Aims: Psychological factors play a significant role in predicting postoperative pain. However, the impact of insomnia on acute postoperative pain is little known. The aim of this study was to investigate the relationship between insomnia and acute postoperative pain.
Methods: We performed a case-control study in patients undergoing elective laparoscopic cholecystectomy. Patients with an Insomnia Severity Index (ISI) score >14 were allocated to an insomnia group (n=35) and those with an ISI score <7 to a control group (n=35). All patients were asked to rate their current level of pain on a numeric rating scale (NRS) at 1, 2, 4, 8, 12, and 18 hours postoperatively.
Results: There was no between-group differences in age, gender, body mass index, American Society of Anesthesiologists score, or operating time. The patients in the insomnia group had higher NRS scores and requested significantly greater amounts of tramadol (269.4±33 mg vs. 235.0±36 mg; p<0.001) and rescue analgesia (paracetamol; 1.06±0.8 g vs. 0.40±0.7 g; p<0.001) postoperatively than did the controls. Analysis of covariance revealed a significant interaction between insomnia and the preoperative experience of pain (F=6.62; p=0.013) and significant impact of insomnia on the mean NRS score (F=15.47; p<0.001).
Conclusion: Patients who experienced preoperative insomnia and underwent elective cholecystectomy have a reduced threshold for postoperative pain, which increases the need for analgesics.
Insomnia sleep disorder postoperative pain pain threshold predictor cholecystectomy
Birincil Dil | İngilizce |
---|---|
Konular | Anesteziyoloji, Sağlık Kurumları Yönetimi |
Bölüm | Research Articles |
Yazarlar | |
Erken Görünüm Tarihi | 26 Ekim 2023 |
Yayımlanma Tarihi | 27 Ekim 2023 |
Yayımlandığı Sayı | Yıl 2023 Cilt: 5 Sayı: 4 |
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
- Dahil olduğumuz İndeksler (Dizinler) ve Platformlar sayfanın en altındadır.
Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamaktadır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/3449/page/10809/update
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