ArticleJournal of sleep research2025
Poor sleep quality is a risk factor for adverse clinical outcomes in patients with acute aortic dissection: A prospective cohort study.
Article in Journal of sleep research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association Between Perioperative Sleep Disorders and Post-Operative Delirium in Cardiac Surgeries: A Systematic Review and Meta-Analysis.Journal of sleep research · 2026Pooled it
- Nicotine Withdrawal Syndrome in Intensive Care Patients-Preventive and Therapeutic Implications.Medical sciences (Basel, Switzerland) · 2026Review
- The Role of Sleep on Physical and Cognitive Performance of Ultra-Endurance Athletes: A Systematic Review.Journal of clinical medicine · 2026Review
- Poor sleep quality is a risk factor for adverse clinical outcomes in patients with acute aortic dissection: A prospective cohort study.Journal of sleep research · 2025Article
- Association of healthy sleep patterns with incident sepsis: a large population-based prospective cohort study.Critical care (London, England) · 2025Article
- Sleep, circadian rhythms and outcomes in intensive care unit.Frontiers in neurologyReview
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
The decrease in sleep quality leads to an increased risk of cardiovascular disease and is closely related to the prognosis of various diseases. However, the relationship between preoperative sleep quality and postoperative clinical outcomes in patients with acute aortic dissection is still unclear. We aimed to assess the relationship between sleep quality and the clinical outcomes of acute aortic dissection. We assessed participants' sleep quality and the clinical outcomes of acute aortic dissection, which included prolonged mechanical ventilation, postoperative delirium, in-hospital death, continuous renal replacement therapy, intensive care unit stay time, and length of stay. Patients were divided into good sleep quality group (n = 103) and poor sleep quality group (n = 113). Postoperative delirium, in-hospital death, prolonged mechanical ventilation and intensive care unit stay time were significantly increased in the poor sleep quality group when compared with the good sleep quality group (p < 0.05). Multivariate regression analysis showed that the poorer sleep quality, the greater the risk of in-hospital death (odds ratio = 3.451, 95% confidence interval 1.19-10.004) and prolonged mechanical ventilation (odds ratio = 6.302, 95% confidence interval 3.105-12.791), and the longer intensive care unit stay time (β = 62.37, 95% confidence interval 22.411-102.329). In addition, the higher the incidence of smoking history (odds ratio = 7.417, 95% confidence interval 2.425-22.684), poor sleep quality (odds ratio = 11.59, 95% confidence interval 3.844-34.942) and postoperative delirium (odds ratio = 5.1, 95% confidence interval 1.793-14.504), the greater the risk of prolonged mechanical ventilation. Our findings revealed that poor sleep quality may be a risk factor for adverse clinical outcomes of acute aortic dissection. Rapid assessment of self-reported sleep quality may be a simple and effective way to identify patients with acute aortic dissection who are at high risk for prolonged mechanical ventilation.
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