Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Feb 4;4(1):26-34.
doi: 10.1002/agm2.12146. eCollection 2021 Mar.

Identification of comprehensive geriatric assessment-based risk factors for insomnia in elderly Chinese hospitalized patients

Rong Liu  1 , Wenchao Shao  2 , Jonathan King-Lam Lai  3 , Lingshan Zhou  1 , Man Ren  1 , Nianzhe Sun  4
Affiliations

Identification of comprehensive geriatric assessment-based risk factors for insomnia in elderly Chinese hospitalized patients

Rong Liu et al. Aging Med (Milton). .

Abstract

Objective: Insomnia is a common problem in older persons and is associated with poor prognosis from a functional or clinical perspective. The purpose of this study was to investigate the prevalence of insomnia and identify comprehensive geriatric assessment (CGA) based clinical factors associated with insomnia in elderly hospitalized patients.

Methods: Standardized face-to-face interviews were conducted and CGA data were collected from 356 Chinese hospitalized patients aged 60 years or older. Insomnia was defined as self-reported sleep poor quality according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-Ⅴ). Multivariate logistic regression analysis was applied to assess the association between patient clinical factors together with domains within the CGA and insomnia.

Results: Among the 365 patients, insomnia was found in 48.31% of the participants. Difficulty in initiating sleep (DIS), early morning awakening (EMA), difficulty in maintaining sleep (DMS), and snoring were found in 33.99%, 9.55%, 13.48%, and 1.69% of patients, respectively. Significant associations were found between insomnia and several covariates: female gender (P = 0.034), depression (P = 0.001), activities of daily living (ADL) (P = 0.034), instrumental activities of daily living (IADL; P = 0.009), falling (P = 0.003), chronic pain (P = 0.001), and poor nutritional status (P = 0.038). According to the results of the adjustment multivariate logistic regression analysis, female sex (odds ratio [OR] = 2.057, confidence interval [CI] = 1.179-3.588, P = 0.011), depression (OR = 1.889, CI = 1.080-3.304, P = 0.026), and chronic pain (OR = 1.779, CI = 1.103-2.868, P = 0.018) were significant independently predictors associated with insomnia.

Conclusions: Our study revealed that female sex, depression, and chronic pain were independently predictors of insomnia in hospitalized patients. Early identification of elderly patients with these risk factors using the CGA may improve the quality of life and treatment outcomes.

Keywords: comprehensive geriatric assessment; elderly; hospitalized; insomnia.

PubMed Disclaimer

Conflict of interest statement

Nothing to disclose.

Similar articles

See all similar articles

Cited by

References

    1. Nikolich‐Zugich J, Goldman DP, Cohen PR, et al. Preparing for an aging world: engaging biogerontologists, geriatricians, and the society. J Gerontol A Biol Sci Med Sci. 2016;71:435‐444. - PMC - PubMed
    1. Goldman DP, Cutler D, Rowe JW, et al. Substantial health and economic returns from delayed aging may warrant a new focus for medical research. Health Aff. 2013;32:1698‐1705. - PMC - PubMed
    1. Sun R, Cao H, Zhu X, Liu JP, Dong E. Current aging research in China. Protein Cell. 2015;6:314‐321. - PMC - PubMed
    1. Gooneratne NS, Vitiello MV. Sleep in older adults: normative changes, sleep disorders, and treatment options. Clin Geriatr Med. 2014;30:591‐627. - PMC - PubMed
    1. Li J, Vitiello MV, Gooneratne NS. Sleep in normal aging. Sleep Med Clin. 2018;13:1‐11. - PMC - PubMed