Evidence map›Paper›PMID 37779507›Full record

ArticleJournal of hospital medicine2023

Sleep and circadian disruptors: Unhealthy noise and light levels for hospitalized pediatric patients.

Andrea L Fidler, Julie Waitt, Leslie E Lehmann, Jo M Solet, Jeanne F Duffy, Brian D Gonzalez, Dean W Beebe, David A Fedele, Eric S Zhou

Registry-linked trialAbstract read
In one paragraph

Article in Journal of hospital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06468618 (Developing Restful Environments and Management Strategies for Pediatric Stem Cell Transplant Patients), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

NCT06468618 narecruitingnot on this mapstarted 2024, after this paper: background citation

Developing Restful Environments and Management Strategies for Pediatric Stem Cell Transplant Patients

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2024 to 2027Enrolled10ConditionsStem Cell Transplant Complications, Sleep DisturbanceArmsDREAMS Program Video and Care Kit
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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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

9 authors.

Andrea L FidlerDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID 0000-0003-2687-020X
Julie WaittHematopoietic Stem Cell Transplant Unit, Boston Children's Hospital, Boston, Massachusetts, USA.
Leslie E LehmannHematopoietic Stem Cell Transplant Unit, Boston Children's Hospital, Boston, Massachusetts, USA.
Jo M SoletDivision of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Jeanne F DuffyDivision of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Brian D GonzalezDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Dean W BeebeDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
David A FedeleDepartment of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA.
Eric S ZhouDivision of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-1038-8961

Funding

Research Training in Child Behavior and NutritionT32DK063929 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI SCOTT W POWERS, MARGARET H ZELLER · 2003 to 2026
$6.0M
NIDDK NIH HHS T32 DK063929
6 · The paper itself

Abstract

Noise and light levels during hospitalizations can disrupt sleep and circadian health, resulting in worsened health outcomes. This study describes patterns of noise and light for inpatient children undergoing stem cell transplants. Objective meters tracked noise and light levels every minute for 6 months. Median overnight sound was 55 dB (equivalent to conversational speech). There were 3.4 loud noises (>80 dB) per night on average. Children spent 62% of the 24-h cycle in nonoptimal lighting, with daytime light dimmer than recommended 98% of the time. Over the 6-month period, the lowest overnight noise level recorded exceeded World Health Organization recommendations for sleep, with frequent spikes into ranges known to cause wakings. During the day, children were rarely exposed to light sufficient to preserve healthy circadian rhythms. Hospitals should address systematic environmental and workflow disruptors to improve the sleep and circadian health of patients, particularly those already at elevated risk for health morbidities.

Indexed as

LightingSleepChildHospitalizationHospitalsHumansInpatients

Identifiers

PMID37779507
PMCPMC10841213

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Registered trials

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.