Sleep Bundle for Cardiac Surgery Patients

CW
Overseen ByChristopher W White, MD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The goal of this clinical trial is to evaluate the feasibility of using a standardized sleep bundle in adults undergoing cardiac surgery. The main questions it aims to answer are:

1. Can eligible participants be recruited and retained in the study?

2. Can participants follow the study procedures, including using sleep aids and completing daily assessments?

3. Can sleep and other clinical data be reliably collected during the hospital stay? Researchers will compare participants who receive the sleep bundle to participants who receive usual postoperative care.

Participants will:

* Use non-drug sleep aids, including a sleep mask, ear plugs, and a noise machine (sleep bundle group only).

* Take sleep medications if needed, following a stepwise protocol (sleep bundle group only).

* Complete daily sleep assessments using the Richards-Campbell Sleep Questionnaire.

* Wear a Fitbit device at night to track sleep.

* Follow usual postoperative care routines (control group)

The study will also collect and describe data on sleep duration, nighttime awakenings, subjective sleep quality, incidence of postoperative delirium, and hospital length of stay to inform the design of a future larger trial.

Who Is on the Research Team?

CE

Caroline E Fitzpatrick

Principal Investigator

Horizon Health Network

Are You a Good Fit for This Trial?

Adults over 19 years old scheduled for non-emergency heart surgery with cardiopulmonary bypass at Saint John Regional Hospital can join. The trial is testing if a 'sleep bundle' helps patients sleep better after surgery compared to usual care.

Inclusion Criteria

I am over 19 and scheduled for non-emergency heart surgery with cardiopulmonary bypass at SJRH.

Exclusion Criteria

History of dementia, alcohol, or opioid use disorder
I require immediate surgery.
I have a heart condition with a QTc over 500ms or a history of specific irregular heartbeats.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either the standardized sleep bundle or usual postoperative care

5 days
Daily assessments during hospital stay

Follow-up

Participants are monitored for sleep quality and other clinical outcomes after treatment

5 days
Daily assessments during hospital stay

Data Analysis

Data collected during the trial is analyzed to inform future studies

What Are the Treatments Tested in This Trial?

Interventions

  • Standardized Sleep Bundle

Trial Overview

The study tests a 'sleep bundle' including sleep masks, ear plugs, noise machines, and stepwise use of sleep meds against standard post-op care. It checks if this improves sleep quality using daily questionnaires and Fitbit data.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Sleep Bundle GroupExperimental Treatment1 Intervention
Group II: Usual Post Operative CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Horizon Health Network

Lead Sponsor

Trials
30
Recruited
16,800+

New Brunswick Heart Centre

Collaborator

Trials
3
Recruited
1,700+