Evidence map›Paper›PMID 38858327›Full record

Observational studySleep & breathing = Schlaf & Atmung2024

An in-depth analysis of postoperative insomnia in elderly patients and its implications on rehabilitation.

Yuanqing Wang, Tianlong Wang, Shuai Feng, Ning Li, Yimeng Zhang, Yueyang Cheng, Hao Wu, Shuqin Zhan

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Prevalence and risk factors of sleep disturbances before and after spinal surgeries: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  2. Sleep quality after lumbar surgery for degenerative lumbar disease: a systematic review and Bayesian meta-analysis with meta-regression.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  3. Observational
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yuanqing WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, 45 Changchun St. Xicheng District, Beijing, China.
Tianlong WangDepartment of Anesthesiology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Shuai FengDepartment of Anesthesiology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Ning LiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, 45 Changchun St. Xicheng District, Beijing, China.
Yimeng ZhangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, 45 Changchun St. Xicheng District, Beijing, China.
Yueyang ChengDepartment of Neurology, Xuanwu Hospital, Capital Medical University, 45 Changchun St. Xicheng District, Beijing, China.
Hao WuDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun St. Xicheng District, Beijing, China. wuhaospine@xwh.ccmu.edu.cn.
Shuqin ZhanDepartment of Neurology, Xuanwu Hospital, Capital Medical University, 45 Changchun St. Xicheng District, Beijing, China. shqzhan@hotmail.com.ORCID 0000-0001-6134-4358

Funding

National Key Research and Development Project of the Ministry of Science and Technology in the 14th five-year plan 2021YFC2501400
6 · The paper itself

Abstract

objectives(1) Assess the prevalence of postoperative insomnia; (2) identify the risk factors for postoperative insomnia before exposure to surgery; (3) explore the impact of postoperative insomnia on rehabilitation.

methodsA study was conducted with 132 participants aged ≥ 65 undergoing spine interbody fusion. We collected the basic demographic data, Numeric Rating Scales (NRS), Pittsburgh Sleep Quality Index (PSQI), Geriatric Depression Scale (GDS), and Beck Anxiety Inventory (BAI). We measured Quality of Recovery 40 (QoR-40), GDS, BAI, NRS, and PSQI on the first and third nights post-surgery, followed by QoR-40 and NRS assessments two weeks after surgery.

resultsThe cases of postoperative insomnia on the first and third nights and after two weeks were 81 (61.36%), 72 (54.55%), and 64 (48.48%), respectively, and the type of insomnia was not significantly different (P = 0.138). Sleep efficiency on the first night was 49.96% ± 23.51. On the first night of postoperative insomnia, 54 (66.67%) cases were depression or anxiety, and the PSQI was higher in this group than in the group without anxiety or depression (P < 0.001). PSQI, GDS, and the time of surgery were related factors for postoperative insomnia (PPSQI < 0.001, PGDS = 0.008, and PTime = 0.040). Postoperative rehabilitation showed differences between the insomnia and non-insomnia groups (P < 0.001).

conclusionsThe prevalence of postoperative insomnia in the elderly was high, and postoperative insomnia had a significant correlation with postoperative rehabilitation. Interventions that target risk factors may reduce the prevalence of postoperative insomnia and warrant further research. CLINICAL

trial registrationMultivariate analysis of postoperative insomnia in elderly patients with spinal surgery and its correlation with postoperative rehabilitation ( https://www.chictr.org.cn/bin/project/edit?pid=170201 ; #ChiCTR2200059827).

Indexed as

Postoperative ComplicationsSleep Initiation and Maintenance DisordersAgedAged, 80 and overFemaleHumansMaleRisk FactorsSleep QualitySpinal FusionPostoperative rehabilitationRisk factorSleep lossSpine interbody fusion

Identifiers

PMID38858327
PMCPMC11450051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.