Changes in sleep–wake rhythms, subjective sleep quality and pain among patients undergoing total hip arthroplasty

Myoji, Yuriko; Fujita, Kimie; Mawatari, Masaaki; Tabuchi, Yasuko

doi:10.1111/ijn.12345

Cited by 18 publications

(13 citation statements)

References 20 publications

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“…Low-quality sleep can affect subjective experience and satisfaction of patients, prolong hospitalization, and increase the financial burden on the patients’ families, which runs counter to the concept of accelerated rehabilitation of the hip and knee [12, 17]. Still further, persistent postoperative low-quality sleep can lead to reduced pain thresholds and increased nighttime pain, which in turn can further affect nighttime sleep quality.…”

Section: Discussionmentioning

confidence: 99%

Prospective randomized controlled study on improving sleep quality and impact of zolpidem after total hip arthroplasty

et al. 2019

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Background Total hip arthroplasty (THA) is a proven surgical option for patients with end-stage osteoarthritis in terms of improved function and pain relief. A prospective study was conducted to examine and evaluate the effect and impact of zolpidem postoperatively on the sleep quality, pain alleviation, and quality of life of patients who underwent total hip arthroplasty. Methods A total of 160 patients was randomized 1:1 to receive either zolpidem or placebo 2 days preoperative to 5 days postoperatively. Pain scores using visual analog scale (VAS), sleep quality using Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale, quality of life using QoR-40, and Hip disability and Osteoarthritis Outcome Score were recorded. The total amount of opioid analgesics and antiemetics taken was recorded as well. Results Patients in the intervention group had higher VAS score and took less analgesic and antiemetic. Moreover, the study demonstrated that QoR-40 was higher and Hip disability and Osteoarthritis Outcome Score had relatively lower mean value ( P < 0.05) in the treatment group. Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale were also lower in the treatment group ( P < 0.05). Conclusion Patients taking zolpidem achieved greater improvement in the quality of life and reported better satisfaction. The study demonstrated zolpidem 10 mg can improve sleep quality effectively, relieve pain, increase early range of motion and muscle strength, reduce the perioperative anxiety and depression, and improve perioperative experience and satisfaction, thereby reducing the hospital stay and medical costs and promote the rapid recovery and quality of life. Trial registration The trial was registered on Chinese Clinical Trial Registry, ChiCTR-IOR-16007861 .

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Section: Discussionmentioning

confidence: 99%

Prospective randomized controlled study on improving sleep quality and impact of zolpidem after total hip arthroplasty

et al. 2019

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“…Suboptimal quality of sleep after both THA and TKA has been established in previous studies. 13,14 The duration of postoperative sleep disturbance after TKA has been suggested to be 6 weeks, 7 although rapid eye movement sleep and daytime sleepiness may normalize as early as postoperative days 5 to 9. 5,15 Worsening sleep quality early after TJA may be the result of limited postoperative functioning because patients often take several months to recover.…”

Section: Discussionmentioning

confidence: 99%

Prospective Assessment of Sleep Quality Before and After Primary Total Joint Replacement

Manning¹,

Kearns²,

Bohl³

et al. 2017

Orthopedics

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Sleep disruption is a common, yet rarely addressed, complaint among patients who have undergone total joint arthroplasty (TJA). This study assessed sleep quality before and after primary TJA. A total of 105 patients who underwent primary total hip arthroplasty (THA) or total knee arthroplasty (TKA) prospectively completed questionnaires during the preoperative, early postoperative, and late postoperative periods. The survey included the Epworth Sleepiness Scale, current sleeping habits, and patient perspectives of sleep quality and duration. In the early postoperative period (4.7±2.0 weeks), patients reported significant increases in sleep disturbance as denoted by increased length of time to fall asleep (P=.006) and mean nightly awakenings (P=.002) compared with the preoperative baseline. At late postoperative follow-up (40.8±19.5 weeks), patients' sleep quality subsequently improved above the preoperative baseline. Approximately 40% of patients tried a new sleeping method postoperatively, the most common being new pillow placement. No significant differences in pre- or postoperative sleeping trends were noted between THA and TKA patients. These findings suggest transient sleep disturbance is common in the early postoperative period, with subsequent improvement by 10-month follow-up after a primary TJA. Given the growing importance of patient satisfaction in health care systems, orthopedic surgeons must manage patients' expectations while working with them to optimize sleep quality after TJA. A multimodal approach with preoperative counseling, early postoperative sleep modifications, and possibly preemptive use of medications may improve transient sleep disturbance among TJA patients. [Orthopedics. 2017; 40(4):e636-e640.].

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“…Moreover, improvements in social function, vitality, and mental health were observed. These findings suggest that improved physical function and general health after surgery in patients with chronic osteoarthrosis have a mild impact on nonphysical related limitations [12,23].…”

Section: Discussionmentioning

confidence: 99%

Sleep improvement after hip arthroplasty: a study on short-stem prosthesis

Hochreiter

Kindermann

Mattiassich³

et al. 2019

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to evaluate sleep disturbance prospectively before and after short-stem hip arthroplasty. Methods A prospective study on 25 patients undergoing a primary unilateral total short-stem hip replacement was conducted. Patients were observed for six months. To evaluate the sleep quality and daytime sleepiness, the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale were used. To assess the general physical health status, we used the Short Form 36 Health Survey (SF-36). Pain was recorded on a visual analog scale. Results The physical health status of the patients improved significantly (p < 0.05) during the six month follow-up period in seven out of nine categories. During the first post-operative week, the sleep quality stayed on an equal level to the pre-operative state, following a steady improvement over the next months (6 months p = 0.00). The daytime sleepiness showed a significant improvement during all the follow-ups (6 months p = 0.00). Pain decreased significantly from baseline to six months postoperatively (p = 0.00). There was no correlation between pain and sleep quality or pain and daytime sleepiness. Conclusion According to our results, patients undergoing short-stem total hip arthroplasty can expect a 50% improvement of sleep quality and physical function six months after surgery.

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Changes in sleep–wake rhythms, subjective sleep quality and pain among patients undergoing total hip arthroplasty

Cited by 18 publications

References 20 publications

Prospective randomized controlled study on improving sleep quality and impact of zolpidem after total hip arthroplasty

Prospective randomized controlled study on improving sleep quality and impact of zolpidem after total hip arthroplasty

Prospective Assessment of Sleep Quality Before and After Primary Total Joint Replacement

Sleep improvement after hip arthroplasty: a study on short-stem prosthesis

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