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Semin Respir Crit Care Med 2014; 35(05): 582-592
DOI: 10.1055/s-0034-1390080
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Sleep and Sleep Disordered Breathing in Hospitalized Patients

Melissa P. Knauert
1   Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
,
Vipin Malik
2   Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, National Jewish Health, University of Colorado, Denver, Colorado
,
Biren B. Kamdar
3   Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at University of California, Los Angeles, California
› Author Affiliations
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Publication History

Publication Date:
29 October 2014 (online)

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Abstract

Sleep is a fundamental physiological process necessary for recovery from acute illness. Unfortunately for hospitalized patients, sleep is often short, fragmented, and poor in quality, and may be associated with adverse outcomes including inpatient delirium. Many factors contribute to poor sleep in the hospital setting, including preexisting sleep deprivation, sleep disordered breathing, environmental noise and light, patient care activities, and medications. Sleep disordered breathing increases the risk of potentially life-threatening cardiovascular, respiratory, and metabolic consequences, and therefore should be diagnosed and treated in hospitalized patients. Mitigating the sequelae associated with poor sleep quality and sleep disordered breathing requires early identification of modifiable factors impacting a patient's sleep, including engagement of a multidisciplinary team. In this article, we review the current knowledge of sleep in hospitalized patients with a detailed focus on patients with sleep disordered breathing.

Keywords

sleep deprivation - hospitalization - intensive care unit - critical illness - obstructive sleep apnea