Relevance of Sleep Disturbances to Orthopaedic Surgery

Beetz, Gabrielle; Babiloni, Alberto Herrero; Jodoin, Marianne; Charlebois-Plante, Camille; Lavigne, Gilles; Beaumont, Louis De; Rouleau, Dominique M.

doi:10.2106/jbjs.21.00176

Cited by 6 publications

(2 citation statements)

References 122 publications

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“…According to a meta-analysis, sleep disturbances were found to have a significant correlation with chronic postsurgical pain [ 9 ]. Another investigation revealed that sleep disorders might enhance the likelihood of falls and reduce bone density [ 10 ]. Numerous other studies have demonstrated that perioperative sleep disturbances have a detrimental impact on both short-term and long-term patient outcomes [ 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a nomogram for postoperative sleep disturbance in adults: a prospective survey of 640 patients undergoing spinal surgery

Zhang

Ding

et al. 2023

BMC Anesthesiol

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Background Postoperative sleep disturbance (PSD) is a prevalent clinical complication that may arise due to various factors. The purpose of this investigation is to identify the risk factors for PSD in spinal surgery and establish a risk prediction nomogram. Methods The clinical records of individuals who underwent spinal surgery from January 2020 to January 2021 were gathered prospectively. The least absolute shrinkage and selection operator (LASSO) regression, along with multivariate logistic regression analysis, was employed to establish independent risk factors. A nomogram prediction model was devised based on these factors. The nomogram’s effectiveness was evaluated and verified via the receiver operating characteristic (ROC) curve, calibration plot, and decision curve analysis (DCA). Results A total of 640 patients who underwent spinal surgery were analyzed in this investigation, among which 393 patients experienced PSD with an incidence rate of 61.4%. After conducting LASSO regression and logistic regression analyses using R software on the variables in training set, 8 independent risk factors associated to PSD were identified, including female, preoperative sleep disorder, high preoperative anxiety score, high intraoperative bleeding volume, high postoperative pain score, dissatisfaction with ward sleep environment, non-use of dexmedetomidine and non-use of erector spinae plane block (ESPB). The nomogram and online dynamic nomogram were constructed after incorporating these variables. In the training and validation sets, the area under the curve (AUC) in the receiver operating characteristic (ROC) curves were 0.806 (0.768–0.844) and 0.755 (0.667–0.844), respectively. The calibration plots indicated that the mean absolute error (MAE) values in both sets were respectively 1.2% and 1.7%. The decision curve analysis demonstrated the model had a substantial net benefit within the range of threshold probabilities between 20% and 90%. Conclusions The nomogram model proposed in this study included eight frequently observed clinical factors and exhibited favorable accuracy and calibration. Trial registration The study was retrospectively registered with the Chinese Clinical Trial Registry (ChiCTR2200061257, 18/06/2022).

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Section: Introductionmentioning

confidence: 99%

Development and validation of a nomogram for postoperative sleep disturbance in adults: a prospective survey of 640 patients undergoing spinal surgery

Zhang

Ding

et al. 2023

BMC Anesthesiol

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“…Pain can lead to cardiovascular, neuroendocrine, gastrointestinal, and other system abnormalities. In addition, it also triggers emotional symptoms like the anxiety and insomnia, which can even aggravate the development of the disease and affect the postoperative recovery [7–9] . Therefore, how to alleviate the pain, adverse emotions and psychological pressure, as well as improve the sleep quality is of significance to achieve a good outcome in postoperative orthopedic patients.…”

Section: Introductionmentioning

confidence: 99%

Effect of non-pharmacological interventions on anxiety, depression, sleep quality, and pain after orthopedic surgery

Zhang¹,

Zhou²,

Chen³

et al. 2021

Medicine

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Background:Patients after orthopedic surgery often experience the pain, anxiety, depression, and sleep disturbances, which can be greatly reduced by non-pharmacologic interventions as alternative therapies. Randomized controlled trials of nonpharmacologic interventions for anxiety, depression, sleep quality, and pain in patients after orthopedic surgery have been reported, but the results may be conflicting. Evidence to determine the optimal non-pharmacological intervention with a high efficacy is limited. This study aims to assess the effects of non-pharmacologic interventions on the bone anxiety, depression, sleep quality, and pain in patients after orthopedic surgery through a network meta-analysis, thus providing guidance in clinical application.Methods:A systematic search of randomized controlled trials reporting the effects of non-pharmacological interventions on anxiety, depression, sleep quality and pain after orthopedic surgery published before October 2021 will be searched in Wanfang, VIP Information Chinese Journal Service Platform, China National Knowledge Infrastructure, Chinese BioMedicine Literature Database, Pubmed, Embase, Cochrane, and Web of science. Two reviewers will be independently responsible for study selection, quality appraisal, and data extraction. Stata 14.0 software will be used to perform the network meta-analysis.Results:The findings of this research will be reported in a recognized journal.Conclusion:This meta-analysis will provide the stronger evidence for non-pharmacological interventions on alleviating bone anxiety, depression, sleep quality, and pain in patients after orthopedic surgery, which will help clinicians and decision makers in their choices.Open Science Framework registration number: DOI 10.17605/OSF.IO/2SCBD.

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