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

Sleep and Breathing(2024)

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Abstract
(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. A 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. The cases of postoperative insomnia on the first and third nights and after two weeks were 81 (61.36 https://www.chictr.org.cn/bin/project/edit?pid=170201 ; #ChiCTR2200059827).
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Key words
Sleep loss,Spine interbody fusion,Risk factor,Postoperative rehabilitation
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