Evaluation of Sleep Disorder in Orthopaedic Trauma Patients: a Retrospective Analysis of 1129 Cases [post]

Hai Yang, Yi-jia Liu, Jia-lu Ye, Li-hong Zhao, Ling-li Li, Xiao-ling Hou
2021 unpublished
Background In the ward of trauma center, It's not unusual that the patients have sleep disorder, especially in the acute injury patients. Meanwhile, there is substantial evidence that sleep disorder is a predictor of depression and the important features of posttraumatic stess disorder.Methods From April 2018 to July 2019, all orthopaedic trauma patients were included in the retrospective study. Patients with mental impairment and craniocerebral injury were excluded from the study. Basic
more » ... phic data were collected. Pittsburgh sleep quality index(PSQI) was used to evaluate sleep quality, Visual Analog Scale (VAS) was used to evaluate physical pain, Pittsburgh sleep quality index(PSQI) was used to evaluate sleep quality, Barthel Index (BI) was used to evaluate activities of daily living(ADL) and Injury Severity Score (ISS) classification in medical records were collected. Univariate linear regression analysis and multivariate linear regression analysis were used to identify independently related factors.Results The average PSQI score was 6.3 (±4.0). Five hundred eighty-one (51.4%) patients had a PSQI score more than 5, indicating the presence of sleep disorder. The PSQI score was more than 10 in one hundred seventy-four (15.4%) patients. Univariate statistical analysis showed that age, gender, education, ADL (activities of daily living), and ISS classification were associated with increased PSQI scores. Marital status and pain were not associated with increased PSQI scores. When we used multivariate analysis to control for confounding variables, the gender, ADL, and ISS classification remained independently associated with PSQI (P =0.002, <0.000, and 0.002, respectively).Conclusions In our study, the sleep disorder is both common (51.4% PSQI >5) and serious (15.4% PSQI >10) in patients who suffered from traumatic orthopaedic injury. The following factors are closed associated with sleep disorder: gender, ADL and ISS classification. Besides, age and education level have independently impact on sleep quality. Unexpectedly, we find the VAS of pain was not independently associated with seriousness of sleep quality. This is inconsistent with the results reported in some literature.
doi:10.21203/rs.3.rs-143758/v1 fatcat:wtpinq6obrhe3aibzhgckg3nyy