Vital Signs Reduction Study

Description

Overnight vital signs are typically done every four hours on pediatric acute care units, despite limited evidence supporting the efficacy of this practice. Additionally, vital signs are often ordered and collected without considering the patient's clinical status or the potential impact that they may have on sleep. The purpose of this study is to understand the effect of forgone overnight vital signs on sleep quality and duration among children hospitalized in medical-surgical units, compared with children who receive standard of care vital signs.

Conditions

Hospitalization

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Study Overview

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Study Details

Study overview

Overnight vital signs are typically done every four hours on pediatric acute care units, despite limited evidence supporting the efficacy of this practice. Additionally, vital signs are often ordered and collected without considering the patient's clinical status or the potential impact that they may have on sleep. The purpose of this study is to understand the effect of forgone overnight vital signs on sleep quality and duration among children hospitalized in medical-surgical units, compared with children who receive standard of care vital signs.

Minimizing Overnight Vital Signs to Improve Sleep in Hospitalized Children

Vital Signs Reduction Study

Condition
Hospitalization
Intervention / Treatment

-

Contacts and Locations

Salt Lake City

Intermountain Primary Children's Hospital, Salt Lake City, Utah, United States, 84112

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Hospitalized at Primary Children's Hospital on units 3 Southeast, 3 Northeast, 3 Northwest
  • * Age 1-18 years
  • * Pediatric Early Warning Score ≤ 1 at 2000
  • * A parent/home caregiver present to consent to study
  • * Patient and home caregiver speak English or Spanish.
  • * Deemed appropriate for forgone overnight vital signs by care team (attending MD/Advanced Practice Provider and bedside RN).
  • * Pre-existing diagnosis of hypertension, kidney disease, pulmonary hypertension, chronic lung disease, congenital heart disease causing cardiopulmonary compromise, obstructive sleep apnea, seizure disorder, neuromuscular disability.
  • * Patients requiring O2 monitoring at home.
  • * The following medications in the previous 24 hours: opioids, intravenous immunoglobulin, intravenous magnesium, continuous albuterol, benzodiazepines, other sedating medications beyond home regimen.
  • * Anaphylaxis within 24 hours
  • * Within the first 24 hours post-operative period
  • * Requiring oxygen above baseline
  • * Fever in the last 24 hours.
  • * Sepsis alert in the last 72 hours.

Ages Eligible for Study

1 Year to 18 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Intermountain Health Care, Inc.,

Leandra Bitterfeld, MSN, PRINCIPAL_INVESTIGATOR, Intermountain Primary Children's Hospital

Study Record Dates

2025-05-03