ArticleSleep2025
Sleep trajectory of hospitalized medically ill older adults: do sleep medications make a difference?
Article in Sleep, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- Mental health in the peri-hospital period of older patients: the roles of physical symptoms burden and sleep quality.Age and ageing · 2026Article
- Evidence-based sleep promotion in acute care from the perspective of nursing staff: a cross-sectional study.BMC nursing · 2026Article
- Sleep promotion in the hospitalized elderly.Sleep · 2025Article
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Authors and funding
3 authors.
Funding
Abstract
STUDY
objectivesSleep disturbances are prevalent during acute hospitalization in medically ill older patients, with undesirable outcomes. Sleep medication use is common, but its effectiveness is questionable. This study explored the trajectory of sleep parameters from home to hospital and assessed the impact of sleep medication use, considering covariates such as physical symptom burden.
methodsA prospective multicenter study was conducted in four Israeli hospitals. Cognitively intact older patients (n = 683), with an admission interview and at least one follow-up, were recruited. Total sleep time (TST), sleep efficiency (SE), sleep quality (SQ), number of awakenings (NOAs), sleep medication use, sleep medication burden (quantity and dosage), and physical symptom burden were recorded daily. Personal and illness-related covariates were included in a repeated measures mixed models design.
resultsParticipants (male: 54%, aged 77.31 ± 6.60) showed shorter TST (329.73 ± 111.94 vs. 377.03 ± 101.06 min), lower SE (71.49 ± 19.28% vs. 76.14 ± 15.53%), and higher probability for lower SQ, in the hospital compared to home. Sleep medication use was not correlated with any sleep parameters; sleep medication burden was associated with NOA. Physical symptom burden showed significant main effects on SE, SQ, and NOA, and a significant interaction was found with time points on TST, such that higher burden was more strongly associated with shorter TST at first in-hospital follow-up than at admission, with no differences between all subsequent in-hospital time points.
conclusionsSleep declined during acute hospitalization compared to the home, with sleep medications showing minimal effect. Managing symptom burden should be prioritized when addressing sleep disturbances in older patients during hospitalization.
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