Short-term physical health effects of sleep disruptions attributed to the acute hospital environment: a systematic review.

Elliott, R; Chawla, A; Wormleaton, N; Harrington, Z

Short-term physical health effects of sleep disruptions attributed to the acute hospital environment: a systematic review.

Elliott, R

Chawla, A Wormleaton, N Harrington, Z

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Sleep Health, 2021, 7, (4), pp. 508-518
Issue Date:: 2021-08

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Field	Value	Language
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126
dc.contributor.author	Chawla, A
dc.contributor.author	Wormleaton, N
dc.contributor.author	Harrington, Z
dc.date.accessioned	2021-11-29T03:25:00Z
dc.date.available	2021-03-01
dc.date.available	2021-11-29T03:25:00Z
dc.date.issued	2021-08
dc.identifier.citation	Sleep Health, 2021, 7, (4), pp. 508-518
dc.identifier.issn	2352-7218
dc.identifier.issn	2352-7226
dc.identifier.uri	http://hdl.handle.net/10453/151901
dc.description.abstract	The sleep disruption experienced by patients admitted to hospital may have a negative effect on health but the nature and magnitude of the effect has not been conclusively outlined. The review was designed to examine the impact of sleep disruption associated with being a hospital inpatient, on short-term physical health outcomes in adult patients. Searches comprised journal databases, gray literature sources, and backward and forward citation searching. Two reviewers independently screened the records. Original studies of adult hospitalized patients' sleep were included if physical outcomes were also measured. Interventional studies were excluded. The methodological quality was assessed independently by 2 reviewers using CASP checklists. Sleep assessment measures and results, physical outcomes and contextual data were extracted. Results were synthesized according to frequently reported outcomes: delirium, pain intensity, physical strength, and respiratory function. A meta-analysis was not performed; studies were heterogeneous and reporting was limited. Of 9919 retrieved records, 26 published studies were included (published: 2001-2020). Risk of bias was moderately high. Confounding factors were poorly reported. Total sleep time was either normal or reduced. Sleep was disrupted: arousal indices were high (mean: 0 5-21/h); slow wave sleep proportions were limited. Subjective sleep quality was poor. The association between sleep reduction or disruption and short-term health outcomes was negative, mixed or equivocal and included increased delirium, higher pain intensity, poorer strength, and adverse respiratory function. The impact of sleep disruption on outcomes for hospitalized patients is not well defined.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Sleep Health
dc.relation.isbasedon	10.1016/j.sleh.2021.03.001
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services, 1701 Psychology
dc.title	Short-term physical health effects of sleep disruptions attributed to the acute hospital environment: a systematic review.
dc.type	Journal Article
utslib.citation.volume	7
utslib.location.activity	United States
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-11-29T03:24:59Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	7
utslib.citation.issue	4

Abstract:

The sleep disruption experienced by patients admitted to hospital may have a negative effect on health but the nature and magnitude of the effect has not been conclusively outlined. The review was designed to examine the impact of sleep disruption associated with being a hospital inpatient, on short-term physical health outcomes in adult patients. Searches comprised journal databases, gray literature sources, and backward and forward citation searching. Two reviewers independently screened the records. Original studies of adult hospitalized patients' sleep were included if physical outcomes were also measured. Interventional studies were excluded. The methodological quality was assessed independently by 2 reviewers using CASP checklists. Sleep assessment measures and results, physical outcomes and contextual data were extracted. Results were synthesized according to frequently reported outcomes: delirium, pain intensity, physical strength, and respiratory function. A meta-analysis was not performed; studies were heterogeneous and reporting was limited. Of 9919 retrieved records, 26 published studies were included (published: 2001-2020). Risk of bias was moderately high. Confounding factors were poorly reported. Total sleep time was either normal or reduced. Sleep was disrupted: arousal indices were high (mean: 0 5-21/h); slow wave sleep proportions were limited. Subjective sleep quality was poor. The association between sleep reduction or disruption and short-term health outcomes was negative, mixed or equivocal and included increased delirium, higher pain intensity, poorer strength, and adverse respiratory function. The impact of sleep disruption on outcomes for hospitalized patients is not well defined.

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http://hdl.handle.net/10453/151901