Bedside Sleep Medicine

Not Applicable

• Conditions: Sleep Disorders; Sleep Apnea; Acute Myocardial Infarction; Acute Decompensated Heart Failure
• Interventions: Device: CPAP

• Registration Number: NCT01924507
• Lead Sponsor: Associação Fundo de Incentivo à Pesquisa

Brief Summary

The investigators aimed to evaluated the role of bedside sleep medicine in an cardiology intensive care unit. The patients will be submitted to a overnight polysomnography. Those individuals with sleep apnea will be treated with CPAP during the ICU admission. Also, the investigators will identify the factors that compromise the sleep and will act to minimize them to improve the sleep quality.

After the interventions, the investigators will evaluate if there are reduced days of hospital admission, major cardiovascular events (infarction, reinfarction, heart failure and stroke) and overall mortality.

Detailed Description

At the hospital discharge and after at 1, 3 and 12 months we will evaluate the occurrence of major cardiovascular events (infarction, reinfarction, heart failure and stroke) and overall mortality.

Study Timeline

• Status Verified: 2013-08
• Study Start: 2013-08
• Primary Completion: 2013-08
• Study First Submitted: 2013-08-14
• Study First Submitted QC: 2013-08-15
• Last Update Submitted: 2013-08-15
• Study First Posted: 2013-08-16
• Last Update Posted: 2013-08-16
• Study Completion: 2015-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

• Acute myocardial infarction
• Acute decompensated heart failure
• Age > 18 years-old
• Cardiology intensive care unit admission

Exclusion Criteria

• Intravenous sedation
• Invasive mechanical ventilation
• hemodynamic instability
• use of intravenous vasoactive drugs
• acute respiratory failure

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CPAP	CPAP	Patients with apnea will be treated with CPAP during the night.

Primary Outcome Measures

Name	Time	Method
days of admission	7 days	Days of admission in the cardiology intensive care unit

Secondary Outcome Measures

Name	Time	Method
Combination of acute myocardial infarction, reinfarction, heart failure and stroke	12 months

Trial Locations

Locations (1)

Hospital Sao Paulo - Federal University of Sao Paulo; 🇧🇷 Sao Paulo, SP, Brazil