الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 104 |  |  |
| | | from | 104 | | |
Abstract
SUMMARY
We aimed to provide insight into the relationship between actigraphic sleep measures and disease severity and heath outcome of the patients. Participants had sleep and physical activity continuously monitored using a multisensory activity monitor to investigate the association of air conditioning of the patients’ rooms with sleep quality and the association between nocturnal sleep and patients’ subsequent health outcomes
The successful monitoring and control of the quality and temperature of room air is becoming increasingly important particularly as the application of air conditioning has positive effects on comfort and health as a whole and specially patients with chronic respiratory diseases as exacerbations were decreased significantly and sleep periods increased which affected the whole patients’ health and well-being.
The current study included one hundred inpatients with an acute respiratory exacerbation from both sexes they all presented to University Medical Center Arbeitsbereich Pneumologische Onkologie, charite Universitätsmedizin, and Berlin. The patients were divided into two groups: group A: 50 cases will be placed into climate control hospital rooms and group B: 50 cases will be placed into standard hospital rooms without climate control.
The main findings of the study revealed that:
● In group A cases, 62% of them were males and 38% were females, while group B; 68% were males and 32% were females, there was no statistically significant difference between the two groups regarding sex
● In group A the age mean ±SD was 44.62±11.85 years, while group B mean ±SD of age was 43.82±12.31 years, there was no statistically significant difference between the two groups regarding age.
● group A cases; 78% of them were smoking, while in group B; 74% were smoking, there was no statistically significant difference between the two groups regarding smoking.
● In group A Bronchial asthma was the most predominant among the studied sample; (46%), followed by COPD in (44%), Pulmonary fibrosis was present in (4%), Lung cancer was in (6%), in group B Bronchial asthma was also the most predominant among the studied sample; (58%), followed by COPD in (34%), Pulmonary fibrosis was present in (6%), Lung cancer was in (2%), There was no statistically significant difference between the two groups regarding disease distribution.
● In the current study we use Actigraphy as a measure for monitoring our patients; actigraphy can provide continuous objective sleep activity data, which has been correlated to clinically meaningful health outcomes.
● In this study our aims were to provide insight into the relationship between actigraphic sleep measures and disease severity and heath outcome of the patients. Participants had sleep and physical activity continuously monitored using a multisensory activity monitor to investigate the association of air conditioning of the patients’ rooms with sleep quality and the association between nocturnal sleep and patients’ subsequent health outcomes.
● Bedtime (min) mean ±SD was slightly higher in group A 490.8 ± 72.17 minute as compared with group B 490.5 ± 51.07 minute; however no statistically significant difference was detected between the two groups as regards bedtime.
● Sleep Onset Latency (min) was significantly higher in group B as compared with group A; the mean of Sleep Onset Latency (min) values was (70.46 vs. 19.80) in group B and group A respectively with a statistically significant difference.
● Sleeping time (min) was significantly higher in group A as compared with group B; the mean of Sleeping time (min) values were (471 vs. 4200) in group A and group B respectively with a statistically significant difference.
● Sleeping efficacy (%) was significantly higher in group A as compared with group B; the mean of Sleeping efficacy (%) values were (96% vs. 86%) in group A and group B respectively with a statistically significant difference.
● Awakenings Numbers was significantly higher in group B as compared with group A; the means of Awakenings Numbers values were (2.10 vs. 1.24) in group B and group A respectively with a statistically significant difference.
● Hospital Stay was significantly higher in group B as compared with group A; the means of Hospital Stay values were (7.56 vs. 6.48) in group B and group A respectively with a statistically significant difference.
● SaO2 (%) was significantly higher in group A as compared with group B; the mean of SaO2 (%) values were (90.4% vs. 89%) in group A and group B respectively with a statistically significant difference.
● PaCO2 mmHg was significantly higher in group B as compared with group A; the means PaCO2 of mmHg values were (49.92 vs. 47.44) in group B and group A respectively with a statistically significant difference.
● A significant linear moderate negative correlation between Sleeping Efficacy % and Hospital Stay; (r= -0.654, p=0.001) and PaCO2 mmHg in all patients; (r= -0.414, p=0.00), However, a significant linear moderate positive correlation was found between Sleeping Efficacy % and SaO2 % in all patients.
Based on our findings, we recommend further studies on larger sample size and on a large geographical scale to emphasize our conclusion.