Abstract
Abstract Introduction High quality sleep is crucial to health and development in children. Compared to healthy children, hospitalized children have a higher chance of experiencing disrupted and poor-quality sleep, which may thereby impede their recovery. There is lack of research around sleep disruptors in hospitalized children outside of the ICU setting. Methods This IRB approved, prospective, survey-based study was completed in 2022 and included children ages 8-17 years who were hospitalized □3 days on the inpatient (non-ICU) units at Nemours Children’s Hospital, Delaware. The study was comprised of four surveys: The Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD, higher scores= more sleepiness), Adolescent and Children’s Sleep Hygiene Scales based on age (ASHS and CSHS, Higher Scores= Better Sleep Hygiene), Consensus Sleep Diary, and the Nemours Sleep Disruptors Questionnaire (NSDQ) which evaluated contribution of various factors to sleep disruption. The EMR was reviewed for demographic and clinical information. Descriptive and comparative statistics were performed. Results Study participants (n=45) were 40% male, 57.8% white, with a mean age of 13.4 years. The mean number of nighttime awakenings was 2 (range=0-7). The average total sleep time was 8.2 hours (range=5-12). Vital signs were obtained between 10PM and 6AM for 87% of participants. On the administered surveys, participants scored: ESS-CHAD (M=8.6 SD=4.3), ASHS (M=2.9 SD=.8), CSHS (M=3.3 SD=.6). 54% of patients reported feeling like they needed more sleep. On the NSDQ, the most disruptive factors noted by patients (causing at least mild sleep disruption) were alarms on equipment (69%), vital signs (64%) and environmental noise (62%). Conclusion In this cohort of hospitalized children, sleep environment (specifically related to alarms, environmental noise, and vital signs) was a leading cause of sleep disruption. Further interventional studies are needed to examine the relationship between sleep quality and sleep-friendly hospital environments, with vital signs and physiologic monitoring as potential targets for intervention. Support (if any)
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