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The Course of Sleep Problems in Patients With Heart Failure and Associations to Rehospitalizations.
Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Medicinska fakulteten.ORCID-id: 0000-0001-7431-2873
Region Östergötland, Sinnescentrum, Neurofysiologiska kliniken US. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Jonköping University, Sweden.
Health Psychology Section, Department of Health Sciences, University of Groningen, University Medical Centre Groningen, the Netherlands.
Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.ORCID-id: 0000-0002-4197-4026
2015 (engelsk)Inngår i: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 30, nr 5, s. 403-410Artikkel i tidsskrift (Fagfellevurdert) 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), after 1 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.

sted, utgiver, år, opplag, sider
Wolters Kluwer, 2015. Vol. 30, nr 5, s. 403-410
HSV kategori
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URN: urn:nbn:se:liu:diva-115774DOI: 10.1097/JCN.0000000000000176ISI: 000360496800005PubMedID: 24978159OAI: oai:DiVA.org:liu-115774DiVA, id: diva2:796506
Tilgjengelig fra: 2015-03-19 Laget: 2015-03-19 Sist oppdatert: 2019-06-27bibliografisk kontrollert

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