ArticlePediatrics2020
Improving Hospitalized Children's Sleep by Reducing Excessive Overnight Blood Pressure Monitoring.
Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-pharmacological interventions for sleep promotion in hospitalized children.The Cochrane database of systematic reviews · 2022Pooled it
- Nasogastric Hydration Utilization in Bronchiolitis, an EMO Trial Observational Substudy.Hospital pediatrics · 2026Observational
- Promoting Sleep for Neurology Inpatients: The Value of Routine Overnight Vital Signs.Neurology. Clinical practice · 2025Article
- How to Improve the Sleep of Hospitalized Pediatric Patients: Family and Staff Focus Groups.Transplantation and cellular therapy · 2025Article
- Sleep disturbances in hospitalized children: a wake-up call.European journal of pediatrics · 2024Observational
- Evaluating Sleep Challenges in Hospitalized Youth.Cureus · 2024Article
- Sleep and circadian disruptors: Unhealthy noise and light levels for hospitalized pediatric patients.Journal of hospital medicine · 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
- Sleep in hospitalized pediatric and adult patients - A systematic review and meta-analysis.Sleep medicine: X · 2022Article
- The impact of the COVID-19 pandemic on nighttime room entries and sleep disruptions for pediatric patients.Sleep medicine · 2021Article
- Objective Sleep Characteristics and Factors Associated With Sleep Duration and Waking During Pediatric Hospitalization.JAMA network open · 2021Article
- Optimizing Oral Medication Schedules for Inpatient Sleep: A Quality Improvement Intervention.Hospital pediatrics · 2021Article
- Promoting a Sleep-friendly Environment by Minimizing Overnight Room Entries.Pediatric quality & safetyArticle
- Quasi-experimental, Nonrandomized Initiative to Minimize Sleep Disruptions among Hospitalized Children.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
backgroundAlthough required for healing, sleep is often disrupted during hospitalization. Blood pressure (BP) monitoring can be especially disruptive for pediatric inpatients and has few clinical indications. Our aim in this pilot study was to reduce unnecessary overnight BP monitoring and improve sleep for pediatric inpatients.
methodsThe intervention in June 2018 involved clinician education sessions and updated electronic health record (EHR) orders that enabled the forgoing of overnight BP checks. The postintervention period from July 2018 to May 2019 examined patient-caregiver surveys as outcome measures. These surveys measured inpatient sleep and overnight disruptions and were adopted from validated surveys: the Patient Sleep Questionnaire, expanded Brief Infant Sleep Questionnaire, and Potential Hospital Sleep Disruptions and Noises Questionnaire. Uptake of new sleep-friendly EHR orders was a process measure. Reported patient care escalations served as a balancing measure.
resultsInterrupted time series analysis of EHR orders (n
conclusionsA pilot study combining EHR changes and clinician education safely decreased overnight BP checks, increased pediatric inpatient sleep duration, and reduced nighttime disruptions by clinicians.
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