Circadian Rhythm Sleep Disorder, Delirium in Old Age, Sleep Disturbance
Conditions
Brief summary
The purpose of this research is to study pre-operative sleep problems and delirium in Hispanic/Latino patients after heart and lung surgery.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Self identify as Hispanic/Latino or preferred language as Spanish 2. Undergoing scheduled elective and urgent cardiothoracic surgery 3. 50 years of age and older
Exclusion criteria
1. Inability to consent 2. preferred language other than English, Spanish or Portuguese 3. emergency surgery 4. anticipated discharge \< 48 hours 5. Individuals \< 50 years of age 6. Pregnant women 7. Prisoners
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of postoperative delirium in Hispanic/Latino patients after cardiothoracic surgery | Up to 7 days post surgery. | Delirium will be assessed using the Confusion Assessment Method. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of participants with preoperative sleep disturbance | Up to 7 days before surgery | Sleep disturbance as measured by actigraphy data using a wrist-actigraph |
| Pittsburgh Sleep Quality Index (PSQI) score | baseline | Pittsburgh Sleep Quality Index (PSQI) score with overall score ranging from 0-21, where lower scores indicate a higher sleep quality. |
| Percentage of patients with risk allele of the melatonin receptor single nucleotide polymorphism. | baseline | Assess from blood samples. |
| Epsworth Sleepiness scale (ESS) score | baseline | Epsworth Sleepiness scale (ESS) score has a total score ranging from 0 to 24, with a higher score indicating greater daytime sleepiness. |
| STOP-BANG Score | baseline | STOP-BANG Score has a total score ranging from 0 to 8, with higher scores indicating a higher risk of obstructive sleep apnea. |
| Insomnia Severity Index (ISI) score | baseline | Insomnia Severity Index (ISI) score has a total score ranging from 0 to 28, with higher scores signifying greater insomnia severity. |
Countries
United States