[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-428084-105":59,"doc-detail-428084-en":134},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":127,"head_meta":129,"extra_data":131,"updated_unix":133},105,"en","sleep-of-medically-ill-hospitalized-older-adults-do-sleep-medications-make-a-difference","SLEEP OF MEDICALLY ILL HOSPITALIZED OLDER ADULTS: DO SLEEP MEDICATIONS MAKE A DIFFERENCE?","","Sleep disturbances are common among medically ill older adults during acute hospitalization, often contributing to adverse outcomes. Despite frequent use of sleep medications, their effectiveness remains uncertain. A prospective multicenter study followed 683 cognitively intact older adults across four Israeli hospitals and compared home versus hospital changes in sleep parameters daily, alongside symptom-burden and sleep-medication burden trajectories. Hospital stay reduced total sleep time, sleep efficiency, and sleep quality; sleep medication use showed no association, while medication burden related to more awakenings. Physical symptom burden predicted worse sleep and a time-dependent pattern linked higher burden to reduced total sleep time early during hospitalization. Findings support symptom management to improve sleep.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/sleep-of-medically-ill-hospitalized-older-adults-do-sleep-medications-make-a-difference/428084/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/sleep-of-medically-ill-hospitalized-older-adults-do-sleep-medications-make-a-difference/428084.png","ImageObject",300,407,{"name":92,"@type":93},"Nguyễn Văn Học","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-03","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What was the main purpose of the study?","Question",{"text":112,"@type":113},"To determine whether sleep medications improve sleep in medically ill hospitalized older adults and to assess how physical symptom burden influences sleep across time.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did sleep in the hospital compare with sleep at home?",{"text":117,"@type":113},"Compared with home, participants had reduced total sleep time, lower sleep efficiency, poorer sleep quality, and a pattern of altered awakenings during hospitalization.",{"name":119,"@type":110,"acceptedAnswer":120},"Did sleep medication use improve sleep parameters?",{"text":121,"@type":113},"Sleep medication use was not associated with any sleep parameter in the analyses.",{"name":123,"@type":110,"acceptedAnswer":124},"What factor showed the strongest relationship with worsening sleep?",{"text":125,"@type":113},"Physical symptom burden significantly affected sleep efficiency, sleep quality, and number of awakenings, and higher symptom burden was most strongly linked to reduced total sleep time early in the hospital stay.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},428084,1790940112,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":81},1374402739827,"https://ap-avatar.wpscdn.com/avatar/14000c97e7351f1a627?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787885694763230660","Innovation in Aging, 2025, Vol. 9, No. S2 559  \nAbstract citation ID: igaf122.1917  \nSLEEP OF MEDICALLY ILL HOSPITALIZED OLDER ADULTS: DO SLEEP MEDICATIONS MAKE  \nA DIFFERENCE?  \nJuliana Smichenko, Tamar Shochat, and Anna Zisberg, University of Haifa, Haifa, HaZafon, Israel  \nSleep disturbances are common among medically ill older adults during acute hospitalization, often leading to adverse outcomes. Despite frequent use of sleep medications, their effectiveness remains uncertain. This study examined changes in sleep parameters from home to hospital and evaluated the impact of physical symptom burden and sleep medications burden daily trajectories as key factors. A prospective multicenter study was conducted across four Israeli hospitals. The study included 683 cognitively intact older adults who completed an admission interview and at least one follow-up. Sleep parameters—including total sleep time (TST), sleep efficiency (SE), sleep quality (SQ), and number of awakenings (NOA)—were assessed daily, along with sleep medication use and burden (dosage and quantity) . Physical symptom burden and additional covariates were analyzed using a repeated measures mixed models approach. Participants (54% male, mean age 77.31±6.60) experienced reduced TST (329.73±111.94 vs. 377.03±101.06minutes), lower SE (71.49±19.28% vs. 76.14±15.53%), and poorer SQ in the hospital compared to home. Sleep medication use was not associated with any sleep parameter, while sleep medication burden correlated with increased NOA. Physical symptom burden had significant effects on SE, SQ, and NOA. A time-dependent interaction showed that higher symptom burden was most strongly linked to reduced TST at the first in-hospital follow-up, stabilizing thereafter. Sleep deteriorates during hospitalization, with minimal benefit from sleep medications, however stronger effect of physical symptoms severity. Prioritizing symptom management may be key to improving sleep in hospitalized older adults.","cbCaivNoJDRoulTF","https://ap.wps.com/l/cbCaivNoJDRoulTF","pdf",47316,"English","# Study objective and design\n## Participants and setting\n## Daily measures and outcomes\n## Medication use versus medication burden\n## Physical symptom burden effects\n## Time-dependent interaction and conclusions","[{\"question\":\"What was the main purpose of the study?\",\"answer\":\"To determine whether sleep medications improve sleep in medically ill hospitalized older adults and to assess how physical symptom burden influences sleep across time.\"},{\"question\":\"How did sleep in the hospital compare with sleep at home?\",\"answer\":\"Compared with home, participants had reduced total sleep time, lower sleep efficiency, poorer sleep quality, and a pattern of altered awakenings during hospitalization.\"},{\"question\":\"Did sleep medication use improve sleep parameters?\",\"answer\":\"Sleep medication use was not associated with any sleep parameter in the analyses.\"},{\"question\":\"What factor showed the strongest relationship with worsening sleep?\",\"answer\":\"Physical symptom burden significantly affected sleep efficiency, sleep quality, and number of awakenings, and higher symptom burden was most strongly linked to reduced total sleep time early in the hospital stay.\"}]","SLEEP OF MEDICALLY ILL HOSPITALIZED OLDER ADULTS: DO SLEEP MEDICATIONS MAKE A DIFFERENCE? | PDF",1790645727]