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Sleep patterns and potential risk factors for disturbed sleep quality in patients after surgery for infective endocarditis. | LitMetric

AI Article Synopsis

  • - The study focused on evaluating the sleep quality of patients who had valve replacement surgery due to infective endocarditis, aiming to identify factors that contribute to sleep disturbances after their hospitalization.
  • - Eighty patients were monitored using subjective and objective sleep measures, revealing that while sleep stability improved over 6 months, significant sleep disruptions were present in the immediate postoperative period.
  • - Age and certain early sleep quality metrics were identified as risk factors for ongoing sleep disturbances 6 months post-surgery, highlighting the importance of monitoring sleep health in recovering patients.

Article Abstract

Background: The current study aimed to investigate the sleep quality of patients after valve replacement surgery due to infective endocarditis and identify risk factors for disturbed sleep post hospitalisation.

Methods: Eighty patients were assessed postoperatively using subjective scale measures, the Pittsburgh sleep quality index (PSQI) and the Epworth sleepiness scale, and an objective measure, actigraphy. Scale measures were assessed approximately 2 weeks and 6 months after surgery. Actigraphy monitoring was performed for 2 consecutive weeks during hospitalisation. Logistic regression was used to identify risk factors for disturbed sleep.

Results: The study population (n = 80) had an average age of 42.8 ± 14.2 years, and 67.5% were male. The median sleep efficiency was 85.3% in week 1 and 86.8% in week 2. The frequency of awakenings was significantly higher in week 1 (20.0 times vs. 19.3 times, p = 0.017). The scale measures showed significant improvement in sleep by 6 months after surgery compared to that during hospitalisation. Multivariable logistic regression analysis suggested that the possible risk factors for disturbed sleep 6 months after surgery included age (OR = 1.479, 95%CI 1.140-1.920) and a few parameters of early postoperative disturbed sleep quality (PSQI: OR = 2.921, 95%CI 1.431-5.963; sleep efficiency: OR = 0.402, 95%CI 0.206-0.783; and average duration of awakenings: OR = 0.006, 95%CI 0.000-0.827).

Conclusions: Disturbed sleep quality was witnessed in postoperative patients during hospitalisation and up to 6 months after surgery. Over time, the patients' sleep quality improved significantly. Age and a few early postoperative sleep quality variables were risk factors for disturbed sleep 6 months after surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116038PMC
http://dx.doi.org/10.1186/s13019-022-01828-4DOI Listing

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