AI Article Synopsis
- Most patients with rotator cuff repairs report better sleep quality after surgery, with significant improvements in nocturnal pain frequency noticed by 6 weeks post-op.
- A study of 48 patients assessed pre-and post-operative sleep quality using scales to measure resilience and sleep disturbance.
- Resilience, as indicated by the CD-RISC score, positively predicted better sleep outcomes, while narcotic use did not significantly impact sleep quality.
Article Abstract
Background: Patients with rotator cuff disease commonly complain of difficulty sleeping. Arthroscopic repair has been associated with improved sleep quality in many patients with rotator cuff tears; however, some individuals continue to suffer from sleep disturbance postoperatively.
Purpose: To determine whether changes in sleep quality following rotator cuff repair are predicted by a patient's narcotic use or ability to cope with stress (resilience).
Study Design: Case series; Level of evidence, 4.
Methods: A total of 48 patients undergoing arthroscopic rotator cuff repair were prospectively enrolled and completed the Connor-Davidson Resilience Scale (CD-RISC) preoperatively. The Pittsburgh Sleep Quality Index (PSQI) was administered preoperatively and at multiple intervals postoperatively for 6 months. Narcotic utilization was determined via a legal prescriber database. Pre- and postoperative sleep scores were compared using paired tests and the McNemar test. Linear regression was used to determine whether narcotic use or CD-RISC score predicted changes in sleep quality.
Results: An increased number of patients experienced good sleep at 6 months postoperatively ( < .01). Mean ± SD nocturnal pain frequency improved from 2.5 ± 1.0 at baseline to 0.9 ± 1.1 at 6 months. CD-RISC score had a positive predictive value on changes in PSQI score ( = 0.09, = .028) and nocturnal pain frequency ( = 0.08, = .041) at 2 weeks. Narcotic use did not significantly predict changes in PSQI score or nocturnal pain frequency ( > .05).
Conclusion: Most patients with rotator cuff disease will experience improvement in sleep quality following arthroscopic repair. Patients demonstrated notable improvements in nocturnal pain frequency as soon as 6 weeks following surgery. CD-RISC resiliency scores had a significant positive predictive value on changes in sleep quality and nocturnal pain frequency at 2 weeks. Narcotic use was not associated with change in sleep quality.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6630072 | PMC |
| http://dx.doi.org/10.1177/2325967119856282 | DOI Listing |
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