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Preoperative sleep disruption and postoperative functional disability in lung surgery patients: a prospective observational study

  • Mitsuru IdaEmail author
  • Hiroki Onodera
  • Motoo Yamauchi
  • Masahiko Kawaguchi
Original Article
  • 39 Downloads

Abstract

Purpose

Our aims were to evaluate the prevalence of preoperative acute sleep disruption in the hospital and to assess perioperative sleep quality and the effects of acute sleep disruption on postoperative functional recovery in a surgical setting.

Methods

This prospective observational study included 24 patients aged ≥ 20 years who underwent video-assisted thoracoscopic surgical lobectomy for lung cancer under general anesthesia at a tertiary hospital in Japan between October 2016 and May 2017. Actigraphy was performed for 7 days in the hospital, including the night before surgery. We defined acute sleep disturbance as less than 85% preoperative sleep efficiency and analyzed its effect on postoperative functional disability using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and Mann–Whitney U testing. The perioperative change in sleep efficiency was compared using a Dunn analysis. A high score on the WHODAS 2.0 is indicative of impaired function.

Results

Nineteen (79.1%) patients had low sleep efficiency in the hospital prior to surgery. Three months after surgery, the 12-item WHODAS 2.0 score was higher in patients with acute sleep disturbance than in those without it (38.8 versus 33.3, p = 0.02, effect size 0.5). Sleep efficiency decreased significantly on the 5th postoperative day in patients with acute sleep disturbance.

Conclusions

Our results showed a high prevalence of acute sleep disturbance. Patients with acute sleep disruption had low postoperative sleep efficiency and impaired functional ability three months after surgery.

Keywords

12-item World Health Organization Disability Assessment Schedule 2.0 Sleep disruption Lung surgery Observational study 

Notes

Compliance with ethical standards

Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.

Supplementary material

540_2019_2656_MOESM1_ESM.docx (14 kb)
Supplementary file1 (DOCX 14 kb)
540_2019_2656_MOESM2_ESM.docx (17 kb)
Supplementary file2 (DOCX 17 kb)
540_2019_2656_MOESM3_ESM.docx (16 kb)
Supplementary file3 (DOCX 15 kb)

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Copyright information

© Japanese Society of Anesthesiologists 2019

Authors and Affiliations

  • Mitsuru Ida
    • 1
    Email author
  • Hiroki Onodera
    • 1
  • Motoo Yamauchi
    • 2
  • Masahiko Kawaguchi
    • 1
  1. 1.Department of AnesthesiologyNara Medical UniversityKashiharaJapan
  2. 2.Department of Respiratory MedicineNara Medical UniversityKashiharaJapan

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