Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery

Background: Sleep deprivation is considered a stress factor in the perioperative period. There are several studies on sleep disturbance after surgery but very limited literature available on preoperative sleep patterns, predictors of sleep disturbance and its effect on surgical outcome. Methodology:...

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Main Authors: Hamid Mohammad, Akhtar Irfan Mohammad, Ahmed Saba
Format: Article
Language:English
Published: Elsevier 2019-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844018353349
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spelling doaj-cf1f133c45a14135858a46d5021b57432020-11-25T02:04:55ZengElsevierHeliyon2405-84402019-03-0153e01318Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgeryHamid Mohammad0Akhtar Irfan Mohammad1Ahmed Saba2Corresponding author.; Anaesthesia Department, Second Floor PW II, Aga Khan University, Stadium Road, Karachi, PakistanAnaesthesia Department, Second Floor PW II, Aga Khan University, Stadium Road, Karachi, PakistanAnaesthesia Department, Second Floor PW II, Aga Khan University, Stadium Road, Karachi, PakistanBackground: Sleep deprivation is considered a stress factor in the perioperative period. There are several studies on sleep disturbance after surgery but very limited literature available on preoperative sleep patterns, predictors of sleep disturbance and its effect on surgical outcome. Methodology: Patients scheduled for thoracic surgery were asked to fill out a written Pittsburgh Sleep Quality Index (PSQI) questionnaire. The primary investigator explained this form to all the patients. This was filled out before premedication for subjective assessment of sleeping pattern at two different time point. Only those patients included who spent the previous night at home. Participants were asked to respond to the questions regarding their baseline sleeping pattern and compare it with last night. Results: Total eighty-three patients with a mean age of 47.83 ± 17.88 were included in the study. Overall mean PSQI scores were significantly higher (p-value < 0.01) during the night before surgery (6.94 ± 2.115) when compared with baseline (3.88 ± 1.877). Sleep latency was also significantly affected when last night-1 (the night before admission) was compared with usual sleep latency. Twenty patients were unable to sleep more than 5 hrs at night before admission which was significant when compared with their last month status (20 vs 3). Logistic regression model demonstrated the age and Timing of surgery as a strong predictors of poor sleep (defined as PSQI ≥ 5). Conclusion: Quality of sleep was profoundly affected at night before thoracic surgery, mainly due to a significant change in sleep latency and sleep duration. Although age and Timing of surgery were strong predictors of poor sleep we were unable to find any association between quality of sleep and type of surgery.http://www.sciencedirect.com/science/article/pii/S2405844018353349Surgery
collection DOAJ
language English
format Article
sources DOAJ
author Hamid Mohammad
Akhtar Irfan Mohammad
Ahmed Saba
spellingShingle Hamid Mohammad
Akhtar Irfan Mohammad
Ahmed Saba
Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery
Heliyon
Surgery
author_facet Hamid Mohammad
Akhtar Irfan Mohammad
Ahmed Saba
author_sort Hamid Mohammad
title Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery
title_short Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery
title_full Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery
title_fullStr Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery
title_full_unstemmed Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery
title_sort sleeping pattern before thoracic surgery: a comparison of baseline and night before surgery
publisher Elsevier
series Heliyon
issn 2405-8440
publishDate 2019-03-01
description Background: Sleep deprivation is considered a stress factor in the perioperative period. There are several studies on sleep disturbance after surgery but very limited literature available on preoperative sleep patterns, predictors of sleep disturbance and its effect on surgical outcome. Methodology: Patients scheduled for thoracic surgery were asked to fill out a written Pittsburgh Sleep Quality Index (PSQI) questionnaire. The primary investigator explained this form to all the patients. This was filled out before premedication for subjective assessment of sleeping pattern at two different time point. Only those patients included who spent the previous night at home. Participants were asked to respond to the questions regarding their baseline sleeping pattern and compare it with last night. Results: Total eighty-three patients with a mean age of 47.83 ± 17.88 were included in the study. Overall mean PSQI scores were significantly higher (p-value < 0.01) during the night before surgery (6.94 ± 2.115) when compared with baseline (3.88 ± 1.877). Sleep latency was also significantly affected when last night-1 (the night before admission) was compared with usual sleep latency. Twenty patients were unable to sleep more than 5 hrs at night before admission which was significant when compared with their last month status (20 vs 3). Logistic regression model demonstrated the age and Timing of surgery as a strong predictors of poor sleep (defined as PSQI ≥ 5). Conclusion: Quality of sleep was profoundly affected at night before thoracic surgery, mainly due to a significant change in sleep latency and sleep duration. Although age and Timing of surgery were strong predictors of poor sleep we were unable to find any association between quality of sleep and type of surgery.
topic Surgery
url http://www.sciencedirect.com/science/article/pii/S2405844018353349
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