Sleep & Postoperative Delirium in Hispanic/ Latino Patients After Cardiothoracic Surgery

University of Miami14 enrolled

Overview

The purpose of this research is to study pre-operative sleep problems and delirium in Hispanic/Latino patients after heart and lung surgery.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Delirium in Old Age Sleep Disturbance Circadian Rhythm Sleep Disorder

Eligibility

Sex: ALLMin age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Self identify as Hispanic/Latino or preferred language as Spanish 2. Undergoing scheduled elective and urgent cardiothoracic surgery 3. 50 years of age and older Exclusion Criteria: 1. Inability to consent 2. preferred language other than English, Spanish or Portuguese 3. emergency surgery 4. anticipated discharge \< 48 hours 5. Individuals \< 50 years of age 6. Pregnant women 7. Prisoners

Locations (1)

University of Miami

Miami, Florida, United States

Outcomes

Primary Outcomes

Incidence of postoperative delirium in Hispanic/Latino patients after cardiothoracic surgery

Delirium will be assessed using the Confusion Assessment Method.

Time frame: Up to 7 days post surgery.

Secondary Outcomes

Percentage of participants with preoperative sleep disturbance

Sleep disturbance as measured by actigraphy data using a wrist-actigraph

Time frame: Up to 7 days before surgery

Pittsburgh Sleep Quality Index (PSQI) score

Pittsburgh Sleep Quality Index (PSQI) score with overall score ranging from 0-21, where lower scores indicate a higher sleep quality.

Time frame: baseline

Insomnia Severity Index (ISI) score

Insomnia Severity Index (ISI) score has a total score ranging from 0 to 28, with higher scores signifying greater insomnia severity.

Time frame: baseline

Epsworth Sleepiness scale (ESS) score

Epsworth Sleepiness scale (ESS) score has a total score ranging from 0 to 24, with a higher score indicating greater daytime sleepiness.

Time frame: baseline

STOP-BANG Score

STOP-BANG Score has a total score ranging from 0 to 8, with higher scores indicating a higher risk of obstructive sleep apnea.

Time frame: baseline

Percentage of patients with risk allele of the melatonin receptor single nucleotide polymorphism.

Assess from blood samples.

Time frame: baseline

Data from ClinicalTrials.gov

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