Cochrane · systematic review · CD012908

Non‐pharmacological interventions for sleep promotion in hospitalized children

Kudchadkar, SR, Berger, J, Patel, R, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
5
No studies
9
Included studies
NR
No studies 9 · 64.3%Ungraded 0 · 0%Very low 3 · 21.4%Low 2 · 14.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Behavioral interventions versus usual care for sleep promotion in pediatric inpatients

Population: children between the ages of 1 month and 18 years who were admitted to a pediatric inpatient setting from another location
7 questions
OutcomeEffectEvidenceStatus / GRADE
Objective measures of sleep
Behavioral interventions vs usual care
no estimate extracted5 studies · 145 participantsLow
Downgraded: inconsistency
Subjective sleep quality or quantity
Behavioral interventions vs usual care
no estimate extracted4 studies · 232 participantsVery low
Downgraded: risk of bias, inconsistency
Participant or parent satisfaction
Behavioral interventions vs usual care
no estimate extracted2 studies · 54 participantsVery low
Downgraded: risk of bias, imprecision
Cost‐effectiveness
Behavioral interventions vs usual care
no estimate extractedNRNo studies
Delirium incidence or delirium‐free days at hospital discharge
Behavioral interventions vs usual care
no estimate extractedNRNo studies
Length of mechanical ventilation
Behavioral interventions vs usual care
no estimate extractedNRNo studies
Length of hospital stay
Behavioral interventions vs usual care
no estimate extractedNRNo studies

Physical activity interventions versus usual care for sleep promotion in pediatric inpatients

Population: children between the ages of 1 month and 18 years who were admitted to a pediatric inpatient setting from another location
7 questions
OutcomeEffectEvidenceStatus / GRADE
Objective measures of sleep
Physical activity interventions vs usual care
no estimate extracted1 study · 29 participantsLow
Downgraded: imprecision
Subjective sleep quality or quantity
Physical activity interventions vs usual care
no estimate extracted1 study · 139 participantsVery low
Downgraded: risk of bias, imprecision
Participant or parent satisfaction
Physical activity interventions vs usual care
no estimate extractedNRNo studies
Cost‐effectiveness
Physical activity interventions vs usual care
no estimate extractedNRNo studies
Delirium incidence or delirium‐free days at hospital discharge
Physical activity interventions vs usual care
no estimate extractedNRNo studies
Length of mechanical ventilation
Physical activity interventions vs usual care
no estimate extractedNRNo studies
Length of hospital stay
Physical activity interventions vs usual care
no estimate extractedNRNo studies