Relationship Between Sleep-Wake Quality and Nocturnal Medical Orders

NCT ID: NCT07288775

Last Updated: 2025-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-12

Study Completion Date

2026-01-01

Brief Summary

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The goal of this randomized controlled clinical trial is to evaluate if the implementation of an adjusted nighttime medical order protocol can improve sleep quality and stabilize physiologic parameters in hospitalized adult patients admitted to general wards.

The main questions it aims to answer are:

Does reducing non-urgent nocturnal medical interruptions increase total sleep time and REM duration? Does improving sleep continuity enhance subjective sleep quality and physiologic stability (heart rate, blood pressure)? Researchers will compare the intervention group (patients under an adjusted nighttime order protocol) with the control group (standard hospital care) to determine whether reorganizing nighttime medical routines improves objective and perceived sleep outcomes.

Participants will:

Wear a Fitbit Sense® device to continuously monitor objective sleep parameters across three hospital nights.

Complete the Pittsburgh Sleep Quality Index (PSQI) at admission and discharge to assess subjective sleep quality.

Undergo standard nighttime vital sign evaluations according to their assigned study protocol.

Detailed Description

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Conditions

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Sleep Quality

Keywords

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sleep hygine REM sleep Non-REM sleep

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Intervention

Group Type ACTIVE_COMPARATOR

Sleep enhancement intervention

Intervention Type BEHAVIORAL

Adjusted nocturnal medical orders

Control

Group Type PLACEBO_COMPARATOR

Standard

Intervention Type BEHAVIORAL

Standard hospital care

Interventions

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Sleep enhancement intervention

Adjusted nocturnal medical orders

Intervention Type BEHAVIORAL

Standard

Standard hospital care

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Male and female patients admitted within the past 24 hours
* Aged 18-65 years
* Hospitalized in the general ward of Hospital Clínica Nova
* Minimum in-hospital stay ≥ 3 days
* Visual Analog Scale for pain \< 3
* Glasgow Coma Scale \> 13

Exclusion Criteria

* Visual, hearing, intellectual, or cognitive disability
* History of sleep disorders or obstructive sleep apnea
* Use of antidepressants, anxiolytics, hypnotics, or CNS stimulants
* Hemodynamic instability upon admission or during hospitalization
* Patients transferred from the ICU
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospital Clinica Nova

OTHER

Sponsor Role lead

Responsible Party

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Maria Elena Romero Ibarguengoitia

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Clinica Nova de Monterrey

San Nicolás de los Garza, Nuevo León, Mexico

Site Status

Countries

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Mexico

Other Identifiers

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Sleep

Identifier Type: -

Identifier Source: org_study_id