Temporal changes in sleep quality and knee function following primary total knee arthroplasty: a prospective study

Mukartihal, Ravi Kumar; Angadi, Darshan; Mangukiya, Hitesh; Singh, Naveen Kumar; Varad, Sugureshwara; Perumal, Ramesh; Patil, Shruti Shrikant

doi:10.1007/s00264-021-05192-1

Cited by 10 publications

(8 citation statements)

References 36 publications

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“…On the other hand, our study results indicated that sleep disturbance occurred in 54% of Japanese patients after TKA, which is a higher rate than those reported by previous studies [13][14][15][16][17]20]. The sleep quality was lower (6.7 vs. 2.1 [20]), the incidence of sleep disturbance was higher (57% vs. 14% [20]), and the rate of sleeping pill intake was higher (33% vs. 18% [16]) in this study than in previous reports [16,20].…”

Section: Discussioncontrasting

confidence: 73%

“…Total knee arthroplasty (TKA) is considered an effective treatment for patients with knee OA, providing pain relief, improving the gait, and restoring the activities of daily living [7][8][9][10][11]. Several previous prospective studies from Western countries have investigated sleep disturbance before and after TKA [12][13][14][15][16][17][18][19][20]. In particular, one previous study revealed that insomnia occurred in approximately 50% of patients and was associated with knee pain in the short term after TKA [16].…”

Section: Introductionmentioning

confidence: 99%

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Interaction between physical activity and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study

Hamai

Harada

Tsushima

et al. 2023

Preprint

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Purpose No report has clarified the frequency and interacting factors affecting sleep disturbance among Asian patients at midterm after total knee arthroplasty (TKA). This study aimed to evaluate the frequency of sleep disturbance at midterm after TKA in a Japanese cohort and to identify intervening factors for sleep. We hypothesized that residual knee pain and decreased physical activity negatively interact with sleep quality after TKA.Methods A total of 209 Japanese participants (average age: 77.1 ± 8.3 years; postoperative follow-up period: 4.5 ± 1.9 years) who underwent primary TKA for knee osteoarthritis were included in this study. Sleep quality, satisfaction, pain, physical activity, joint awareness, and mental condition were evaluated using the Pittsburgh Sleep Quality Index (PSQI), Knee Society Score (KSS) 2011, Forgotten Joint Score (FJS)-12, and 12-Item Short-Form Health Survey (SF-12) Mental Component Summary (MCS). Multivariate analysis was performed to determine the influencing factors on PSQI.Results The scores for the PSQI, satisfaction with pain level while lying in bed, pain during level walking, functional activity category in the KSS 2011, awareness of the artificial joint in bed at night in the FJS-12, and SF-12 MCS were 6.7 ± 3.0, 5.8 ± 1.8, 1.6 ± 2.3, 62 ± 22, 1.5 ± 1.4, and 56 ± 9.3 on average, respectively. Sleep disturbance (PSQI ≥ 5.5) occurred in 54% of the Japanese participants. Multivariate analysis revealed that high activity was a significant interacting factor for sleep quality improvement (p < .05).Conclusion Decreased physical activity, not residual knee pain, negatively interacted with sleep quality. The sleep disturbance rate was high during the middle postoperative period after TKA in the Japanese cohort, suggesting that interventions that promote daytime exercises may be effective.

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Section: Discussioncontrasting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Interaction between physical activity and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study

Hamai

Harada

Tsushima

et al. 2023

Preprint

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“…We read the article by Mukartihal et al [1] regarding the temporal changes in sleep quality and knee function following primary total knee arthroplasty (TKA) with great interest. The authors prospectively included a cohort of 168 patients who underwent primary TKA.…”

mentioning

confidence: 99%

Letter to the Editor on “Temporal changes in sleep quality and knee function following primary total knee arthroplasty: a prospective study”

Peng

Zeng

Shen

2021

International Orthopaedics (SICOT)

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“…Prolonged LOS is resource intensive for health care systems and is associated with a greater risk of nosocomial infections, falls, and unplanned readmission 84,85. Cohort studies have demonstrated an association between sleep disturbance and increased LOS 5,86. In one small randomized control trial, improving sleep did not result in improvement in LOS 87.…”

Section: Measurements Of Sleep Disturbancesmentioning

confidence: 99%

“…Adequate sleep is essential for rest, recovery, survival, and energy conservation 1. Perioperatively, patients are at an increased risk of experiencing poor sleep quality, which has been linked to adverse postoperative outcomes 2–6. As a result, quality of sleep is important to perioperative care.…”

mentioning

confidence: 99%

Sleep disruption in older surgical patients and its important implications

Butris

Tang

et al. 2023

International Anesthesiology Clinics

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Sleep is an essential physiological function characterized by a temporary state of unawareness. Adequate sleep is essential for rest, recovery, survival, and energy conservation. 1 Perioperatively, patients are at an increased risk of experiencing poor sleep quality, which has been linked to adverse postoperative outcomes. [2][3][4][5][6] As a result, quality of sleep is important to perioperative care.Aging is associated with negative changes to sleep quality and a higher prevalence of sleep disorders. 7 As the proportion of older adults undergoing surgical intervention has been increasing, the intersection between advanced age and a perioperative setting places patients at increased risk of experiencing adverse events. 8,9 Despite the increased risk, the current literature on perioperative sleep quality in older adults is limited.In this narrative review, we aim to explore the available literature on perioperative sleep, with a focus on older adults. The review is on (1) the objective and subjective assessments of perioperative sleep, (2) the risk factors and complications associated with perioperative sleep disturbances, and (3) the pharmacological and nonpharmacological interventions for improving perioperative sleep.

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Temporal changes in sleep quality and knee function following primary total knee arthroplasty: a prospective study

Cited by 10 publications

References 36 publications

Interaction between physical activity and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study

Interaction between physical activity and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study

Letter to the Editor on “Temporal changes in sleep quality and knee function following primary total knee arthroplasty: a prospective study”

Sleep disruption in older surgical patients and its important implications

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