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The Course of Sleep Problems in Patients With Heart Failure and Associations to Rehospitalizations.
Region Östergötland, Heart and Medicine Center, Department of Cardiology in Linköping. Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0001-7431-2873
Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Clinical Neurophysiology. Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Jonköping University, Sweden.
Health Psychology Section, Department of Health Sciences, University of Groningen, University Medical Centre Groningen, the Netherlands.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
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), 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.

Place, publisher, year, edition, pages
Wolters Kluwer, 2015. Vol. 30, no 5, 403-410 p.
National Category
URN: urn:nbn:se:liu:diva-115774DOI: 10.1097/JCN.0000000000000176ISI: 000360496800005PubMedID: 24978159OAI: diva2:796506
Available from: 2015-03-19 Created: 2015-03-19 Last updated: 2016-04-24Bibliographically approved

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Johansson, PeterBroström, AndersJaarsma, Tiny
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Department of Cardiology in LinköpingDivision of Cardiovascular MedicineFaculty of Medicine and Health SciencesDepartment of Clinical NeurophysiologyDivision of Nursing ScienceDivision of Health, Activity and Care
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Journal of Cardiovascular Nursing

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