Risk factors for postoperative sleep disturbance in patients undergoing spine surgery
10.3760/cma.j.cn131073-20240830-00205
- VernacularTitle:脊柱脊髓手术患者术后睡眠障碍的危险因素
- Author:
Yiwei CHEN
1
;
Minyu JIAN
1
;
Fa LIANG
1
;
Tianyuan WANG
1
;
Xuan HOU
1
;
Xinxin WANG
1
;
Ruquan HAN
1
Author Information
1. 首都医科大学附属北京天坛医院麻醉科，北京 100070
- Publication Type:Journal Article
- Keywords:
Spine;
Spinal cord;
Surgical procedures, operative;
Sleep disorders;
Risk factors
- From:
Chinese Journal of Anesthesiology
2025;45(2):148-151
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors for postoperative sleep disturbance (PSD) in patients undergoing spine surgery.Methods:In this case-control study, patients who underwent spine surgery from December 2023 to June 2024 at Beijing Tiantan Hospital of Capital Medical University, were selected as the subjects of the study. The quality of postoperative sleep was assessed using the Athens Insomnia Scale (AIS). The baseline characteristics and various perioperative indicators of the patients were collected. The patients were divided into PSD group and non-PSD group according to whether they had PSD. The variables with statistically significant differences from the univariate analysis were included in a multivariate logistic regression to identify the risk factors for PSD.Results:The results of the multivariate logistic regression analysis showed that preoperative sleep disturbance (odds ratio [ OR]=2.23, 95% confidence interval [ CI] 1.06-4.72, P=0.036), course of disease > 12 months ( OR=2.20, 95% CI 1.14-4.24, P=0.019) and AIS score > 2 on the night before surgery ( OR=2.06, 95% CI 1.02-4.16, P=0.045) were the independent risk factors for PSD in patients undergoing spine surgery. Conclusions:Preoperative sleep disturbance, course of disease > 12 months and AIS score > 2 on the night before surgery are independent risk factors for PSD in patients undergoing spine surgery.
