Observational studyDiabetes care2017
Association Between Inpatient Sleep Loss and Hyperglycemia of Hospitalization.
Observational study in Diabetes care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- The association between insomnia (related symptoms) and glycaemic control: a systematic review and meta-analysis.Journal of global health · 2025Pooled it
- The sleep-wake cycle: molecular mechanisms, disorders, and therapeutic targets in the context of energy metabolism.Signal transduction and targeted therapy · 2026Review
- Nursing champions to promote evidence-based in-hospital sleep: a qualitative descriptive study.Journal of research in nursing : JRN · 2026Article
- Article
- Promoting Sleep for Neurology Inpatients: The Value of Routine Overnight Vital Signs.Neurology. Clinical practice · 2025Article
- Sleep trajectory of hospitalized medically ill older adults: do sleep medications make a difference?Sleep · 2025Article
- Optimizing Sleep Disorder Management in Hospitalized Patients: Practical Approach for Healthcare Providers.Brain and behavior · 2025Review
- Redesigning the Hospital Environment to Improve Restfulness.JAMA network open · 2024Article
- Hyperglycemic Patterns in Acute Stroke Patients.Cureus · 2024Article
- Daily variation in blood glucose levels during continuous enteral nutrition in patients on the intensive care unit: a retrospective observational study.EBioMedicine · 2024Observational
- Sleeping with one cerebrum open: patient and staff perceptions of sleep quality and quantity on an inpatient neurology unit.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Observational
- Medical clowns improve sleep and shorten hospitalization duration in hospitalized children.Scientific reports · 2024Observational
- Effect of Preoperative Level of Glycemic Control with Pulsed Radiofrequency on the Incidence of Postherpetic Neuralgia in Patients with Herpes Zoster Combined with Type 2 Diabetes Mellitus: A Cohort Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024Article
- Melatonin Versus Trazodone for the Treatment of New Onset Insomnia in Hospitalized Adult Patients.Hospital pharmacy · 2023Article
- Perspective: leveraging the electronic health record to improve sleep in the hospital.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
- Prevalence and Correlates of Sleep Disorders Among Pediatric Inpatients in a Tertiary Pediatric Hospital.Cureus · 2023Article
- Article
- Sleep in hospitalized pediatric and adult patients - A systematic review and meta-analysis.Sleep medicine: X · 2022Article
- Defining existing practices to support the sleep of hospitalized patients: A mixed-methods study of top-ranked hospitals.Journal of hospital medicine · 2022Article
- Barriers to sleep in acute hospital settings.Sleep & breathing = Schlaf & Atmung · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine whether inpatient sleep duration and efficiency are associated with a greater risk of hyperglycemia in hospitalized patients with and without diabetes. RESEARCH DESIGN AND
methodsIn this retrospective analysis of a prospective cohort study, medical inpatients ≥50 years of age were interviewed, and their charts were reviewed to obtain demographic data and diagnosis. Using World Health Organization criteria, patients were categorized as having normal blood glucose, impaired fasting blood glucose, or hyperglycemia based on morning glucose from the electronic health record. Wrist actigraphy measured sleep. Multivariable ordinal logistic regression models, controlling for subject random effects, tested the association between inpatient sleep duration and proportional odds of hyperglycemia versus impaired fasting blood glucose or impaired fasting blood glucose versus normal blood glucose in hospitalized adults.
resultsA total of 212 patients (60% female and 74% African American) were enrolled. Roughly one-third (73, 34%) had diabetes. Objective inpatient sleep measures did not differ between patients with or without diabetes. In ordinal logistic regression models, each additional hour of in-hospital sleep was associated with an 11% (odds ratio 0.89 [95% CI 0.80, 0.99]; P = 0.043) lower proportional odds of a higher glucose category the next morning (hyperglycemia vs. elevated and elevated vs. normal). Every 10% increase in sleep efficiency was associated with an 18% lower proportional odds of a higher glucose category (odds ratio 0.82 [95% CI 0.74, 0.89]; P < 0.001).
conclusionsAmong medical inpatients, both shorter sleep duration and worse sleep efficiency were independently associated with greater proportional odds of hyperglycemia and impaired fasting glucose.
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Registered trials
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