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Table of Contents
Vol. 46, No. 6, 2000
Issue release date: November – December
Section title: Clinical Section
Gerontology 2000;46:318–322
(DOI:10.1159/000022184)

Sleep Patterns and Mortality among Elderly Patients in a Geriatric Hospital

Manabe K. · Matsui T. · Yamaya M. · Sato-Nakagawa T. · Okamura N. · Arai H. · Sasaki H.
Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine, Sendai, Japan

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Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Published online: October 18, 2000
Issue release date: November – December

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 2

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER

Abstract

Background: Sleep disturbance is one of the major and unsolved problems in older people. Most of the previous sleep studies rely on self-reported documents, and memory disturbance in older people might bias sleep complaints and health status. Objective: Sleep disturbances were studied as a mortality risk. Methods: In 272 patients who were aged, infirmed and chronically institutionalized in a skilled-care geriatric hospital, the presence or absence of sleep disturbances were examined by hourly observations of patients over 2 weeks at baseline, and they were prospectively followed up for 2 years to assess mortality. Results: Mortality after 2 years was significantly higher in the nighttime insomnia, daytime sleepiness, and sleep-onset delay groups. Further, adjusted for age, gender and activities of daily living status, the presence of nighttime insomnia and sleep-onset delay remained associated with a higher risk of mortality. Conclusion: Sleep disturbance may be one of the symptoms indicating poor health or functional deficits, and be an independent risk factor for survival.

© 2000 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Published online: October 18, 2000
Issue release date: November – December

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 2

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.