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The purpose of this research is to study pre-operative sleep problems and delirium in Hispanic/Latino patients after heart and lung surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hispanic/Latino patients undergoing cardiothoracic surgery | Observational study of patients scheduled for cardiothoracic surgery as part of standard of care. Patients will be followed up to 30 days prior to surgery and up to 7 days after surgery or hospital discharge, whichever is sooner. Patients preoperative sleep patterns and postoperative delirium will be followed. |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of postoperative delirium in Hispanic/Latino patients after cardiothoracic surgery | Delirium will be assessed using the Confusion Assessment Method. | Up to 7 days post surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of participants with preoperative sleep disturbance | Sleep disturbance as measured by actigraphy data using a wrist-actigraph | Up to 7 days before surgery |
| Pittsburgh Sleep Quality Index (PSQI) score |
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Inclusion Criteria:
Exclusion Criteria:
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Hispanic/Latino patients scheduled for cardiothoracic surgery at the University of Miami.
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| Name | Affiliation | Role |
|---|---|---|
| Elizabeth Mahanna Gabrielli, MD | University of Miami | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Miami | Miami | Florida | 33136 | United States |
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| ID | Term |
|---|---|
| D020447 | Parasomnias |
| D020178 | Sleep Disorders, Circadian Rhythm |
| ID | Term |
|---|---|
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
| D021081 | Chronobiology Disorders |
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blood samples
Pittsburgh Sleep Quality Index (PSQI) score with overall score ranging from 0-21, where lower scores indicate a higher sleep quality.
| 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. | 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. | 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. | baseline |
| Percentage of patients with risk allele of the melatonin receptor single nucleotide polymorphism. | Assess from blood samples. | baseline |
| D020920 |
| Dyssomnias |
| D009784 | Occupational Diseases |