Evidence map›Paper›PMID 25093233›Full record

ArticleJournal of the American Geriatrics Society2014

Decrease in daytime sleeping is associated with improvement in cognition after hospital discharge in older adults.

Joseph M Dzierzewski, Constance H Fung, Stella Jouldjian, Cathy A Alessi, Michael R Irwin, Jennifer L Martin

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Daytime Napping and Cognitive Health in Older Adults: A Systematic Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Pooled it
  2. Pooled it
  3. Review
  4. Daytime-to-Nighttime Sleep Ratios and Cognitive Impairment in Older Intensive Care Unit Survivors.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2021
    Article
  5. Article
  6. Patterns and predictors of sleep quality before, during, and after hospitalization in older adults.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015
    Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Joseph M DzierzewskiGeriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare; David Geffen School of Medicine, University of California Los Angeles, USA.
Constance H Fung
Stella Jouldjian
Cathy A Alessi
Michael R Irwin
Jennifer L Martin

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
Improving Older Adults' Decision Making For Obstructive Sleep Apnea TreatmentK23AG045937 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FUNG, CONSTANCE · 2013 to 2017
$786k
Sleep-related predictors of function and health among vulnerable older peopleK23AG028452 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2007 to 2009
$405k
NIA NIH HHS K23 AG028452NIA NIH HHS K23 AG045937NIA NIH HHS NIA 5P30 AG028748NIA NIH HHS P30 AG028748
6 · The paper itself

Abstract

objectivesTo examine the relationship between changes in objectively assessed sleep and global cognitive functioning from inpatient postacute rehabilitation to 6-month follow-up.

designSecondary analysis of two prospective, longitudinal studies.

settingInpatient rehabilitation units at a Veterans Affairs Medical Center.

participantsOlder adults (mean age 73.8 ± 9.4) undergoing inpatient rehabilitation (n = 192). MEASUREMENTS: All participants completed 7 nights and days of ambulatory sleep monitoring using wrist actigraphy (yielding an estimate of nighttime wakefulness and daytime sleep) and the Mini-Mental State Examination (MMSE) during a postacute inpatient rehabilitation stay and 6 months after discharge. The 5-item Geriatric Depression Scale, Geriatric Pain Measure, and Cumulative Illness Rating Scale for Geriatrics were completed during inpatient rehabilitation.

resultsGrowth curve modeling (controlling for baseline age, education, sex, body mass index, depression, pain, and comorbidity burden) revealed that individuals whose amount of daytime sleep decreased from inpatient postacute rehabilitation to 6-month follow-up also experienced improvements in MMSE score (β = -0.01, t(80 = -3.22, P = .002)). Change in nighttime wakefulness was not a significant predictor of change in MMSE score.

conclusionOlder adults whose daytime sleeping decreased after hospital discharge also experienced improvements in cognitive functioning at 6 month follow-up. As such, daytime sleep may represent a promising candidate for targeted interventions aimed at promoting cognitive recovery after hospital discharge.

Indexed as

Patient DischargeWakefulnessActigraphyActivities of Daily LivingAgedChronic DiseaseCircadian RhythmCognitionDepressionFemaleGeriatric AssessmentHospitals, VeteransHumansLongitudinal StudiesMaleMonitoring, Ambulatorycognitioninpatient hospitalizationlongitudinal changeolder adultssleep

Identifiers

PMID25093233
PMCPMC4123221

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.