Sleep-wake patterns in brain injury patients in an acute inpatient rehabilitation hospital setting

David T. Burke*, Mrugeshkumar K. Shah, Jeffrey C. Schneider, Brian Ahangar, Samir-Al-Aladai

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Primary Objective: To determine staff-documented sleep/wake patterns of hospitalized brain injury patients. Research Design: Cohort study. Methods and Procedures: Data on 17 patients were recorded hourly for a two-week period by staff as to the wakefulness of patients. In addition, demographic data and FIM scores were obtained. Main Outcomes and Results: Seventeen patients experienced interrupted sleep 71% of the night. This was true of 66% of the patients with traumatic brain injury and 92% of those with anoxic brain injury. One hundred percent of the women had a sleep disturbance as compared with 64% of the men. Patients who were at least 60 years of age had interrupted sleep 90% of the time as compared to those who were less than 25 years of age (70%). FIM scores and methylphenidate were not associated with sleep/wake patterns. Conclusions: To our knowledge, this pilot study is the first to assess the sleep/wake patterns of patients by staff review on an inpatient brain injury unit and its functional implications.

Original languageEnglish
Pages (from-to)239-244
Number of pages6
JournalJournal of Applied Research
Issue number2
Publication statusPublished - 2004
Externally publishedYes


  • Brain injury
  • Sleep disturbance
  • Traumatic brain injury

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)


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