Evidence map›Paper›PMID 38151376›Full record

ArticleSleep health2024

Patient-reported sleep and physical function during and after hospitalization.

Christine M Willinger, Kimberly J Waddell, Vineet Arora, Mitesh S Patel, S Ryan Greysen

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03321279 (Social Incentives to Increase Mobility Among Hospitalized Patients), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 16% 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.

NCT03321279 nacompletednot on this map

Social Incentives to Increase Mobility Among Hospitalized Patients: The MOVE IT Randomized Trial

TypeinterventionalSponsorUniversity of PennsylvaniaRan2018 to 2019Enrolled233ConditionsPneumonia, Diabetes, Congestive Heart Failure, Chronic Obstructive Pulmonary DiseaseArmsSocial Incentive
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Christine M WillingerDepartment of Medicine, University of California, Los Angeles, California, USA.
Kimberly J WaddellCenter for Health Equity Research and Prevention, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA.
Vineet AroraDepartment of Medicine, Section of Hospital Medicine, University of Chicago, Chicago, Illinois, USA.
Mitesh S PatelOffice of Clinical Transformation, Ascension Health, St. Louis, Missouri, USA.
S Ryan GreysenCenter for Health Equity Research and Prevention, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA; Department of Medicine, Section of Hospital Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address: ryan.greysen@pennmedicine.upenn.edu.
Veterans Health Administration · USAscension · USUniversity of California, Los Angeles · USUniversity of Chicago · US

Funding

Functional, Cognitive, and Social Vulnerabilities and Hospital ReadmissionK23AG045338 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GREYSEN, SCOTT RYAN · 2013 to 2017
$800k
NIA NIH HHS K23 AG045338
6 · The paper itself

Abstract

purposePoor sleep is associated with morbidity and mortality in the community; however, the health impact of poor sleep during and after hospitalization is poorly characterized. Our purpose was to describe trends in patient-reported sleep and physical function during and after hospitalization and evaluate sleep as a predictor of function after discharge.

methodsThis is a secondary analysis of trial data with 232 adults followed for 3months after hospital discharge. Main measures were patient-reported surveys on sleep (Pittsburgh Sleep Quality Index) and physical function (Katz Activities of Daily Living, Lawton Instrumental Activities of Daily Living, and Nagi Mobility Scale) were collected during hospitalization and at 1, 5, 9, and 13weeks postdischarge.

resultsPatient-reported sleep declined significantly during hospitalization and remained worse for 3months postdischarge (median Pittsburgh Sleep Quality Index=8 vs. 6, p < .001). In parallel, mobility declined significantly from baseline and remained worse at each follow-up time (median Nagi score=2 vs. 0, p < .001). Instrumental activities of daily living similarly decreased during and after hospitalization, but basic activities of daily living were unaffected. In adjusted time-series logistic regression models, the odds of mobility impairment were 1.48 times higher for each 1-point increase in Pittsburgh Sleep Quality Index score over time (95% CI 1.27-1.71, p < .001).

conclusionsPatient-reported sleep worsened during hospitalization, did not improve significantly for 3months after hospitalization, and poor sleep was a significant predictor of functional impairment over this time. Sleep dysfunction that begins with hospitalization may persist and prevent functional recovery after discharge.

trial registrationThe primary study was registered at ClinicalTrials.gov NCT03321279.

Indexed as

Activities of Daily LivingHospitalizationAdultAgedFemaleHumansMaleMiddle AgedPatient DischargePatient Reported Outcome MeasuresPhysical Functional PerformanceSelf ReportSleepSleep QualityPatient-reported outcomesPhysical functionPosthospitalSleep

Identifiers

PMID38151376
PMCPMC11045314
OpenAlexW4390223889

What OpenQuestion holds

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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.