Actively Recruiting
Standardized Sleep Bundle for Cardiac Surgery Patients
Led by Horizon Health Network · Updated on 2026-03-30
20
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
Sponsors
H
Horizon Health Network
Lead Sponsor
N
New Brunswick Heart Centre
Collaborating Sponsor
AI-Summary
What this Trial Is About
The goal of this clinical trial is to evaluate the feasibility of using a standardized sleep bundle in adults undergoing cardiac surgery. The main questions it aims to answer are: 1. Can eligible participants be recruited and retained in the study? 2. Can participants follow the study procedures, including using sleep aids and completing daily assessments? 3. Can sleep and other clinical data be reliably collected during the hospital stay? Researchers will compare participants who receive the sleep bundle to participants who receive usual postoperative care. Participants will: * Use non-drug sleep aids, including a sleep mask, ear plugs, and a noise machine (sleep bundle group only). * Take sleep medications if needed, following a stepwise protocol (sleep bundle group only). * Complete daily sleep assessments using the Richards-Campbell Sleep Questionnaire (RCSQ). * Wear a Fitbit device at night to track sleep. * Follow usual postoperative care routines (control group) The study will also collect and describe data on sleep duration, nighttime awakenings, subjective sleep quality, incidence of postoperative delirium, and hospital length of stay to inform the design of a future larger trial.
CONDITIONS
Official Title
Standardized Sleep Bundle for Cardiac Surgery Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients over 19 years old undergoing non-emergent cardiac surgery with cardiopulmonary bypass at Saint John Regional Hospital
You will not qualify if you...
- Emergent surgery
- Severe kidney or liver impairment (creatinine clearance <30 mL/min, CKD stage 4 or higher, cirrhosis, ALT ≥ 3 times upper limit of normal)
- Sleep apnea
- Restless leg syndrome
- Chronic insomnia with regular use of certain sleep medications prior to admission (trazodone, benzodiazepines, zopiclone, mirtazapine, quetiapine, tricyclic antidepressants)
- Use of monoamine oxidase inhibitors in the past 14 days
- Prolonged QT interval > 500ms or history of serious heart rhythm problems
- History of dementia, alcohol, or opioid use disorder
- Known intolerance to melatonin, trazodone, or quetiapine
- Unable to provide informed consent
- Radial artery harvest required preventing Fitbit placement
- Prolonged intubation or sedation over 48 hours after surgery
- Major surgical complications preventing participation (stroke, major bleeding, mechanical support, reoperation, open chest, pulmonary embolism, acute renal failure requiring dialysis)
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Trial Site Locations
Total: 1 location
1
Saint John Regional Hospital
Saint John, New Brunswick, Canada, E2L 4L2
Actively Recruiting
Research Team
C
Christopher W White, MD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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