Lu Keyin, Barron John O, Israel Heidi, Cannada Lisa K
Saint Louis University School of Medicine.
Department of Orthopaedic Surgery, Saint Louis University, St. Louis, MO.
OTA Int. 2019 Jul 9;2(4):e040. doi: 10.1097/OI9.0000000000000040. eCollection 2019 Dec.
To determine the prevalence of sleep disturbances in orthopaedic trauma patients 3 months following surgery and to identify any subset(s) of patients at high risk for prolonged sleep disturbance.
Prospective cohort.
Level 1 Trauma Center.
PATIENT/PARTICIPANTS: All patients at an orthopaedic trauma clinic from May 3, 2016 to Feb 23, 2017.
Baseline patient Pittsburgh Sleep Questionnaire (PSQI) and Insomnia Severity Index (ISI) scores compared to PSQI and ISI scores 3-months postoperatively. Both gender and age stratified data analyses were performed.
Sixty-six patients met our inclusion criteria and completed both baseline and 3-month surveys. There were 44 males and 22 females. There was a significant increase in PSQI and ISI scores from baseline to 3 months across all patients. Further analysis revealed significant increases from baseline to 3 months in both PSQI and ISI scores for female patients but not male patients. There was a significant difference from baseline to 3 months in patients 50 years old and under but not for patients above 50 years old. No patients required revision surgery in the first 3 months.
More than half of all patients reported continued sleep disturbance 3 months postoperatively. Females are at particularly increased risk for sleep disturbance. These findings demonstrate that sleep disturbances merit attention in the early stages of the postoperative recovery process.
Therapeutic Level II.
确定骨科创伤患者术后3个月睡眠障碍的患病率，并识别存在长期睡眠障碍高风险的患者亚组。
前瞻性队列研究。
一级创伤中心。
患者/参与者：2016年5月3日至2017年2月23日在骨科创伤诊所的所有患者。
将患者基线匹兹堡睡眠质量指数（PSQI）和失眠严重程度指数（ISI）得分与术后3个月的PSQI和ISI得分进行比较。进行了性别和年龄分层的数据分析。
66名患者符合我们的纳入标准，并完成了基线和3个月的调查。其中男性44名，女性22名。所有患者从基线到3个月时PSQI和ISI得分均显著增加。进一步分析显示，女性患者从基线到3个月时PSQI和ISI得分均显著增加，而男性患者则未增加。50岁及以下患者从基线到3个月时有显著差异，而50岁以上患者则无差异。在最初3个月内没有患者需要进行翻修手术。
超过一半的患者术后3个月仍存在睡眠障碍。女性睡眠障碍风险尤其增加。这些发现表明，睡眠障碍在术后恢复过程的早期阶段值得关注。
治疗性二级。
