The prevalence and risk factors of sleep disturbances in surgical patients: A systematic review and meta-analysis.

Autor: Butris N; Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, ON, Canada; Institute of Medical Science, University of Toronto, ON, Canada., Tang E; Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, ON, Canada., Pivetta B; Faculty of Medicine, University of Ottawa, ON, Canada., He D; Department of Anesthesia and Pain Management, Mount Sinai Hospital, University Health Network, University of Toronto, ON, Canada., Saripella A; Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, ON, Canada., Yan E; Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, ON, Canada; Institute of Medical Science, University of Toronto, ON, Canada., Englesakis M; Library & Information Services, University Health Network, ON, Canada., Boulos MI; Division of Neurology, Department of Medicine, University of Toronto, ON, Canada; Hurvitz Brain Sciences Research Program, Sunnybrook Health Sciences Centre, ON, Canada., Nagappa M; Department of Anesthesia & Perioperative Medicine, London Health Sciences Centre and St. Joseph Healthcare, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada., Chung F; Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, ON, Canada; Institute of Medical Science, University of Toronto, ON, Canada. Electronic address: frances.chung@uhn.ca.
Jazyk: angličtina
Zdroj: Sleep medicine reviews [Sleep Med Rev] 2023 Jun; Vol. 69, pp. 101786. Date of Electronic Publication: 2023 Apr 19.
DOI: 10.1016/j.smrv.2023.101786
Abstrakt: Determining the prevalence and risk factors related to sleep disturbance in surgical patients would be beneficial for risk stratification and perioperative care planning. The objectives of this systematic review and meta-analysis are to determine the prevalence and risk factors of sleep disturbances and their associated postoperative complications in surgical patients. The inclusion criteria were: (1) patients ≥18 years old undergoing a surgical procedure, (2) in-patient population, and (3) report of sleep disturbances using a validated sleep assessment tool. The systematic search resulted in 21,951 articles. Twelve patient cohorts involving 1497 patients were included. The pooled prevalence of sleep disturbances at preoperative assessment was 60% (95% Confidence Interval (CI): 50%, 69%) and the risk factors for postoperative sleep disturbances were a high preoperative Pittsburgh sleep quality index (PSQI) score indicating preexisting disturbed sleep and anxiety. Notably, patients with postoperative delirium had a higher prevalence of pre- and postoperative sleep disturbances and high preoperative wake after sleep onset percentage (WASO%). The high prevalence of preoperative sleep disturbances in surgical patients has a negative impact on postoperative outcomes and well-being. Further work in this area is warranted.
Competing Interests: Declaration of competing interest FC reports research support from the University Health NetworkFoundation, ResMed Foundation, consultant to Takeda Pharma, and Up-to-Date royalties, STOP-Bang proprietary to University Health Network. Outside of the submitted work, Dr. M.I. Boulos reports in-kind support for his research program from Braebon Medical Corporation and Interaxon. Dr. M.I. Boulos also reports financial support for his research program from the Mahaffy Family Research Fund, and grant funding from the Canadian Institutes of Health Research, the Division of Neurology at the University of Toronto, the Sunnybrook Education Advisory Council and Education Research Unit, and the Alternative Funding Plan from the Academic Health Sciences Centres of Ontario. Dr. M.I. Boulos has also received consultancy and speaker fees from Jazz Pharmaceuticals, Paladin Labs, and Eisai. All other authors have no conflicts to declare.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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