It really is hard to sleep in the ER
September 18 2019 01:45 AM
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By Lisa Rapaport /Reuters Health

Patients who spend the night in the emergency room may get much less rest than patients who sleep in beds in hospital rooms, a small study suggests.
For the study, researchers surveyed 49 emergency room patients waiting to be admitted to the hospital and 44 people already admitted to inpatient wards.
They asked the patients to describe noise levels in their rooms and rate sleep quality on a scale from 1 to 100, from worst to best.
The questions focused on five aspects: how lightly or deeply they slept; how easily they fell asleep; how often they awoke during the night; how easily they returned to sleep when they did wake up; and whether they thought they had a good or bad night’s sleep.
After researchers accounted for patient characteristics that might impact sleep like their age and the severity of their illness or injury, they still found that people who got inpatient rooms rated their sleep environment as 65% quieter than patients stuck in the ER for the night.
ER patients also rated their sleep significantly worse across all five aspects of sleep quality, researchers report in the Emergency Medicine Journal.
“Often in my experience patients react with dread at the idea of spending a night in the noisy ER - bad enough you are unwell, and been told you need to stay in hospital, without then having to stay in the sleepless ER for the night,” said Richard Prendiville, lead author of the study and a researcher at National University of Ireland in Galway.
“Hopefully the finding will show hospitals that ER patients sleep measurably worse, and that this needs to be addressed,” Prendiville said.
Patients stuck in the ER were much older than people who got inpatient beds for the night.
Half of those stuck in the ER were at least 60 years old, compared with 47 for people given inpatient rooms.
In the ER, patients were also sicker.
Roughly three in four of them were ranked as the most seriously ill and injured patients when they first arrived, compared with slightly less than half of people given inpatient beds for the night.
The study wasn’t a controlled experiment designed to prove that staying in the ER or moving to an inpatient bed might directly impact sleep or health outcomes.



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