Effects On Health-Related Quality Of Life, Sleep Quality and Daytime Sleepiness in Patients With Total Hip Arthroplasty in Developmental High Dislocation Of The Hip

Abstract

Background: To determine changes in quality of life (QOL), sleep quality (SQ) and daytime sleepiness in patients diagnosed as Crow 4 high dislocations after treating with total hip arthroplasty (THA). There isn’t enough data in the literature about changes on QOL, SQ and daytime sleepiness in patients with Crowe 4 high dislocations treated by THA.

Methods: A total of 38 patients diagnosed as Crowe 4 high dislocations and treated by THA in the last 3 years participated for the study.  36- item short form survey questionnaire (SF-36), Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were applied to all subjects before and 6 months after the surgery and compared.

Results: QOL scores and SQ showed an increase in post-operative period with statistically significant in subdimensions such as general health, physical well-being, vitality, physical functioning and bodily pain of SF-36 and in subdimensions such as sleep disturbances, sleep latency, and day dysfunction scores of PSQI. No statistically differences between the mean scores of ESS observed.

Conclusion: Our study is a unique study in the literature, which shows the positive effects of surgery in different directions such as QOL, SQ and daytime sleepiness by questionnaires in a homogeneous group treated with the same surgical method.

Keywords

• Health related quality of life,sleep quality,crowe 4 hip arthroplasty,sf-36,PSQI

References

1. The World Health Organization Quality Of Life Assessment (Whoqol): Position Paper From The World Health Organization. Soc Sci Med. 1995 Nov;41(10):1403-9.
2. Study Protocol For The Worlds Health Organization Project To Develop A Quality Of Life Assessment Instrument (Whoqol). Qual Life Res. 1993 Apr;2(2):153-9.
3. Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, Alptekin K. Normative Data And Discriminative Properties Of Short Form 36 (Sf-36) In Turkish Urban Population. Bmc Public Health. 2006 Oct 9;6:247.
4. Lins L, Carvalho F.M. . Sf-36 Total Score As A Single Measure Of Health-Related Quality Of Life: Scoping Review. Sage Open Med. 2016 Oct 4;4:2050312116671725. Ecollection 2016.
5. Chen AF, Orozco FR, Austin LS, Post ZD, Deirmengian CA, Ong AC. Prospective Evaluation Of Sleep Disturbances After Total Knee Arthroplasty, J Arthroplasty. 2016 Jan;31(1):330-2
6. Manning BT, Kearns SM, Bohl DD, Edmiston T, Sporer SM, Levine BR. Prospective Assessment Of Sleep Quality Before And After Primary Total Joint Replacement., Orthopedics. 2017 Jul 1;40(4):E636-E640.
7. Agargun M.Y., Kara H., Anlar O,. The reliability and validity the Pittsburgh sleep quality index. Turkish Journal of Psychiatry, 7, 107-111.
8. Izci B, Ardic S, Firat H, Sahin A, Altinors M, Karacan I., Reliability And Validity Studies Of The Turkish Version Of The Epworth Sleepiness Scale., Sleep Breath. 2008 May;12(2):161-8.

9. Świtoń A, Wodka-Natkaniec E, Niedźwiedzki Ł, Gaździk T, Niedźwiedzki T. Activity and Quality of Life after Total Hip Arthroplasty. Ortop Traumatol Rehabil. 2017 Oct 31;19(5):441-450.
10. Abbas-Zadeh Mr, Azizi A, Abbas-Zadeh L, Amirian F., Effect Of Surgical Treatment On The Quality Of Life In Patients With Non-Traumatic Avascular Necrosis Of The Femoral Head., Rev Bras Ortop. 2018 Feb 3;53(6):773-777.
11. Zhang L, Lix LM, Ayilara O, Sawatzky R, Bohm ER. The Effect Of Multimorbidity On Changes In Health-Related Quality Of Life Following Hip And Knee Arthroplasty., Bone Joint J. 2018 Sep;100-B(9):1168-1174.
12. Tellini A, Ciccone V, Blonna D, Rossi R, Marmotti A, Castoldi F., Quality Of Life Evaluation In Patients Affected By Osteoarthritis Secondary To Congenital Hip Dysplasia After Total Hip Replacement., J Orthop Traumatol. 2008 Sep;9(3):155-8.
13. Montin L, Suominen T, Haaranen E, Katajisto J, Lepistö J, Leino-Kilpi H., The Changes In Health-Related Quality Of Life And Related Factors During The Process Of Total Hip Arthroplasty., Int J Nurs Pract. 2011 Feb;17(1):19-26.
14. Bahardoust M, Hajializade M, Amiri R, Mousazadeh F, Pisoudeh K., Evaluation Of Health-Related Quality Of Life After Total Hip Arthroplasty: A Case-Control Study In The Iranian Population., BMC Musculoskelet Disord. 2019 Jan 31;20(1):46.
15. Konopka JF, Lee YY, Su EP, Mclawhorn AS., Quality-Adjusted Life Years After Hip And Knee Arthroplasty: Health-Related Quality Of Life After 12,782 Joint Replacements., JB JS Open Access. 2018 Aug 15;3(3):E0007.
16. Araújo P, Machado L, Cadavez D, Mónaco L, Januário F, Luís L, Bártolo M., Evaluation Of The Function And Quality Of Life After Total Hip Arthroplasty By Different Approaches., Acta Med Port. 2017 Sep 29;30(9):623-627.
17. Fujita K, Kang HS, Mawatari M, Makimoto K, Lee M, Hwang J., Quality Of Life, Effects On Asian Lifestyle, And Perceived Satisfaction After Total Hip Arthroplasty İn Japan And Korea., Int J Orthop Trauma Nurs. 2018 Nov;31:20-25.
18. Sharma M, Behera P, Sen RK, Aggarwal S, Tripathy SK, Prakash M, Saini G, Saibaba B., Total Hip Arthroplasty For Arthritis Following Acetabular Fractures-Evaluation Of Radiological, Functional And Quality Of Life Parameters. J Clin Orthop Trauma. 2019 Jan-Feb;10(1):131-137.
19. Fielden JM, Gander PH, Horne JG, Lewer BM, Green RM, Devane PA., An assessment of sleep disturbance in patients before and after total hip arthroplasty. J Arthroplasty. 2003 Apr;18(3):371-6.
20. Manning BT, Kearns SM, Bohl DD, Edmiston T, Sporer SM, Levine BR., Prospective Assessment of Sleep Quality Before and After Primary Total Joint Replacement. Orthopedics. 2017 Jul 1;40(4):e636-e640.