دورية أكاديمية
أعرض في EDS

Evaluation of Sleep in Pregnant Inpatients Compared With Outpatients.

التفاصيل البيبلوغرافية
العنوان: Evaluation of Sleep in Pregnant Inpatients Compared With Outpatients.
المؤلفون: Panelli DM; Division of Maternal-Fetal Medicine and Obstetrics, Department of Obstetrics and Gynecology, the Division of Sleep Medicine, Department of Psychiatry and Behavioral Sciences, the Division of Obstetric Anesthesia, Department of Anesthesiology, Perioperative, and Pain Medicine, and the Department of Pediatrics, Stanford University, and Stanford University School of Medicine, Palo Alto, and the Department of Biomedical Data Science, Stanford University, Stanford, California., Miller HE, Simpson SL, Hurtado J, Shu CH, Boncompagni AC, Chueh J, Barwick F, Carvalho B, Sultan P, Aghaeepour N, Druzin ML
المصدر: Obstetrics and gynecology [Obstet Gynecol] 2024 Jun 01; Vol. 143 (6), pp. 803-810. Date of Electronic Publication: 2024 Apr 25.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0401101 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-233X (Electronic) Linking ISSN: 00297844 NLM ISO Abbreviation: Obstet Gynecol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2004- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: New York.
مواضيع طبية MeSH: Outpatients*/statistics & numerical data , Inpatients*/statistics & numerical data, Humans ; Female ; Pregnancy ; Adult ; Prospective Studies ; Young Adult ; Pregnancy Complications ; Adolescent ; Sleep Initiation and Maintenance Disorders ; Middle Aged ; Sleep/physiology ; Hospitalization/statistics & numerical data ; Actigraphy
مستخلص: Objective: To evaluate whether antepartum hospitalization was associated with differences in sleep duration or disrupted sleep patterns.
Methods: This was a prospective cohort study with enrollment of pregnant people aged 18-55 years with singleton gestations at 16 weeks of gestation or more between 2021 and 2022. Each enrolled antepartum patient was matched by gestational age to outpatients recruited from obstetric clinics at the same institution. Participants responded to the ISI (Insomnia Severity Index) and wore actigraph accelerometer watches for up to 7 days. The primary outcome was total sleep duration per 24 hours. Secondary outcomes included sleep efficiency (time asleep/time in bed), ISI score, clinical insomnia (ISI score higher than 15), short sleep duration (less than 300 minutes/24 hours), wakefulness after sleep onset, number of awakenings, and sleep fragmentation index. Outcomes were evaluated with multivariable generalized estimating equations adjusted for body mass index (BMI), sleep aid use, and insurance type, accounting for gestational age correlations. An interaction term assessed the joint effects of time and inpatient status.
Results: Overall 58 participants were included: 18 inpatients and 40 outpatients. Inpatients had significantly lower total sleep duration than outpatients (mean 4.4 hours [SD 1.6 hours] inpatient vs 5.2 hours [SD 1.5 hours] outpatient, adjusted β=-1.1, 95% CI, -1.8 to -0.3, P =.01). Awakenings (10.1 inpatient vs 13.8, P =.01) and wakefulness after sleep onset (28.3 inpatient vs 35.5 outpatient, P =.03) were lower among inpatients. There were no differences in the other sleep outcomes, and no interaction was detected for time in the study and inpatient status. Inpatients were more likely to use sleep aids (39.9% vs 12.5%, P =.03).
Conclusion: Hospitalized pregnant patients slept about 1 hour/day less than outpatients. Fewer awakenings and reduced wakefulness after sleep onset among inpatients may reflect increased use of sleep aids in hospitalized patients.
Competing Interests: Financial Disclosure The authors did not report any potential conflicts of interest.
(Copyright © 2024 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.)
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معلومات مُعتمدة: K12 HD103084 United States HD NICHD NIH HHS; R01 HL166253 United States HL NHLBI NIH HHS; U54 HD113142 United States HD NICHD NIH HHS; NIH K12 HD103084 National Institute of Child Health and Human Development
تواريخ الأحداث: Date Created: 20240425 Date Completed: 20240516 Latest Revision: 20240519
رمز التحديث: 20240519
مُعرف محوري في PubMed: PMC11098687
DOI: 10.1097/AOG.0000000000005591
PMID: 38663016
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-233X
DOI:10.1097/AOG.0000000000005591