Sleep disturbance in older patients in the emergency department: prevalence, predictors and associated outcomes
| dc.contributor.author | Mannion, Helen | |
| dc.contributor.author | Molloy, D. William | |
| dc.contributor.author | O'Caoimh, Rónán | |
| dc.contributor.funder | Wellcome Trust | en |
| dc.date.accessioned | 2019-10-23T04:36:05Z | |
| dc.date.available | 2019-10-23T04:36:05Z | |
| dc.date.issued | 2019-09-25 | |
| dc.description.abstract | Impaired sleep is common in hospital. Despite this, little is known about sleep disturbance among older adults attending Emergency Departments (ED), particularly overnight-boarders, those admitted but housed overnight while awaiting a bed. Consecutive, medically-stable patients aged ≥70, admitted through a university hospital ED were evaluated for overnight sleep quality (Richards Campbell Sleep Questionnaire/RCSQ) and baseline sleep (Pittsburgh Sleep Quality Index/PSQI). Additional variables included frailty, functional and cognitive status, trolley location, time in ED and night-time noise levels. Over four-weeks, 152 patients, mean age 80 (± 6.8) years were included; 61% were male. Most (68%) were ED boarders (n = 104) and 43% were frail. The majority (72%) reported impaired sleep quality at baseline (PSQI ≥ 5) and 13% (20/152) had clinical insomnia. The median time spent in ED for boarders was 23 h (Interquartile ± 13). After adjusting for confounders, median RCSQ scores were significantly poorer for ED boarders compared with non-boarders: 22 (± 45) versus 71 (± 34), respectively, (p = 0.003). There was no significant difference in one-year mortality (p = 0.08) length of stay (LOS) (p = 0.84), 30-day (p = 0.73) or 90-day (p = 0.64) readmission rates between boarders and non-boarders. Sleep disturbance is highly prevalent among older adults admitted through ED. ED boarders experienced significantly poorer sleep, without this impacting upon mortality, LOS or re-admission rates. | en |
| dc.description.sponsorship | Wellcome Biomedical Vacation Scholarship (#UNS63479) | en |
| dc.description.status | Peer reviewed | en |
| dc.description.version | Published Version | en |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.articleid | 3577 | en |
| dc.identifier.citation | Mannion, H., Molloy, D. W. and O’Caoimh, R. (2019) 'Sleep Disturbance in Older Patients in the Emergency Department: Prevalence, Predictors and Associated Outcomes', International Journal of Environmental Research and Public Health, 16(19), 3577. (12pp.) DOI: 10.3390/ijerph16193577 | en |
| dc.identifier.doi | 10.3390/ijerph16193577 | en |
| dc.identifier.eissn | 1660-4601 | |
| dc.identifier.endpage | 12 | en |
| dc.identifier.issn | 1661-7827 | |
| dc.identifier.issued | 19 | en |
| dc.identifier.journaltitle | International journal of environmental research and public health | en |
| dc.identifier.startpage | 1 | en |
| dc.identifier.uri | https://hdl.handle.net/10468/8831 | |
| dc.identifier.volume | 16 | en |
| dc.language.iso | en | en |
| dc.publisher | MDPI AG | en |
| dc.relation.uri | https://www.mdpi.com/1660-4601/16/19/3577/htm | |
| dc.rights | © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). | en |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en |
| dc.subject | Sleep | en |
| dc.subject | Emergency department | en |
| dc.subject | Hospital | en |
| dc.subject | Length of stay | en |
| dc.subject | Frailty | en |
| dc.title | Sleep disturbance in older patients in the emergency department: prevalence, predictors and associated outcomes | en |
| dc.type | Article (peer-reviewed) | en |
