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The course of sleep problems in patients with heart failure and associations to rehospitalizations
Department of Cardiology, and Department of Medicine and Health Sciences, Linköping University, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
Department of Health Sciences, University of Groningen, University Medical Centre Groningen, the Netherlands.
Department of Medicine and Health Sciences Linköping University, Sweden.
2015 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 30, no 5, 403-410 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: Sleep problems are common in patients with heart failure (HF) and might be associated with patient outcomes. Aims: The aim of this study was to describe the course of sleep problems in HF patients over 1 year and the association between sleep problems and rehospitalization. Methods: Data from 499 HF patients (mean age, 70 years) were used in this analysis. Sleep problems were assessed with the item ‘‘Was your sleep restless’’ from the Center for Epidemiological Studies Depression Scale during hospitalization for HF (baseline) and after 1 year. Results: A total of 43% of patients (n = 215) reported sleep problems at baseline, and 21% of patients (n = 105), after1 year. Among the 215 patients with problems with sleep at baseline, 30% (n = 65) continued to have sleep problems over time. Among the 284 patients without sleep problems at baseline, 14% (n = 40) reported sleep problems after 1 year. After adjustments for potential cofounders, patients with continued sleep problems had an almost 2-fold increased risk for all-cause hospitalizations (hazard ratio, 2.1;P= .002) and cardiovascular hospitalizations (hazard ratio, 2.2;P= .004). Conclusion: One-third of HF patients with sleep problems at discharge experienced persistent sleep problems at follow-up. Continued sleep problems were associated with all-cause and cardiovascular rehospitalizations.

Place, publisher, year, edition, pages
2015. Vol. 30, no 5, 403-410 p.
Keyword [en]
heart failure, hospitalizations, sleep disturbance
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-25551DOI: 10.1097/JCN.0000000000000176ISI: 000360496800005PubMedID: 24978159Scopus ID: 2-s2.0-84903354865Local ID: HHJADULTISOAI: oai:DiVA.org:hj-25551DiVA: diva2:777827
Available from: 2015-01-09 Created: 2015-01-09 Last updated: 2016-01-21Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • modern-language-association-8th-edition
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