<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462021000400279</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.20000277</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Effects of hospitalization on children's sleep pattern irrespective of sleep problems history]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectos de la hospitalización en el patrón del sueño en niños independientemente de antecedentes de problemas del sueño]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farías-Fernández]]></surname>
<given-names><![CDATA[Maite]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rendón-Macías]]></surname>
<given-names><![CDATA[Mario E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias-Leboreiro]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernárdez-Zapata]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gordillo-Rodríguez]]></surname>
<given-names><![CDATA[Lucina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle México Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Panamericana Escuela de Medicina ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Español de México  ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>78</volume>
<numero>4</numero>
<fpage>279</fpage>
<lpage>286</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462021000400279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462021000400279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462021000400279&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Sleep is a neurophysiologic process necessary for brain development. However, sleep patterns change with aging. This study aimed to compare the sleep pattern in pediatric patients with and with no previous sleep problems (PSP) during the first 48 hours of hospitalization and analyze the factors influencing sleep disruption.  Methods: We conducted a prospective cohort study. Under informed consent, two groups of patients &lt; 17 years admitted to a hospital for acute illnesses were followed. The history of PSP was determined with the Brief sleep questionnaire. For 48 hours, the sleep pattern was observed in terms of total hours of daily sleep, daytime naps, night awakenings, and time to fall asleep. We recorded actions of attention associated with sleep time.  Results: Patients with PSP showed an increased total duration of sleep hours per day by an average of one hour, improving the sleep pattern. In patients with no PSP, the total hours of sleep diminished transitorily and the time elapsed to initiate sleep, the number of daytime naps, and night awakenings increased. Alarms sound, the presence of vein catheters and tubes, and the entry and exit of healthcare personnel to the rooms were identified as critical factors of sleep interruptions.  Conclusions: Hospitalization alters sleep patterns, especially in children without previous sleep problems. We recommend exploring sleep patterns in all hospitalized children and reducing external factors associated with their disturbance as much as possible.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El sueño es un proceso neurofisiológico necesario para el desarrollo cerebral cuyos patrones varían con la edad. El objetivo de este estudio fue comparar el comportamiento del patrón del sueño en niños con y sin problemas previos del sueño (PPS) durante las primeras 48 horas de hospitalización, y analizar los factores influyentes en la interrupción del sueño.  Métodos: Se realizó un estudio de cohorte prospectivo. Con el consentimiento informado, se siguieron dos grupos de pacientes &lt; 17 años ingresados al área de hospitalización por diversas enfermedades agudas. El antecedente de PPS se determinó con el Cuestionario breve del sueño. El patrón del sueño se observó por 48 horas y se registraron las horas totales de sueño diario, los minutos para conciliar el sueño nocturno, los minutos de despertares nocturnos y las siestas diurnas. Se registraron las acciones médicas asociadas con el tiempo de sueño.  Resultados: En promedio, la duración total de las horas de sueño por día aumentó una hora en los pacientes con PPS, mejorando la higiene de sueño en este grupo. En el grupo de niños sin PPS se observó una disminución transitoria de las horas totales de sueño y un incremento en el tiempo para dormirse, los minutos de siestas diurnas y las vigilias nocturnas. El sonido de las alarmas, la colocación de venoclisis y de sondas de drenaje, así como la entrada y salida del personal de salud a las habitaciones, fueron identificados como factores de interrupción del sueño.  Conclusiones: La hospitalización altera los patrones del sueño, sobre todo en niños sin problemas previos del sueño. Se recomienda explorar los patrones del sueño en los niños hospitalizados y reducir, en lo posible, los factores externos asociados a su perturbación.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Sleep]]></kwd>
<kwd lng="en"><![CDATA[Hospitalization]]></kwd>
<kwd lng="en"><![CDATA[Sleep disorders]]></kwd>
<kwd lng="es"><![CDATA[Sueño]]></kwd>
<kwd lng="es"><![CDATA[Hospitalización]]></kwd>
<kwd lng="es"><![CDATA[Trastornos del sueño]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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