Observational studyBMJ open2025
Predictive factors of postoperative sleep disturbance after total hip arthroplasty: a retrospective observational study of 759 patients.
Observational study in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Risk Factors for Postoperative Sleep Disturbance in Elderly Patients Undergoing Hip Arthroplasty Surgery: The Role of Preoperative Depression and Anxiety.Actas espanolas de psiquiatria · 2026Article
- Effects of Neuromuscular Electrical Stimulation of Gluteus Medius Muscle on Hip Function and Sleep Quality in Patients With Sleep Disorders After Hip Arthroplasty.Actas espanolas de psiquiatria · 2026Article
- Fibromyalgia is associated with increased 90-day readmission and procedural utilization during readmission after elective primary total hip arthroplasty.Arthroplasty (London, England) · 2026Article
- Postoperative Sleep Disorders in Elderly THA Patients: Phenotypes, Risk Factors, and Perioperative Rehabilitation Strategies: A Single-Center Retrospective Observational Study.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Exosomes as a biomarker in postoperative complications: a literature review.Frontiers in cell and developmental biology · 2026Review
- Preoperative insomnia exacerbates postoperative sleep fragmentation in elderly arthroplasty patients: a prospective cohort study.Frontiers in psychiatry · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPostoperative sleep disturbance (PSD) is a common yet easily overlooked complication that affects early postoperative recovery. The purpose of this study was to identify the predictive factors of PSD.
designRetrospective cross-sectional study.
settingThe First Affiliated Hospital of Chongqing Medical University.
participants759 patients undergoing primary unilateral total hip arthroplasty.
main outcome measuresPSD was measured using the Numeric Rating Scale score of 1-10 or the Pittsburgh Sleep Quality Index.
results759 patients were included in the analysis. The incidence of PSD on postoperative day (POD) 1, POD 7 and POD 30 was 55.3%, 19.6% and 14.6%. Predictive factors included preoperative Visual Analogue Scale (VAS) (OR, 1.201 (95% CI, 1.054 to 1.369), p=0.006), satisfaction with ward environment (OR, 0.816 (95% CI, 0.711 to 0.936), p=0.004), dexmedetomidine (OR, 0.493 (95% CI, 0.263 to 0.925), p=0.028) and VAS on POD 1 (OR, 1.203 (95% CI, 1.052 to 1.382), p=0.008). VAS on POD 7 was associated with PSD on POD 7 (OR, 1.360 (95% CI, 1.103 to 1.678), p=0.004). VAS on POD 30 was associated with PSD on POD 30 (OR, 1.236 (95% CI, 1.021 to 1.495), p=0.029).
conclusionsPatients who experience preoperative pain, low satisfaction with ward environment, absence of intraoperative dexmedetomidine use and postoperative pain are at high risk of PSD on POD 1 after total hip arthroplasty. Postoperative pain was associated with PSD on POD 7 and 30. TRIAL REGISTRATION NUMBER: Chinese Clinical Trial Registry (ChiCTR2300078231).
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