Medindia

X

Pain Keeps Surgery Patients Awake, Extends Hospital Stay

by Sheela Philomena on  September 28, 2014 at 10:19 PM Research News   - G J E 4
Pain makes it difficult for some patients to get a good night's rest while recovering in the hospital following certain surgical procedures, says study.
 Pain Keeps Surgery Patients Awake, Extends Hospital Stay
Pain Keeps Surgery Patients Awake, Extends Hospital Stay
Advertisement

The study shows patients who reported poor sleep while in the hospital following total hip replacement or knee replacement surgery had higher pain scores.

Advertisement
"Our results show that increased pain scores result in deceased sleep duration," says study lead author Anya Miller, M.D., with the Department of Otolaryngology-Head & Neck Surgery at Henry Ford.

"So better pain control could potentially improve sleep duration for these patients."

Study results will be presented Wednesday at the 2014 American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) annual meeting in Orlando.

The Henry Ford study sought to identify the amount of sleep disruption that occurs in the post-operative in-patient hospital setting. As previous studies on this topic have shown, patients commonly report being awoken by noise, lights or hospital staff while in the hospital.

That's why for the Henry Ford study, Dr. Miller and study senior author Kathleen Yaremchuk, M.D., purposely chose a hospital floor that observes a quiet time between 10 p.m. and 6 a.m. where the doors are closed and lights are dimmed.

This setting enabled them to better determine the relationship between sleep disruption caused by pain.

Fifty patients who had undergone total hip or knee replacement surgery were included in the study. These surgeries offer variables that are easier to measure in that the surgery and perioperative interventions are standardized with a pain protocol before and after surgery.

The researchers looked at the patients' total sleep time, sleep efficiency, pain scores and use of narcotics for pain.

The study results reveal:

Patients have significantly decreased sleep efficiency and wake more frequently when compared to the general population
Poor sleep results in higher pain scores
Better pain control can result in improved sleep efficiency and decreased awakenings
Improved sleep efficiency could result in decreased length of stay in the hospital after surgery

"Sleep is very important to patients' recovery following surgery," says Dr. Miller.

"If we can identify factors that cause disruption in patients' sleep such as pain, noise and interruptions in the hospital setting we can help improve sleep quality and potentially decrease adverse outcomes."



Source: Eurekalert
Advertisement

Post your Comments

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
User Avatar
* Your comment can be maximum of 2500 characters
Notify me when reply is posted I agree to the terms and conditions

You May Also Like

Advertisement
View All

More News on: