title: Sleep and sleep disordered breathing in hospitalized patients.
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.
authors.affiliation: Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
authors.forename: Melissa P
authors.initials: MP
authors.lastname: Knauert
authors.affiliation: Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, National Jewish Health, University of Colorado, Denver, Colorado.
authors.forename: Vipin
authors.initials: V
authors.lastname: Malik
authors.affiliation: Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at University of California, Los Angeles, California.
authors.forename: Biren B
authors.initials: BB
authors.lastname: Kamdar
mesh_terms: D000818:Animals; D003693:Delirium / Q000209:etiology; D006760:Hospitalization; D006801:Humans; D012890:Sleep / Q000502:physiology; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012893:Sleep Wake Disorders / Q000150:complications / Q000453:epidemiology / Q000209:etiology*