Sleep
Conditions
Brief summary
We aim to test multiple interventions to improve sleep for Neurology inpatients, including 1) a sleep-friendly order set, and 2) a sleep menu. We will collect patient sleep data, including duration and quality, via actigraphy devices (FitBits). We will also conduct qualitative patient surveys to understand the impact of these interventions.
Interventions
OTHERSleep friendly order set
Every evening, the following orders (which comprise the sleep-friendly order set) will be input into the EMR: Hold vital signs and neurological checks overnight Retime applicable medications outside of the nighttime window of 10pm-6am Retime daily lab draws outside of the nighttime window of 10pm-6am Order melatonin if no clinical contraindications Discontinue finger stick glucose measurements for patients with a stable blood glucose values Change DVT prophylaxis to enoxaparin for all clinically eligible patients
OTHERPatient sleep menu
Patients will be given a menu of non-pharmacological options that support sleep by improving comfort and reducing anxiety.
Sponsors
University of Pennsylvania
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 * 24 hours after admission to the general neurology (ward) service at the Hospital of the University of Pennsylvania * Patients who are determined by the primary team to be clinically stable enough to forego serial overnight vital signs monitoring and neuro checks. * Clinical stability criteria: * Symptomatic stability \>24h after admission (no new or progressive neurologic symptoms for \>24 hours) * Vital signs stability on admission for \> 24h while admitted * Ability to verbally consent to study participation
Exclusion criteria
* Any medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study. * Any additional clinical factors felt by the team to be incompatible with specific orders including requiring serial vital signs monitoring and neuro checks overnight
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fitbit Sleep Duration | Duration of hospitalization from consent to discharge or day 10, whichever comes first | Total hours of sleep |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FitBit sleep score | Duration of hospitalization from consent to discharge or day 10, whichever comes first | The sleep score integrates subject sleep deprivation, sleep depth, and sleep restoration |
| Richard Campbell Sleep Questionnaire (RCSQ) | Duration of hospitalization from consent to discharge or day 10, whichever comes first | The Richards-Campbell Sleep Questionnaire (RCSQ) is a simple, validated survey instrument for measuring sleep quality in intensive care patients |
| Patient reported Sleep Duration and Quality | Duration of hospitalization from consent to discharge or day 10, whichever comes first | A brief survey collecting patient perceived duration and quality of sleep |
Countries
United States
Outcome results
None listed