. Risk of sleep apnea in hospitalized older patients. J Clin Sleep Med. 2014;10(10):1061–6. [PMC free article] [PubMed] [Google Scholar] 8. Sharma S. Hospital sleep medicine: the elephant in the room? J Clin Sleep Med. 2014;10(10):1067–8. [PMC free article] [PubMed] [Google Scholar] 9. Wolkove N, Elkholy O, Baltzan M, Palayew M. Sleep and aging: 1. Sleep disorders commonly found in older people. CMAJ. 2007;176(9):1299–304. [PMC free article] [PubMed] [Google Scholar] 10. Bliwise DL. Sleep in normal aging and dementia. Sleep. 1993;16(1):40–81. [PubMed] [Google Scholar] 11. Vaz Fragoso CA, Gill TM. Sleep complaints in community-living older persons: a multifactorial geriatric syndrome. J Am Geriatr Soc. 2007;55(11):1853–66. [PMC free article] [PubMed] [Google Scholar] 12. Knutson KL, Spiegel K, Penev P, Van Cauter E. The metabolic consequences of sleep deprivation. Sleep Med Rev. 2007;11(3):163–78. [PMC free article] [PubMed] [Google Scholar] 13. Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet. 1999;354:1435–9. [PubMed] [Google Scholar] 14. Meisinger C, Heier M, Loewel H. Sleep disturbance as a predictor of type 2 diabetes mellitus in men and women from the general population. Diabetologia. 2005;48(2):235–41. [PubMed] [Google Scholar] 15. Yaggi HK, Araujo AB, McKinlay JB. Sleep duration as a risk factor for the development of type 2 diabetes. Diabetes Care. 2006;29(3):657–61. [PubMed] [Google Scholar] 16. Inzucchi SE. Management of hyperglycemia in the hospital setting. N Engl J Med. 2006 Nov 2;355(18):1903–11. [PubMed] [Google Scholar] 17. Inouye SK. Prevention of delirium in hospitalized older patients: risk factors and targeted intervention strategies. Ann Med. 2000;32(4):257–63. [PubMed] [Google Scholar] 18. Bell CM, Fischer HD, Gill SS, Zagorski B, Sykora K, Wodchis WP, Herrmann N, Bronskill SE, Lee PE, Anderson GM, Rochon PA. Initiation of benzodiazepines in the elderly after hospitalization. J Gen Intern Med. 2007;22(7):1024–9. [PMC free article] [PubMed] [Google Scholar] 19. Ancoli-Israel S, Cooke JR. Prevalence and comorbidity of insomnia and effect on functioning in elderly populations. J Am Geriatr Soc. 2005;53(7 Suppl):S264–71. [PubMed] [Google Scholar] 20. Gooneratne NS, Weaver TE, Cater JR, Pack FM, Arner HM, Greenberg AS, Pack AI. Functional outcomes of excessive daytime sleepiness in older adults. J Am Geriatr Soc. 2003;51(5):642–9. [PubMed] [Google Scholar] 21. Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822–8. [PubMed] [Google Scholar] 22. Stone KL, Ancoli-Israel S, Blackwell T, Ensrud KE, Cauley JA, Redline S, Hillier TA, Schneider J, Claman D, Cummings SR. Actigraphy-measured sleep characteristics and risk of falls in older women. Arch Intern Med. 2008 Sep 8;168(16):1768–75. [PubMed] [Google Scholar] 23. Spiegel K, Sheridan JF, Van Cauter E. Effect of sleep deprivation on response to immunization. JAMA. 2002 Sep;288(12):1471–2. [PubMed] [Google Scholar] 24. Kuo TH, Williams JA. Increased sleep promotes survival during a bacterial infection in Drosophila. Sleep. 2014 Jun 1;37(6):1077–86. 1086A–1086D. [PMC free article] [PubMed] [Google Scholar] 25. Redeker NS. Sleep in acute care settings: an integrative review. J Nurs Scholarsh. 2000;32(1):31–8. [PubMed] [Google Scholar] 26. Tamburri LM, DiBrienza R, Zozula R, Redeker NS. Nocturnal care interactions with patients in critical care units. Am J Crit Care. 2004;13(2):102–12. [PubMed] [Google Scholar] 27. Friese RS, Diaz-Arrastia R, McBride D, Frankel H, Gentilello LM. Quantity and quality of sleep in the surgical intensive care unit: are our patients sleeping? J Trauma. 2007;63(6):1210–4. [PubMed] [Google Scholar] 28. Beck-Little R, Weinrich SP. Assessment and management of sleep disorders in the elderly. J Gerontol Nurs. 1998;24(4):21–9. [PubMed] [Google Scholar] 29. Blazer DG, Hays JC, Foley DJ. Sleep complaints in older adults: a racial comparison. J Gerontol A Biol Sci Med Sci. 1995;50(5):M280–4. [PubMed] [Google Scholar] 30. Ersser S, Wiles A, Taylor H, Wade S, Walsh R, Bentley T. The sleep of older people in hospital and nursing homes. J Clin Nurs. 1999;8(4):360–8. [PubMed] [Google Scholar] 31. Grumet GW. Pandemonium in the modern hospital. N Engl J Med. 1993;328(6):433–7. [PubMed] [Google Scholar] 32. Buxton OM, Ellenbogen JM, Wang W, Carballeira A, O'Connor S, Cooper D, Gordhandas AJ, McKinney SM, Solet JM. Sleep disruption due to hospital noises: a prospective evaluation. Ann Int Med. 2012;157(3):170–9. [PubMed] [Google Scholar] 33. Mazer S. Speech Privacy: Beyond Architectural Solutions. [Accessed on June 1, 2016]; Available at: http://www.healinghealth.com/images/uploads/files/Mazer_SpeechPrivacy.pdf. 34. Tullmann DF, Dracup K. Creating a healing environment for elders. AACN Clin Issues. 2000;11(1):34–50. [PubMed] [Google Scholar] 35. U.S. Department of Health & Human Services. Hospital Compare. [Accessed on June 1, 2016]; Available at: http://www.hospitalcompare.hhs.gov/ 36. Kahn DM, Cook TE, Carlisle CC, Nelson DL, Kramer NR, Millman RP. Identification and modification of environmental noise in an ICU setting. Chest. 1998;114(2):535–40. [PubMed] [Google Scholar] 37. Yoder JC, Staisiunas PG, Meltzer DO, Knutson KL, Arora VM. Noise and sleep among adult medical inpatients: far from a quiet night. Arch Intern Med. 2012 Jan 9;172(1):68–70. [PMC free article] [PubMed] [Google Scholar] 38. Monk TH, Buysse DJ, Billy BD, Kennedy KS, Kupfer DJ. The effects on human sleep and circadian rhythms of 17 days of continuous bedrest in the absence of daylight. Sleep. 1997;20(10):858–64. [PubMed] [Google Scholar] 39. Shilo L, Dagan Y, Smorjik Y, Weinberg U, Dolev S, Komptel B, Balaum H, Shenkman L. Patients in the intensive care unit suffer from severe lack of sleep associated with loss of normal melatonin secretion pattern. Am J Med Sci. 1999 May;317(5):278–81. [PubMed] [Google Scholar] 40. Kumar S, McElligott D, Goyal A, Baugh M, Ionita RN. Risk of Obstructive Sleep Apnea (OSA) in Hospitalized Patients. [Accessed on June 1, 2016];Chest. 2010 138(4 supp):779A. Available at: http://journal.publications.chestnet.org/article.aspx?articleID=1087266. [Google Scholar] 41. Javaheri S, Caref EB, Chen E, Tong KB, Abraham WT. Sleep apnea testing and outcomes in a large cohort of Medicare beneficiaries with newly diagnosed heart failure. Am J Respir Crit Care Med. 2011;183(4):539–46. [PubMed] [Google Scholar] 42. Kaneko Y, Floras JS, Usui K, Plante J, Tkacova R, Kubo T, Ando S, Bradley TD. Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea. N Engl J Med. 2003;348(13):1233–41. [PubMed] [Google Scholar] 43. Kokras N, Kouzoupis AV, Paparrigopoulos T, Ferentinos P, Karamanakos P, Kontoyannis DA, Papadimitriou GN. Predicting insomnia in medical wards: the effect of anxiety, depression and admission diagnosis. Gen Hosp Psychiatry. 2011;33(1):78–81. [PubMed] [Google Scholar] 44. Isaia G, Corsinovi L, Bo M, Santos-Pereira P, Michelis G, Aimonino N, Zanocchi M. Insomnia among hospitalized elderly patients: prevalence, clinical characteristics and risk factors. Arch Gerontol Geriatr. 2011;52(2):133–7. [PubMed] [Google Scholar] 45. Meissner HH, Riemer A, Santiago SM, Stein M, Goldman MD, Williams AJ. Failure of physician documentation of sleep complaints in hospitalized patients. West J Med. 1998 Sep;169(3):146–9. [PMC free article] [PubMed] [Google Scholar] 46. Spurr KF, Graven MA, Gilbert RW. Prevalence of unspecified sleep apnea and the use of continuous positive airway pressure in hospitalized patients: 2004 national hospital discharge survey. Sleep Breath. 2008;12(3):229–234. [PubMed] [Google Scholar] 47. Gay PC. Sleep and sleep-disordered breathing in the hospitalized patient. Respir Care. 2010;55(9):1240–54. [PubMed] [Google Scholar] 48. Kaw R, Pasupuleti V, Walker E, Ramaswamy A, Foldvary-Schafer N. Postoperative complications in patients with obstructive sleep apnea. Chest. 2012;141(2):436–41. [PubMed] [Google Scholar] 49. Liao P, Yegneswaran B, Vairavanathan S, Zilberman P, Chung F. Postoperative complications in patients with obstructive sleep apnea: A retrospective matched cohort study. Can J Anaesth. 2009;56(11):819–828. [PubMed] [Google Scholar] 50. Hwang D, Shakir N, Limann B, et al. Association of sleep-disordered breathing with postoperative complications. Chest. 2008;133(5):1128–1134. [PubMed] [Google Scholar] 51. Mohsenin V, Valor R. Sleep apnea in patients with hemispheric stroke. Arch Phys Med Rehabil. 1995;76:71–6. [PubMed] [Google Scholar] 52. Harbison J, Ford G, James O, Gibson G. Sleep-disordered breathing following acute stroke. Q J Med. 2002;95:741–7. [PubMed] [Google Scholar] 53. Bassetti C, Aldrich M. Sleep apnea in acute cerebrovascular diseases: final report on 128 patients. Sleep. 1999;22:217–23. [PubMed] [Google Scholar] 54. Good D, Henkle J, Gelber D, Welsh J, Verhulst S. Sleep-disordered breathing and poor functional outcome after stroke. Stroke. 1996;27:252–9. [PubMed] [Google Scholar] 55. Sahlin C, Sandberg O, Gustafson Y, et al. Obstructive sleep apnea is a risk factor for death in patients with stroke: a 10-year follow-up. Arch Intern Med. 2008;168:297–301. [PubMed] [Google Scholar] 56. Oldenburg O, Lamp B, Faber L, Teschler H, Horstkotte D, Topfer V. Sleep-disordered breathing in patients with symptomatic heart failure: a contemporary study of prevalence in and characteristics of 700 patients. Eur J Heart Fail. 2007;9:251e7. [PubMed] [Google Scholar] 57. Bravata DM, et al. Continuous Positive Airway Pressure: Evaluation of a Novel Therapy for Patients with Acute Ischemic Stroke. Sleep. 2011;34:1271–7. [PMC free article] [PubMed] [Google Scholar] 58. Kaneko Y, Floras JS, Usui K, Plante J, Tkacova R, Kubo T, et al. Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea. N Engl J Med. 2003;348:1233e41. [PubMed] [Google Scholar] 59. Mansfield DR, Gollogly NC, Kaye DM, Richardson M, Bergin P, Naughton MT. Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure. Am J Respir Crit Care Med. 169:361e366. 20041. [PubMed] [Google Scholar] 60. White J, Cates C, Wright J. Continuous positive airways pressure for obstructive sleep apnoea. Cochrane Database Syst Rev. 2002:4. [PubMed] [Google Scholar] 61. Griffiths MF, Peerson A. Risk factors for chronic insomnia following hospitalization. J Adv Nurs. 2005;49(3):245–53. [PubMed] [Google Scholar] 62. Morin CM, Benca R. Chronic insomnia. Lancet. 2012 Mar 24;379(9821):1129–41. [PubMed] [Google Scholar] 63. Martin JL, Fiorentino L, Jouldjian S, Mitchell M, Josephson KR, Alessi CA. Poor self-reported sleep quality predicts mortality within one year of inpatient post-acute rehabilitation among older adults. Sleep. 2011;34(12):1715–21. [PMC free article] [PubMed] [Google Scholar] 64. Manabe K, Matsui T, Yamaya M, Sato-Nakagawa T, Okamura N, Arai H, Sasaki H. Sleep patterns and mortality among elderly patients in a geriatric hospital. Gerontology. 2000 Nov-Dec;46(6):318–22. [PubMed] [Google Scholar] 65. Lenhart SE, Buysse DJ. Treatment of insomnia in hospitalized patients. Ann Pharmacother. 2001 Nov;35(11):1449–57. [PubMed] [Google Scholar] 66. Brzezinski A, Vangel MG, Wurtman RJ, Norrie G, Zhdanova I, Ben-Shushan A, Ford I. Effects of exogenous melatonin on sleep: a meta-analysis. Sleep medicine reviews. 2005;9(1):41–50. [PubMed] [Google Scholar] 67. Zhdanova IV, Wurtman RJ, Regan MM, Taylor JA, Shi JP, Leclair OU. Melatonin treatment for age-related insomnia. The Journal of Clinical Endocrinology & Metabolism. 2001;86(10):4727–4730. [PubMed] [Google Scholar] 68. Andrade C, Srihari BS, Chandramma L. Melatonin in medically ill patients with insomnia: a double-blind, placebo-controlled study. The Journal of clinical psychiatry. 2001;62(1):41–45. [PubMed] [Google Scholar] 69. Shilo L, Dagan Y, Smorjik Y, Weinberg U, Dolev S, Komptel B, Shenkman L. Effect of melatonin on sleep quality of COPD intensive care patients: a pilot study. Chronobiology international. 2000;17(1):71–76. [PubMed] [Google Scholar] 70. Huang HW, Zheng BL, Jiang L, Lin ZT, Zhang GB, Shen L, Xi XM. Effect of oral melatonin and wearing earplugs and eye masks on nocturnal sleep in healthy subjects in a simulated intensive care unit environment: which might be a more promising strategy for ICU sleep deprivation? Critical Care. 2015;19(1):1. [PMC free article] [PubMed] [Google Scholar] 71. Gillis CM, Poyant JO, Degrado JR, Ye L, Anger KE, Owens RL. Inpatient pharmacological sleep aid utilization is common at a tertiary medical center. Journal of hospital medicine. 2014;9(10):652–657. [PubMed] [Google Scholar] 72. Glass J, Lanctôt KL, Herrmann N, Sproule BA, Busto UE. Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits. Bmj. 2005;331(7526):1169. [PMC free article] [PubMed] [Google Scholar] 73. Young JS, Bourgeois JA, Hilty DM, Hardin KA. Sleep in hospitalized medical patients, part 2: behavioral and pharmacological management of sleep disturbances. Journal of hospital medicine. 2009;4(1):50–59. [PubMed] [Google Scholar] 74. Radcliff S, Yue J, Rocco G, Aiello SE, Ickowicz E, Hurd Z, Beers MH. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY. 2015;63(11):2227–2246. [PubMed] [Google Scholar] 75. Radcliff S, Yue J, Rocco G, Aiello SE, Ickowicz E, Hurd Z, Beers MH. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY. 2015;63(11):2227–2246. [PubMed] [Google Scholar] 76. Radcliff S, Yue J, Rocco G, Aiello SE, Ickowicz E, Hurd Z, Beers MH. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY. 2015;63(11):2227–2246. [PubMed] [Google Scholar] 77. Martin JL, Fung CH. Quality indicators for the care of sleep disorders in vulnerable elders. Journal of the American Geriatrics Society. 2007;55(s2):S424–S430. [PubMed] [Google Scholar] 78. Radcliff S, Yue J, Rocco G, Aiello SE, Ickowicz E, Hurd Z, Beers MH. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY. 2015;63(11):2227–2246. [PubMed] [Google Scholar] 79. Martin JL, Fung CH. Quality indicators for the care of sleep disorders in vulnerable elders. Journal of the American Geriatrics Society. 2007;55(s2):S424–S430. [PubMed] [Google Scholar] 80. Hu R, Jiang X, Chen J, Zeng Z, Chen XY, Li Y, Huining X, Evans DJW. Non-pharmacological interventions for sleep promotion in the intensive care unit. Cochrane Database of Systematic Reviews. 2015;(10) Art. No.: CD008808. [PMC free article] [PubMed] [Google Scholar] 81. Tamrat R, Huynh-Le MP, Goyal M. Non-pharmacologic interventions to improve the sleep of hospitalized patients: a systematic review. J Gen Intern Med. 2014 May;29(5):788–95. [PMC free article] [PubMed] [Google Scholar] 82. Tamrat R, Huynh-Le M-P, Goyal M. Non-Pharmacologic Interventions to Improve the Sleep of Hospitalized Patients: A Systematic Review. Journal of General Internal Medicine. 2014;29(5):788–795. doi: 10.1007/s11606-013-2640-9. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 83. Soden K, Vincent K, Craske S, Lucas C, Ashley S. A randomized controlled trial of aromatherapy massage in a hospice setting. Palliative medicine. 2004;18(2):87–92. [PubMed] [Google Scholar] 84. Toth M, Wolsko PM, Foreman J, Davis RB, Delbanco T, Phillips RS, Huddleston P. A pilot study for a randomized, controlled trial on the effect of guided imagery in hospitalized medical patients. The Journal of Alternative And Complementary Medicine. 2007;13(2):194–197. [PubMed] [Google Scholar] 85. Zimmerman L, Nieveen J, Barnason S, Schmaderer M. The effects of music interventions on postoperative pain and sleep in coronary artery bypass graft (CABG) patients. Scholarly inquiry for nursing practice. 1996;10(2):153–170. [PubMed] [Google Scholar] 86. LaReau R, Benson L, Watcharotone K, Manguba G. Examining the feasibility of implementing specific nursing interventions to promote sleep in hospitalized elderly patients. Geriatric nursing. 2008;29(3):197–206. [PubMed] [Google Scholar] 87. Edinger JD, Lipper S, Wheeler B. Hospital ward policy and patients' sleep patterns: A multiple baseline study. Rehabilitation Psychology. 1989;34(1):43. [Google Scholar] 88. Mishima K, Okawa M, Hishikawa Y, Hozumi S, Hori H, Takahashi K. Morning bright light therapy for sleep and behavior disorders in elderly patients with dementia. Acta Psychiatrica Scandinavica. 1994;89(1):1–7. [PubMed] [Google Scholar] 89. Wakamura T, Tokura H. Influence of bright light during daytime on sleep parameters in hospitalized elderly patients. Journal of physiological anthropology and applied human science. 2001;20(6):345–351. [PubMed] [Google Scholar] 90. Yamadera H, Ito T, Suzuki H, Asayama K, Ito R, Endo S. Effects of bright light on cognitive and sleep–wake (circadian) rhythm disturbances in Alzheimer-type dementia. Psychiatry and clinical Neurosciences. 2000;54(3):352–353. [PubMed] [Google Scholar] 91. Tamrat R, Huynh-Le MP, Goyal M. Non-pharmacologic interventions to improve the sleep of hospitalized patients: a systematic review. Journal of general internal medicine. 2014;29(5):788–795. [PMC free article] [PubMed] [Google Scholar] 92. Richardson A, Allsop M, Coghill E, Turnock C. Earplugs and eye masks: do they improve critical care patients’ sleep? Nursing in critical care. 2007;12(6):278–286. [PubMed] [Google Scholar] 93. Gragert MD. INTER-NOISE and NOISECON Congress and Conference Proceedings. 1. Vol. 1990. Institute of Noise Control Engineering; 1990. Oct, The use of a masking signal to enhance the sleep of men and women 65 years of age and older in the critical care environment; pp. 315–320. [Google Scholar] 94. Stanchina ML, Abu-Hijleh M, Chaudhry BK, Carlisle CC, Millman RP. The influence of white noise on sleep in subjects exposed to ICU noise. Sleep medicine. 2005;6(5):423–428. [PubMed] [Google Scholar] 95. Blomkvist V, Eriksen CA, Theorell T, Ulrich R, Rasmanis G. Acoustics and psychosocial environment in intensive coronary care. Occupational and environmental medicine. 2005;62(3):e1-e1. [PMC free article] [PubMed] [Google Scholar] 96. Xie H, Kang J, Mills GH. Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units. Critical Care. 2009;13(2):1. [PMC free article] [PubMed] [Google Scholar] 97. Yoder JC, Yuen TC, Churpek MM, Arora VM, Edelson DP. A prospective study of nighttime vital sign monitoring frequency and risk of clinical deterioration. JAMA internal medicine. 2013;173(16):1554–1555. [PMC free article] [PubMed] [Google Scholar] 98. Le A, Friese RS, Hsu CH, Wynne JL, Rhee P, O'Keeffe T. Sleep disruptions and nocturnal nursing interactions in the intensive care unit. journal of surgical research. 2012;177(2):310–314. [PubMed] [Google Scholar] 99. Farrehi PM, Clore KR, Scott JR, Vanini G, Clauw DJ. Efficacy of Sleep Tool Education During Hospitalization: A Randomized Controlled Trial. Am J Med. 2016 Aug 23; doi: 10.1016/j.amjmed.2016.08.001. pii: S0002-9343(16)30826-9. [Epub ahead of print] [PubMed] [CrossRef] [Google Scholar] 100. Bartick MC, Thai X, Schmidt T, Altaye A, Solet JM. Decrease in as-needed sedative use by limiting nighttime sleep disruptions from hospital staff. J Hosp Med. 2010 Mar;5(3):E20–4. [PubMed] [Google Scholar] 101. Konikkara J, Tavella R, Willes L, Kavuru M, Sharma S. Early recognition of obstructive sleep apnea in patients hospitalized with COPD exacerbation is associated with reduced readmission. Hosp Pract. 2016;44(1):41–7. (1995) [PubMed] [Google Scholar] 102. Sharma S, Mather P, Gupta A, Reeves G, Rubin S, Bonita R, Chowdhury A, Malloy R, Willes L, Whellan D. Effect of Early Intervention With Positive Airway Pressure Therapy for Sleep Disordered Breathing on Six-Month Readmission Rates in Hospitalized Patients With Heart Failure. Am J Cardiol. 2016 Mar 15;117(6):940–5. [PubMed] [Google Scholar] 103. Kauta SR, Keenan BT, Goldberg L, Schwab RJ. Diagnosis and treatment of sleep disordered breathing in hospitalized cardiac patients: a reduction in 30-day hospital readmission rates. J Clin Sleep Med. 2014 Oct 15;10(10):1051–9. [PMC free article] [PubMed] [Google Scholar] Page 2 |