Pub Date : 2024-10-24DOI: 10.1016/j.smrv.2024.102019
Dr Reut Gruber
{"title":"Broken clocks: The effects of delayed school start time on adolescent sleep in solar vs. standard time","authors":"Dr Reut Gruber","doi":"10.1016/j.smrv.2024.102019","DOIUrl":"10.1016/j.smrv.2024.102019","url":null,"abstract":"","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"78 ","pages":"Article 102019"},"PeriodicalIF":11.2,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142587191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-24DOI: 10.1016/j.smrv.2024.102016
Mark A. Oldham , Adam P. Spira , Michael Yurcheshen , Wilfred R. Pigeon , Ben Julian A. Palanca , Hochang B. Lee
Sleep-wake and circadian disruption (SCD) is a core feature of delirium. It has been hypothesized that SCD contributes to delirium pathogenesis; therefore, interventions that prevent or reverse SCD represent an array of promising opportunities in relation to delirium. This review explores the relationship between sleep-wake/circadian physiology and delirium pathophysiology with a focus on neurotransmitter systems. Across potential targets aimed at preventing or treating delirium, three broad approaches are considered: 1. Pharmacological mechanisms that contribute to physiological sleep may preserve or restore next-day cognition in patients with or at risk for delirium (e.g., alpha 2 agonists, dopamine 2 antagonists, serotonin 2 A antagonists, dual orexin receptor antagonists, or GHB agonists); 2. Pharmacological mechanisms that promote wakefulness during the day may combat hypoactive delirium (e.g., adenosine 2 A antagonists, dopamine transporter antagonists, orexin agonists, histamine 3 antagonists); and 3. Melatonergic and other circadian interventions could strengthen the phase or amplitude of circadian rhythms and ensure appropriately entrained timing in patients with or at risk for delirium (e.g., as informed by a person's preexisting circadian phase).
睡眠-觉醒和昼夜节律紊乱（SCD）是谵妄的一个核心特征。据推测，睡眠-觉醒和昼夜节律紊乱是谵妄的发病机制之一；因此，预防或逆转睡眠-觉醒和昼夜节律紊乱的干预措施为谵妄的治疗提供了一系列大有可为的机会。本综述以神经递质系统为重点，探讨了睡眠-觉醒/昼夜节律生理学与谵妄病理生理学之间的关系。在预防或治疗谵妄的潜在目标方面，我们考虑了三大方法：1.有助于生理睡眠的药理机制可保持或恢复谵妄患者或有谵妄风险的患者次日的认知能力（如α2激动剂、多巴胺等）、2. 促进白天清醒的药理机制可对抗低能谵妄（如腺苷 2 A 拮抗剂、多巴胺转运体拮抗剂、奥曲肽受体双拮抗剂、组胺 3 拮抗剂）；以及 3.褪黑激素能和其他昼夜节律干预措施可加强昼夜节律的相位或振幅，确保谵妄患者或有谵妄风险的患者的时间安排适当（例如，根据患者原有的昼夜节律相位）。
{"title":"Novel applications of sleep pharmacology as delirium therapeutics","authors":"Mark A. Oldham , Adam P. Spira , Michael Yurcheshen , Wilfred R. Pigeon , Ben Julian A. Palanca , Hochang B. Lee","doi":"10.1016/j.smrv.2024.102016","DOIUrl":"10.1016/j.smrv.2024.102016","url":null,"abstract":"<div><div>Sleep-wake and circadian disruption (SCD) is a core feature of delirium. It has been hypothesized that SCD contributes to delirium pathogenesis; therefore, interventions that prevent or reverse SCD represent an array of promising opportunities in relation to delirium. This review explores the relationship between sleep-wake/circadian physiology and delirium pathophysiology with a focus on neurotransmitter systems. Across potential targets aimed at preventing or treating delirium, three broad approaches are considered: 1. Pharmacological mechanisms that contribute to physiological sleep may preserve or restore next-day cognition in patients with or at risk for delirium (<em>e.g.</em>, alpha 2 agonists, dopamine 2 antagonists, serotonin 2 A antagonists, dual orexin receptor antagonists, or GHB agonists); 2. Pharmacological mechanisms that promote wakefulness during the day may combat hypoactive delirium (<em>e.g.</em>, adenosine 2 A antagonists, dopamine transporter antagonists, orexin agonists, histamine 3 antagonists); and 3. Melatonergic and other circadian interventions could strengthen the phase or amplitude of circadian rhythms and ensure appropriately entrained timing in patients with or at risk for delirium (<em>e.g.</em>, as informed by a person's preexisting circadian phase).</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"79 ","pages":"Article 102016"},"PeriodicalIF":11.2,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.smrv.2024.102018
Xing Xing Wang , Qingxiu Lin , Xiaotong Liu , Ping Dong , Yanping Bao , Jian-Yu Que , Lin Lu , Ya Bin Wei , Jia Jia Liu
Growing evidence suggests a link between couple relationships and sleep, yet findings are inconsistent. We conducted a systematic review and meta-analysis, searching four databases up to March 2023, and included 62 studies with 43,860 participants. Results indicated a moderate correlation between better couple relationship quality and better overall sleep quality (r = 0.34, 95%CI = 0.09–0.59), as well as longer sleep duration (r = 0.39, 95%CI = 0.04–0.65). Regarding specific couple relationship domains, greater partner responsiveness was linked to improved overall sleep quality (r = 0.19, 95%CI = 0.13–0.25), while partner support showed no significant association (r = 0.03, 95%CI = −0.02-0.09). Increased partner conflict was associated with poorer overall sleep quality (r = 0.17, 95%CI = 0.06–0.27). In the studies that could not be meta-analyzed, greater partner conflict significantly correlated with longer actigraphy-based sleep latency and more wake episodes, but not necessarily with shorter actigraphy-based sleep duration. Increased self-disclosure was related to better overall sleep quality, whereas higher perceived rejection was linked to worse overall sleep quality. Higher closeness was not consistently associated with better overall sleep quality. Our results suggest a significant link between better couple relationships and improved sleep. Improving couple relationships may enhance sleep. However, further long-term cohort studies outside the USA are needed to evaluate these associations, particularly regarding specific couple relationship domains and specific sleep indicators.
{"title":"The association between couple relationships and sleep: A systematic review and meta-analysis","authors":"Xing Xing Wang , Qingxiu Lin , Xiaotong Liu , Ping Dong , Yanping Bao , Jian-Yu Que , Lin Lu , Ya Bin Wei , Jia Jia Liu","doi":"10.1016/j.smrv.2024.102018","DOIUrl":"10.1016/j.smrv.2024.102018","url":null,"abstract":"<div><div>Growing evidence suggests a link between couple relationships and sleep, yet findings are inconsistent. We conducted a systematic review and meta-analysis, searching four databases up to March 2023, and included 62 studies with 43,860 participants. Results indicated a moderate correlation between better couple relationship quality and better overall sleep quality (<em>r</em> = 0.34, 95%CI = 0.09–0.59), as well as longer sleep duration (<em>r</em> = 0.39, 95%CI = 0.04–0.65). Regarding specific couple relationship domains, greater partner responsiveness was linked to improved overall sleep quality (<em>r</em> = 0.19, 95%CI = 0.13–0.25), while partner support showed no significant association (<em>r</em> = 0.03, 95%CI = −0.02-0.09). Increased partner conflict was associated with poorer overall sleep quality (<em>r</em> = 0.17, 95%CI = 0.06–0.27). In the studies that could not be meta-analyzed, greater partner conflict significantly correlated with longer actigraphy-based sleep latency and more wake episodes, but not necessarily with shorter actigraphy-based sleep duration. Increased self-disclosure was related to better overall sleep quality, whereas higher perceived rejection was linked to worse overall sleep quality. Higher closeness was not consistently associated with better overall sleep quality. Our results suggest a significant link between better couple relationships and improved sleep. Improving couple relationships may enhance sleep. However, further long-term cohort studies outside the USA are needed to evaluate these associations, particularly regarding specific couple relationship domains and specific sleep indicators.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"79 ","pages":"Article 102018"},"PeriodicalIF":11.2,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.smrv.2024.102017
Olivia A. McGuiness , Sheila Sivam , Collette Menadue , Rania O. Salama , Sebastiaan Van Hal , Brendon J. Yee , Amanda J. Piper
Currently, evidence-based guidelines about cleaning positive airway pressure devices for maintenance or reprocessing for a new user do not exist. There is no strong evidence of harm caused by contaminated positive airway pressure equipment. Future research opportunities exist to streamline cleaning processes, assure hygiene, and reduce waste.
{"title":"Iatrogenic infection associated with positive airway pressure therapy: A review of precedent, epidemiology, bioaerosols and risk mitigation","authors":"Olivia A. McGuiness , Sheila Sivam , Collette Menadue , Rania O. Salama , Sebastiaan Van Hal , Brendon J. Yee , Amanda J. Piper","doi":"10.1016/j.smrv.2024.102017","DOIUrl":"10.1016/j.smrv.2024.102017","url":null,"abstract":"<div><div>Currently, evidence-based guidelines about cleaning positive airway pressure devices for maintenance or reprocessing for a new user do not exist. There is no strong evidence of harm caused by contaminated positive airway pressure equipment. Future research opportunities exist to streamline cleaning processes, assure hygiene, and reduce waste.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"79 ","pages":"Article 102017"},"PeriodicalIF":11.2,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-12DOI: 10.1016/j.smrv.2024.102015
Yi-Qun Wang , Wei-Xiang Ma , Ling-Xi Kong , Hui Zhang , Ping-Chuan Yuan , Wei-Min Qu , Chun-Feng Liu , Zhi-Li Huang
Humans spend a third of their lives asleep. While the sleep-wake behaviors are primarily modulated by homeostasis and circadian rhythm, several ambient chemical and physical factors, including light, sound, odor, vibration, temperature, electromagnetic radiation, and ultrasound, also affect sleep and wakefulness. Light at different wavelengths has different effects on sleep and wakefulness. Sound not only promotes but also suppresses sleep; this effect is mediated by certain nuclei, including the pedunculopontine nucleus and inferior colliculus. Certain sleep-promoting odorants regulate sleep through the involvement of the olfactory bulb and olfactory tubercle. In addition, vibrations may induce sleep through the vestibular system. A modest increase in ambient temperature leads to an increase in sleep duration through the involvement of the preoptic area. Electromagnetic radiation has a dual effect on sleep-wake behaviors. The stimulation produced by the ambient chemical and physical factors activates the peripheral sensory system, which converts the chemical and physical stimuli into nerve impulses. This signal is then transmitted to the central nervous system, including several nuclei associated with the modulation of sleep-wake behaviors. This review summarizes the effects of ambient chemical and physical factors on the regulation of sleep and wakefulness, as well as the underlying neurobiological mechanisms.
{"title":"Ambient chemical and physical approaches for the modulation of sleep and wakefulness","authors":"Yi-Qun Wang , Wei-Xiang Ma , Ling-Xi Kong , Hui Zhang , Ping-Chuan Yuan , Wei-Min Qu , Chun-Feng Liu , Zhi-Li Huang","doi":"10.1016/j.smrv.2024.102015","DOIUrl":"10.1016/j.smrv.2024.102015","url":null,"abstract":"<div><div>Humans spend a third of their lives asleep. While the sleep-wake behaviors are primarily modulated by homeostasis and circadian rhythm, several ambient chemical and physical factors, including light, sound, odor, vibration, temperature, electromagnetic radiation, and ultrasound, also affect sleep and wakefulness. Light at different wavelengths has different effects on sleep and wakefulness. Sound not only promotes but also suppresses sleep; this effect is mediated by certain nuclei, including the pedunculopontine nucleus and inferior colliculus. Certain sleep-promoting odorants regulate sleep through the involvement of the olfactory bulb and olfactory tubercle. In addition, vibrations may induce sleep through the vestibular system. A modest increase in ambient temperature leads to an increase in sleep duration through the involvement of the preoptic area. Electromagnetic radiation has a dual effect on sleep-wake behaviors. The stimulation produced by the ambient chemical and physical factors activates the peripheral sensory system, which converts the chemical and physical stimuli into nerve impulses. This signal is then transmitted to the central nervous system, including several nuclei associated with the modulation of sleep-wake behaviors. This review summarizes the effects of ambient chemical and physical factors on the regulation of sleep and wakefulness, as well as the underlying neurobiological mechanisms.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"79 ","pages":"Article 102015"},"PeriodicalIF":11.2,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-12DOI: 10.1016/j.smrv.2024.102013
Z. Goossens , A. Van Stallen , J. Vermuyten , M. De deyne , D. Rice , N. Runge , E. Huysmans , T. Vantilborgh , J. Nijs , O. Mairesse , L. De Baets
Background
In individuals with chronic musculoskeletal pain, a reciprocal relationship between sleep and pain across short and long-term evaluations exists. Sleep influences pain levels, while the level of pain also impairs sleep. However, given the day-to-day variability of both sleep and pain intensity, assessing this relationship within a daily time frame should be considered.
Objectives
To systematically review the literature concerning the bidirectional day-to-day relationship between night-time sleep variables and day-time pain intensity in individuals with chronic musculoskeletal pain.
Methods
A systematic search (final search on October 12, 2023) in four databases (PubMed, Web of Science, Embase, PsycInfo) identified eligible articles based on pre-defined criteria. Three independent reviewers executed data extraction and risk of bias assessment using the “Quality In Prognosis Studies” tool. The study findings were synthesized narratively.
Results
Eleven articles (1014 study participants; 83 associations) were included. A bidirectional relationship between pain intensity and sleep was found. Nine articles indicated night-time sleep quality to be a more consistent predictor for next day pain intensity than vice versa.
Conclusion
Nonetheless the bidirectional day-to-day sleep-pain relationship in individuals with chronic musculoskeletal pain, results suggest that self-reported sleep quality has a stronger predictive value on pain intensity then vice versa.
{"title":"Day-to-day associations between pain intensity and sleep outcomes in an adult chronic musculoskeletal pain population: A systematic review","authors":"Z. Goossens , A. Van Stallen , J. Vermuyten , M. De deyne , D. Rice , N. Runge , E. Huysmans , T. Vantilborgh , J. Nijs , O. Mairesse , L. De Baets","doi":"10.1016/j.smrv.2024.102013","DOIUrl":"10.1016/j.smrv.2024.102013","url":null,"abstract":"<div><h3>Background</h3><div>In individuals with chronic musculoskeletal pain, a reciprocal relationship between sleep and pain across short and long-term evaluations exists. Sleep influences pain levels, while the level of pain also impairs sleep. However, given the day-to-day variability of both sleep and pain intensity, assessing this relationship within a daily time frame should be considered.</div></div><div><h3>Objectives</h3><div>To systematically review the literature concerning the bidirectional day-to-day relationship between night-time sleep variables and day-time pain intensity in individuals with chronic musculoskeletal pain.</div></div><div><h3>Methods</h3><div>A systematic search (final search on October 12, 2023) in four databases (PubMed, Web of Science, Embase, PsycInfo) identified eligible articles based on pre-defined criteria. Three independent reviewers executed data extraction and risk of bias assessment using the “Quality In Prognosis Studies” tool. The study findings were synthesized narratively.</div></div><div><h3>Results</h3><div>Eleven articles (1014 study participants; 83 associations) were included. A bidirectional relationship between pain intensity and sleep was found. Nine articles indicated night-time sleep quality to be a more consistent predictor for next day pain intensity than vice versa.</div></div><div><h3>Conclusion</h3><div>Nonetheless the bidirectional day-to-day sleep-pain relationship in individuals with chronic musculoskeletal pain, results suggest that self-reported sleep quality has a stronger predictive value on pain intensity then vice versa.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"79 ","pages":"Article 102013"},"PeriodicalIF":11.2,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-05DOI: 10.1016/j.smrv.2024.102014
Andrea Niklasson , Patrick H. Finan , Michael T. Smith , Alexandra Forsberg , Nicholas Dietz , Thomas Kander , Mads U. Werner , Michael R. Irwin , Eva Kosek , Martin F. Bjurström
Poor preoperative sleep quality and impaired sleep continuity may heighten acute postoperative pain intensity and increase analgesic consumption, with negative implications for recovery, mental and physical health. The main objective of the current review was to investigate the relationship between preoperative sleep disturbance and acute postoperative pain control. Four electronic databases were systematically searched from inception to December 2023. Two reviewers screened articles, extracted data, and assessed risk of bias for each included study. The search identified 26 prospective cohort studies and 3 retrospective cohort studies (16104 participants). Of the 29 included studies, 23 focused on preoperative insomnia symptoms, and three studies each focused on preoperative objective sleep continuity or sleep-disordered breathing. Meta-analysis, based on five studies with 1226 participants, showed that clinically significant preoperative insomnia symptoms were associated with moderate to severe pain intensity on the first postoperative day (odds ratio 2.69 (95 % confidence interval 2.03–3.57), p < 0.0001). Qualitative analysis showed relatively robust associations between preoperative insomnia symptoms, impaired sleep continuity and poorer acute, as well as subacute, postoperative pain control. Findings related to obstructive sleep apnea syndrome were mixed. Given that insomnia is a potentially modifiable risk factor, interventions targeting sleep prior to surgery may improve postoperative pain control.
{"title":"The relationship between preoperative sleep disturbance and acute postoperative pain control: A systematic review and meta-analysis","authors":"Andrea Niklasson , Patrick H. Finan , Michael T. Smith , Alexandra Forsberg , Nicholas Dietz , Thomas Kander , Mads U. Werner , Michael R. Irwin , Eva Kosek , Martin F. Bjurström","doi":"10.1016/j.smrv.2024.102014","DOIUrl":"10.1016/j.smrv.2024.102014","url":null,"abstract":"<div><div>Poor preoperative sleep quality and impaired sleep continuity may heighten acute postoperative pain intensity and increase analgesic consumption, with negative implications for recovery, mental and physical health. The main objective of the current review was to investigate the relationship between preoperative sleep disturbance and acute postoperative pain control. Four electronic databases were systematically searched from inception to December 2023. Two reviewers screened articles, extracted data, and assessed risk of bias for each included study. The search identified 26 prospective cohort studies and 3 retrospective cohort studies (16104 participants). Of the 29 included studies, 23 focused on preoperative insomnia symptoms, and three studies each focused on preoperative objective sleep continuity or sleep-disordered breathing. Meta-analysis, based on five studies with 1226 participants, showed that clinically significant preoperative insomnia symptoms were associated with moderate to severe pain intensity on the first postoperative day (odds ratio 2.69 (95 % confidence interval 2.03–3.57), p < 0.0001). Qualitative analysis showed relatively robust associations between preoperative insomnia symptoms, impaired sleep continuity and poorer acute, as well as subacute, postoperative pain control. Findings related to obstructive sleep apnea syndrome were mixed. Given that insomnia is a potentially modifiable risk factor, interventions targeting sleep prior to surgery may improve postoperative pain control.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"79 ","pages":"Article 102014"},"PeriodicalIF":11.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-29DOI: 10.1016/j.smrv.2024.102012
H. Bumpstead , K. Kovac , S.A. Ferguson , G.E. Vincent , A. Bachmann , L. Signal , B. Aisbett , M.J.W. Thomas , M. Sprajcer
On-call work is known to contribute to disrupted sleep, fatigue, and an increased risk of incidentor injury. This review aimed to a) identify current on-call management strategies that are suggested or required by regulatory bodies, and b) determine if there is empirical evidence to support these strategies in managing the fatigue of on-call workers. A grey literature search produced 65 relevant guidance materials. A systematic inductive thematic process identified consistent strategies included in these materials: 1) regularity/predictability of shifts, 2) fatigue management policy, 3) prescriptive rule sets, 4) fitness for work assessment, 5) on-the-day control measures, 6) risk assessment, 7) training and education, and 8) call management. Subsequently, a systematic review identified 17 original studies on the effectiveness of fatigue management strategies in on-call workers. Very little research has been done on fatigue management strategies for on-call workers outside of some prescriptive hours of work limitations. These limitations generally reduced fatigue, but often had the unintended consequence of increasing workload, which may inadvertently increase overall risk. Training, education, and call management (e.g., protected naps during on-call periods) also had some supporting evidence. The current gap in evidence emphasises the critical need for research on tailored on-call fatigue management strategies.
{"title":"How should we manage fatigue in on-call workers? A review of guidance materials and a systematic review of the evidence-base","authors":"H. Bumpstead , K. Kovac , S.A. Ferguson , G.E. Vincent , A. Bachmann , L. Signal , B. Aisbett , M.J.W. Thomas , M. Sprajcer","doi":"10.1016/j.smrv.2024.102012","DOIUrl":"10.1016/j.smrv.2024.102012","url":null,"abstract":"<div><div>On-call work is known to contribute to disrupted sleep, fatigue, and an increased risk of incidentor injury. This review aimed to a) identify current on-call management strategies that are suggested or required by regulatory bodies, and b) determine if there is empirical evidence to support these strategies in managing the fatigue of on-call workers. A grey literature search produced 65 relevant guidance materials. A systematic inductive thematic process identified consistent strategies included in these materials: 1) regularity/predictability of shifts, 2) fatigue management policy, 3) prescriptive rule sets, 4) fitness for work assessment, 5) on-the-day control measures, 6) risk assessment, 7) training and education, and 8) call management. Subsequently, a systematic review identified 17 original studies on the effectiveness of fatigue management strategies in on-call workers. Very little research has been done on fatigue management strategies for on-call workers outside of some prescriptive hours of work limitations. These limitations generally reduced fatigue, but often had the unintended consequence of increasing workload, which may inadvertently increase overall risk. Training, education, and call management (e.g., protected naps during on-call periods) also had some supporting evidence. The current gap in evidence emphasises the critical need for research on tailored on-call fatigue management strategies.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"79 ","pages":"Article 102012"},"PeriodicalIF":11.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.smrv.2024.102009
Kun Xu, Yuejun Zhou
{"title":"Comment on Yang et al. Associations of sleep with cardiometabolic risk factors and cardiovascular diseases: An umbrella review of observational and mendelian randomization studies","authors":"Kun Xu, Yuejun Zhou","doi":"10.1016/j.smrv.2024.102009","DOIUrl":"10.1016/j.smrv.2024.102009","url":null,"abstract":"","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"78 ","pages":"Article 102009"},"PeriodicalIF":11.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.smrv.2024.102010
Toan Le , Phat Huynh , Abhay Sharma , Arveity Setty , Miran Blanchard , Hon Keung Tony Ng , Yi Luo , Trung Le
Obstructive sleep apnea (OSA) is an underestimated and overlooked comorbidity in head and neck cancer (HNC) care. Refining HNC-OSA management requires an improved grasp of the HNC-OSA relationship. Thus, this paper reviews the current course of HNC therapy, causal and associative relationships before and after treatment, and statistical methods quantifying HNC-OSA interactions. This evaluation serves a dual purpose: to support oncologists and sleep physicians in improving the treatment outcomes of patients undergoing HNC treatment by considering OSA as a comorbidity and to assist researchers in selecting suitable analytical models for investigating the correlation between OSA and HNC. The investigation confirms a positive correlation between the apnea-hypopnea index (AHI) and primary tumor size, consistent with prior findings. Case studies also reported new evidence of lipoma and head-neck tumors triggering OSA, and sleep apnea surgery prompting tumor development. This paper provides an overview of existing statistical models and offers suggestions for model selection and a framework for designing experiments that delve into research questions surrounding the link between OSA and HNC across various stages of cancer treatment. Despite progress, understanding the HNC-OSA interplay remains incomplete due to limited histological, molecular, and clinical data. Future studies with longitudinal data are crucial for comprehensive insights.
阻塞性睡眠呼吸暂停（OSA）是头颈癌（HNC）治疗中被低估和忽视的合并症。完善 HNC-OSA 管理需要更好地掌握 HNC-OSA 的关系。因此，本文回顾了当前的 HNC 治疗过程、治疗前后的因果关系和关联关系，以及量化 HNC-OSA 相互作用的统计方法。该评估具有双重目的：支持肿瘤医生和睡眠医生将 OSA 视为合并症，从而改善接受 HNC 治疗的患者的治疗效果；协助研究人员选择合适的分析模型，以调查 OSA 与 HNC 之间的相关性。调查证实，呼吸暂停-低通气指数（AHI）与原发性肿瘤大小呈正相关，这与之前的研究结果一致。病例研究还报告了脂肪瘤和头颈部肿瘤引发 OSA 以及睡眠呼吸暂停手术促使肿瘤发生的新证据。本文概述了现有的统计模型，并提出了选择模型的建议和设计实验的框架，以深入探讨围绕 OSA 和 HNC 在癌症治疗各个阶段的联系的研究问题。尽管取得了进展，但由于组织学、分子学和临床数据有限，对 HNC-OSA 相互作用的了解仍不全面。未来的纵向数据研究对于全面了解情况至关重要。
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