Sleep and Pain Management: A Review

Woo, Adam; Ratnayake, Gamunu

doi:10.2217/pmt-2020-0001

Cited by 12 publications

(14 citation statements)

References 105 publications

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“…The present study also identified a strong relationship between the presence of delirium and pain, as assessed with the VAS. This association is consistent with the so-called multifactorial model of delirium, involving vulnerability and accumulation of multiple risk factors (Woo & Ratnayake, 2020). From this perspective, analgesia and sedation (and monitoring of their adequacy and depth) is a key measure in preventing, or managing, delirium in the ICU.…”

Section: Discussionsupporting

confidence: 82%

Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients

Locihová¹,

Axmann²

2022

Cent Eur J Nurs Midw

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Aim:The study compared two instruments for detecting delirium, the Intensive Care Delirium Screening Checklist (ICDSC) and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) as a reference method. Design: Prospective observational study. Methods: The study included 126 consecutive patients staying in the intensive care unit (ICU) for more than 24 hours. The diagnostic properties of both questionnaires and agreement between them were studied and compared. Additionally, the two tests were used to assess the relationship between selected patient parameters and the presence of delirium. Results: There was a high level of agreement between the CAM-ICU and ICDSC, as expressed by Cohen's κ of 0.829 (95% CI: 0.821-0.838). Cronbach's α assessing the internal consistency of a Czech version of the CAM-ICU and ICDSC was 0.903 and 0.865, respectively. The CAM-ICU had 85.5% sensitivity (95% CI: 84.6-91.8) and 94.1% specificity (95% CI: 92.4-95.5); the ICDSC (cut-off ≥ 4) had 90.6% sensitivity (95% CI: 87.0-93.5) and 89.0% specificity (95% CI: 86.8-91.0). Conclusion: Both compared diagnostic instruments, the CAM-ICU and ICDSC, appear to be adequate and usable. When compared with the CAM-ICU as a reference method, the ICDSC showed similar results and a good level of agreement.

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Section: Discussionsupporting

confidence: 82%

Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients

Locihová¹,

Axmann²

2022

Cent Eur J Nurs Midw

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“…Longitudinal and experimental research has affirmed that disturbed sleep causes generalized hyperalgesia and reduced endogenous pain inhibition in healthy subjects [19,20]. Increased pain can, in turn, further disrupt sleep, leading to a vicious cycle that can be further exacerbated by pain medication adversely affecting sleep [21,22]. However, insomnia is increasingly assumed to be a primary determinant, as it both deteriorates existing pain and predicts pain onset [14].…”

Section: Introductionmentioning

confidence: 99%

The Association between Sleep and Chronic Spinal Pain: A Systematic Review from the Last Decade

Looveren

Bilterys

Munneke

et al. 2021

JCM

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Chronic spinal pain, including both neck and low back pain, is a common disabling disorder in which sleep problems are frequently reported as a comorbidity. The complex processes of both sleep and chronic pain seem to have overlapping mechanisms, which may explain their often established bidirectional relationship. This systematic review aims to investigate the assumed association between sleep and chronic spinal pain by providing an overview of the literature from the last decade. Eligible studies were obtained by searching four databases (PubMed, Embase, Web of Science, and PsycARTICLES). Articles were found relevant if they included a human adult population and investigated the possible association between sleep parameters and chronic spinal pain. Only studies published after January 2009 were included, as this review aimed to provide an update of a previous literature overview on this topic. The quality of the studies was assessed by risk of bias and level of evidence. A total of twenty-seven studies (6 cohort, 5 case-control, and 16 cross-sectional studies) were included in this systematic review. The methodological quality of these studies was low to moderate. The majority of studies reported weak to moderate evidence for an association between sleep parameters and chronic spinal pain, with more severe pain accompanied by more disturbed sleep. Addressing frequently reported sleep problems in chronic spinal pain patients therefore appears to be a necessary complement to pain management to achieve optimal treatment outcomes.

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“…However, it is easy to ignore that sleep disturbance is also one of the main complaints of patients with rotator cuff injury (Khazzam et al, 2018b;Longo, 2022). Sleep disturbance can exacerbate pain and lead to negative emotions, behavior, and cognition in patients (Woo and Ratnayake, 2020). A previous study (Martin et al, 2018) reported the relationship between rotator cuff disease and sleep disturbance, and the correlation between preoperative sleep disturbance and postoperative pain in patients with rotator cuff injury is still unclear.…”

Section: Discussionmentioning

confidence: 99%

Correlation Between Pre-Operative Sleep Disturbance and Post-Operative Pain in Patients With Rotator Cuff Tear

Huang

et al. 2022

Front. Integr. Neurosci.

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ObjectivesThis study aims to investigate the relationship between preoperative sleep disturbance and postoperative pain in patients with a rotator cuff tear, and to provide a theoretical basis for taking corresponding interventions to alleviate postoperative pain in patients with rotator cuff tear.MethodsA total of 87 patients, who had undergone shoulder arthroscopy due to rotator cuff injury in Hunan Provincial People‘s Hospital from January to October 2021, were selected as the research subjects. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep quality of patients with rotator cuff tears. All patients were divided into the low sleep quality group (PSQI score >7 points, n = 61) and the high sleep quality group (PSQI score ≤7 points, n = 26). Postoperative pain was assessed by using the Numerical Rating Scale (NRS). General clinical data of the patients were collected 1 day, 2 days, and 1 month after surgery. Univariate and multivariate analyses of influencing factors were performed in patients with moderate or above pain at 1 month after surgery.ResultsThe score of postoperative pain of patients in the high sleep quality group was significantly lower than that of patients in the low sleep quality group (P < 0.05). A total of 35 patients (40.2%) had moderate or above pain 1 month after surgery, including 5 patients (19.2%) in the high sleep quality group and 30 patients (49.2%) in the low sleep quality group. The incidence rate of the low sleep quality group was significantly higher than that of the high sleep quality group (P = 0.009). After controlling confounding factors, preoperative sleep disturbance of patients was still independently associated with the occurrence of moderate or above pain 1 month after surgery (OR = 3.794, 95% CI: 1.261–11.409, P = 0.018).ConclusionPreoperative sleep disturbance can increase the risk of postoperatively moderate or above pain threshold in patients with rotator cuff tear. Paying more attention to and actively improving preoperative sleep disturbance can effectively promote postoperative pain management in patients with rotator cuff tears.

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Sleep and Pain Management: A Review

Cited by 12 publications

References 105 publications

Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients

Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients

The Association between Sleep and Chronic Spinal Pain: A Systematic Review from the Last Decade

Correlation Between Pre-Operative Sleep Disturbance and Post-Operative Pain in Patients With Rotator Cuff Tear

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