Evidence map›Paper›PMID 40652083›Full record

ArticleScientific reports2025

Association between preoperative sleep disturbance and psychomotor recovery profiles after general anesthesia in day surgery: a prospective cohort study.

Cha Wang, Keji Tao, Xiujun An, Jinye Gu, Junping Chen, Jianliang Sun, Xiaoyu Li, Bo Lu

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PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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.

Cha WangDepartment of Anesthesiology, Ningbo No.2 Hospital, No.41, Northwest Street, Ningbo, Zhejiang Province, 315000, China.
Keji TaoDepartment of Anesthesiology, Ninghai Maternal and Child Health Hospital, Ningbo, 315600, China.
Xiujun AnDepartment of Anesthesiology, Ningbo No.2 Hospital, No.41, Northwest Street, Ningbo, Zhejiang Province, 315000, China.
Jinye GuDepartment of Anesthesiology, Zhenhai Hospital of Traditional Chinese Medicine, Ningbo, 315200, China.
Junping ChenDepartment of Anesthesiology, Ningbo No.2 Hospital, No.41, Northwest Street, Ningbo, Zhejiang Province, 315000, China.
Jianliang SunDepartment of Anesthesiology, Affiliate of Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, 310006, China.
Xiaoyu LiDepartment of Anesthesiology, Ningbo No.2 Hospital, No.41, Northwest Street, Ningbo, Zhejiang Province, 315000, China. hanshanyu2001@163.com.
Bo LuDepartment of Anesthesiology, Ningbo No.2 Hospital, No.41, Northwest Street, Ningbo, Zhejiang Province, 315000, China. nblbmz@hotmail.com.

Funding

Ningbo Leading Medical & Health Discipline 2022-B10Ningbo Medical and Health Brand Discipline PPXK2024-05Ningbo Public Service Techology Foundation 2024S153
6 · The paper itself

Abstract

Sleep disturbances impair neurocognitive function, but their impact on early psychomotor recovery after day surgery remains unclear. This study aimed to investigate the impact of preoperative sleep disturbance on postoperative psychomotor recovery in patients undergoing hysteroscopic day surgery under general anesthesia, with a focus on psychomotor function and emergence from anesthesia. A prospective cohort study was conducted, including 110 patients scheduled for elective hysteroscopic day surgery. Participants were divided into two groups based on their Pittsburgh Sleep Quality Index (PSQI) scores: the Non-Sleep Disturbance (NSD) group (PSQI ≤ 5) and the Sleep Disturbance (SD) group (PSQI > 5). Psychomotor recovery was assessed using the Digit Symbol Substitution Test (DSST) and Trail Making Tests (TMT-A and TMT-B) at 30, 60, and 90 min post-extubation. Secondary outcomes included anesthesia-related time parameters, postoperative adverse events, and sleep quality on postoperative days 1 and 3, evaluated using the Athens Insomnia Scale (AIS). At 30 min post-extubation, the NSD group demonstrated significantly better psychomotor performance than the SD group (DSST: P = 0.0312; TMT-A: P = 0.0008; TMT-B: P = 0.0146). However, percentage change analysis for TMT-A revealed no significant differences between groups at any time point. No significant differences were observed between groups at 60-90 min for DSST or TMT-B. The SD group had a shorter anesthesia induction time (P < 0.0001), but no differences were found in eye-opening or extubation times. Both groups achieved similar Aldrete scores in the PACU (P = 0.7699). Postoperative sleep quality (AIS scores) and adverse events, including pain, nausea, and dizziness, were comparable between the groups. Patients with preoperative sleep disturbances undergoing general anesthesia exhibit delayed psychomotor recovery in the early postoperative phase, particularly within 30 min post-extubation. Continuous monitoring during this critical period is essential to ensure patient safety and optimize recovery outcomes in day surgery settings.

Indexed as

Ambulatory Surgical ProceduresAnesthesia, GeneralPsychomotor PerformanceSleep Wake DisordersAdultAnesthesia Recovery PeriodFemaleHumansMaleMiddle AgedPreoperative PeriodProspective StudiesRecovery of FunctionSleep QualityDay surgeryGeneral anesthesiaNeuropsychological testsPittsburgh sleep quality indexPsychomotor recoverySleep disturbance

Identifiers

PMID40652083
PMCPMC12255662

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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.