• J Burn Care Res · Jan 2013

    A pilot review of the long-term impact of burn injury on sleep architecture in children.

    • Theresa Mayes, Michele M Gottschlich, Jane Khoury, John McCall, Narong Simakajornboon, and Richard J Kagan.
    • Department of Nutrition, Shriners Hospitals for Children, Cincinnati, Ohio 45229, USA.
    • J Burn Care Res. 2013 Jan 1; 34 (1): e15-21.

    AbstractDistorted sleep patterns exist in the acutely burned pediatric population. No prior study has used polysomnography to assess sleep proficiency in children years after discharge. The objective of this retrospective, pilot investigation was to examine sleep in children multiple years after burn injury to characterize the long-term impact of burns on sleep. Twenty-two subjects (mean age, 13.0 ± 0.9 years; 9.3 ± 0.7 years after burn; burn, 56.4 ± 6.1% TBSA; full-thickness burn, 52.0 ± 8.9%) whose parents reported disturbed sleep at home or in whom problematic sleep was exhibited during an inpatient stay, underwent overnight polysomnography. The amount of time children spent in various sleep stages, as well as sleep efficiency, were compared with norms. Sleep latency and number of arousals also were reviewed. Patients in the late burn recovery phase experienced significantly increased time in wake (P < .0001) and N1 stages (P < .0001) and nearly reached statistical significance in stage N2 (P = .07) in comparison with age-matched and sex-matched norms. Subjects exhibited decreased time in N3 (P = .07) and significantly less time in rapid eye movement sleep than normal controls (P < .0001). Sleep efficiency also was significantly decreased from the norm in the burn group (P < .0001). Marked reduction in the restorative phases of sleep persists for years after burn. Sleep efficiency also was significantly diminished in pediatric burn patients multiple years from injury. Evaluation of sleep adequacy should be a routine component of outpatient assessment in pediatric burns with consideration of referral to a sleep specialist as indicated.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…