Evidence map›Paper›PMID 37773305›Full record

ReviewInternational journal of clinical pharmacy2023

Environmental scan of current strategies to decrease sedative-hypnotic drug use and promote sleep in hospital patients.

Heather L Neville, Jenna Shaw, Carter VanIderstine, Sarah Burgess, Marci Dearing, Jennifer E Isenor, Kent Toombs, Susan K Bowles

Abstract readReview
PubMed Publisher
In one paragraph

Review in International journal of clinical pharmacy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. 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

8 authors at 2 institutions in 1 country.

Heather L NevilleNova Scotia Health Authority, 1276 South Park Street, Halifax, Nova Scotia, B3H 2Y9, Canada. Heather.neville@nshealth.ca.ORCID http://orcid.org/0000-0002-1566-6206
Jenna ShawCollege of Pharmacy, Dalhousie University, Halifax, Nova Scotia, Canada.
Carter VanIderstineCollege of Pharmacy, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID http://orcid.org/0000-0002-9249-8728
Sarah BurgessNova Scotia Health, Halifax, Nova Scotia, Canada.ORCID http://orcid.org/0000-0002-6067-8900
Marci DearingNova Scotia Health, Halifax, Nova Scotia, Canada.ORCID http://orcid.org/0000-0002-6261-2411
Jennifer E IsenorCollege of Pharmacy, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID http://orcid.org/0000-0003-1648-7362
Kent ToombsNova Scotia Health, Halifax, Nova Scotia, Canada.ORCID http://orcid.org/0000-0003-0351-7403
Susan K BowlesNova Scotia Health, Halifax, Nova Scotia, Canada.ORCID http://orcid.org/0000-0003-0821-3222
Nova Scotia Health Authority · CADalhousie University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSedative-hypnotic drugs are often initiated in hospital to manage insomnia and anxiety. Guidelines discourage their use, particularly in older adults, due to risks of falls, fractures, and delirium.

aimTo identify publicly available resources to decrease the use of sedative-hypnotic drugs and promote sleep in hospital.

methodAn advanced Google search with 6 search strategies was conducted. Key websites were also identified and searched. Hospital- or community-based resources using non-pharmacologic measures to reduce sedative-hypnotic drug use and/or to promote sleep were included if they were publicly available in English within the past 5 years. Full text screening and data extraction was performed independently by 2 reviewers; a third reviewer resolved disagreements by consensus.

resultsA total of 79 resources met inclusion criteria, with 65 (82.3%) providing education and 31 (39.2%) describing sleep hygiene strategies. Other resources included deprescribing (17, 21.5%), relaxation training (13, 16.5%), cognitive behavioural therapy for insomnia (9, 11.4%), and policies (7, 8.9%). The resources primarily targeted patients (59, 74.7%) followed by healthcare providers (9, 11.4%). There were 9 resources (11.4%) that applied to both community and hospital settings, and another 2 (2.5%) designed specifically for hospital.

conclusionMany resources were available to patients and healthcare providers to reduce inappropriate or ineffective use of sedative-hypnotic drugs and promote better sleep. Specific resources for the hospital setting were infrequent and recommended that clinicians stop hospital-initiated sedatives when patients are discharged. Identified resources can be adapted by healthcare organizations to develop sedative-hypnotic prescribing programs and policies.

Indexed as

Sleep Initiation and Maintenance DisordersAgedAnxiety DisordersHospitalsHumansHypnotics and SedativesSleepHypnotics and SedativesDeprescribingHospitalInsomniaNon-pharmacologic therapySedative-hypnoticSleep

Identifiers

PMID37773305
OpenAlexW4387168608

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.