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Changes in sleep patterns of patients undergoing general anesthesia for maxillofacial plastic surgery: a prospective cohort study

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Abstract

To evaluate changes in the sleep patterns of patients undergoing general anesthesia for maxillofacial plastic surgery. A total of 200 consecutive craniofacial plastic surgery patients were enrolled in this study. Sixteen patients who did not stay in the craniofacial ward on the night before surgery were excluded, providing a final total of 184 patients. PSQI was used to evaluate sleep quality 1 month before surgery (baseline) and on the night before surgery. According to the baseline sleep quality score, patients were assigned to the sleep disorder group (SD group, n = 51, 27.7%; PSQI score > 5) or non-sleep disorder group (NSD group, n = 133, 72.3%; PSQI score ≤ 5). The PSQI score on the night before the operation was compared with the baseline score. Amongst the total sample size, the incidence of disturbed sleep on the night before surgery was significantly higher than baseline (PSQI score > 5: 89,48.4% vs.51,27.7%, respectively, P = 0.037). In the NSD group, the PSQI score the night before surgery was significantly increased compared with the baseline score (5.6 ± 3.2 vs. 2.4 ± 1.4, respectively, P < 0.0001). The PSQI score on the night before surgery was significantly lower in the NSD group than in the SD group (5.6 ± 3.2 vs. 7.4 ± 4.1, respectively, P = 0.009). On the night before surgery, the time to fall asleep was significantly prolonged. The sleep duration, the total time in bed, and the sleep efficiency were significantly reduced compared with the baseline in the NSD group. On the night before surgery, the sleep duration and the total time in bed were also reduced in the SD group, however, with no significant change in PSQI score. Patients without sleep disorders were more likely to have sleep disorders before surgery. So, this study concluded that a goal of perioperative management should be to actively address the sleep problems before surgery.

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Funding

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Authors and Affiliations

  1. Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Ba-da-chu Rd., Shijingshan District, Beijing, 100144, China

    Ye Wang, Lei Wang, Wenli Xu, Jin Xu, Lingxin Wei & Xiaoming Deng

  2. Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 167 North-li-shi Rd., Xicheng District, Beijing, 100037, China

    Fuxia Yan

Authors
  1. Ye Wang
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  2. Lei Wang
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  3. Wenli Xu
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  4. Jin Xu
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  5. Lingxin Wei
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  6. Xiaoming Deng
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  7. Fuxia Yan
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Contributions

YW: This author helped design the study, conduct the study, collect the data, analyze the data, and prepare the manuscript. LW: This author helped conduct the study, analyze the data and prepare the manuscript. WX: This author helped conduct the study. JX: This author helped design the study, and prepare the manuscript. LW: This author helped conduct the study, analyze the data, and prepare the manuscript. XD: This author helped conduct the study, and prepare the manuscript. FY: This author helped conduct the study, and prepare the manuscript.

Corresponding authors

Correspondence to Xiaoming Deng or Fuxia Yan.

Ethics declarations

Conflict of interest

Author Ye Wang declares that she has no conflict of interest. Author Lei Wang declares that he has no conflict of interest. Author Wenli Xu declares that she has no conflict of interest. Author Jin Xu declares that she has no conflict of interest. Author Lingxin Wei declares that she has no conflict of interest. Author Xiaoming Deng declares that he has no conflict of interest. Author Fuxia Yan declares that she has no conflict of interest.

Ethical approval

This study met ethical standards and was approved by the Ethics Committee of the Plastic Surgery Hospital, Peking Union Medical College (ZX201919), and written informed consent was obtained from all patients. The study was registered with the China Clinical Trial Registration Center (http://www.chictr.org.cn) prior to patient enrollment (ChiCTR1900023982, Principal investigator: Ye Wang, Date of registration June 20, 2019). The trial was conducted at Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College in Beijing, China.

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Informed consent was obtained from all individual participants included in the study.

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Wang, Y., Wang, L., Xu, W. et al. Changes in sleep patterns of patients undergoing general anesthesia for maxillofacial plastic surgery: a prospective cohort study. Sleep Biol. Rhythms 19, 187–193 (2021). https://doi.org/10.1007/s41105-020-00306-5

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  • DOI: https://doi.org/10.1007/s41105-020-00306-5

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