Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Feb 19, 2024
Date Accepted: Oct 29, 2024
Quantitative impact of traditional open surgery and minimally invasive surgery on first-night sleep status in intensive care unit patients
ABSTRACT
Background:
Sleep status of surgical intensive care unit (ICU) patients significantly impacts their recoveries. However, research on the effect of surgical procedures on sleep is lacking.
Objective:
To investigate the quantitative impact of traditional open surgery (TOS) and minimally invasive surgery (MIS) on patients’ first-night sleep status in a surgery ICU.
Methods:
Sixty-one post-anesthesia patients who were successfully resuscitated were enrolled. Surgical characteristics were obtained. The sleep status on the night of surgery was assessed by the patient- and nurse-completed Richards Campbell Sleep Questionnaire (RCSQ) and Huawei (HW) wearable sleep monitoring wristband.
Results:
Compared to the TOS group, patients in the MIS group had higher nurse-RCSQ score (60.9±16.9 V.S. 51.2±17.3, p=0.030), self-RCSQ sleep score (58.6±16.2 V.S. 49.5±14.8, p=0.027), and HW sleep score (77.9±4.5 vs. 68.6±11.1, p<0.001). The bland-Altman plot showed that HW sleep score was in good consistency with the patient-RCSQ score (95.1%) and nurse-RCSQ score (96.7%). HW quantitative sleep analysis showed the minutes of total sleep (503.0±91.4 V.S. 437.9±144.0, p=0.037), rapid eye movement (REM) sleep (81.0±52.1 V.S. 55.8±44.5, p=0.047) were longer and the deep sleep continuity score (56.4, IQR: 7.0 versus 47.5, IQR: 12.1, p=0.001) was higher in the MIS group compared with the TOS group.
Conclusions:
MIS, compared with TOS, contributed to higher sleep quality for ICU patients after surgery, manifested as longer sleep time, longer REM sleep time, and better continuity of deep sleep. Wearable sleep monitoring wristbands hold the potential for quantified sleep assessment for ICU patients. Clinical Trial: ChiCTR2200060881
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