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Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study

No report has clarified the frequency and interacting factors affecting sleep disturbance among Asian patients at midterm after total knee arthroplasty (TKA). This study aimed to evaluate the frequency of sleep disturbance at midterm after TKA in a Japanese cohort and to identify intervening factors...

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Autores principales: Hamai, Satoshi, Harada, Satoru, Tsushima, Hidetoshi, Kozuma, Ryutaro, Yamate, Satoshi, Kawahara, Shinya, Akasaki, Yukio, Harada, Tetsunari, Kokubu, Yasuhiko, Konishi, Toshiki, Nakashima, Yasuharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10603171/
https://www.ncbi.nlm.nih.gov/pubmed/37884595
http://dx.doi.org/10.1038/s41598-023-45603-4
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author Hamai, Satoshi
Harada, Satoru
Tsushima, Hidetoshi
Kozuma, Ryutaro
Yamate, Satoshi
Kawahara, Shinya
Akasaki, Yukio
Harada, Tetsunari
Kokubu, Yasuhiko
Konishi, Toshiki
Nakashima, Yasuharu
author_facet Hamai, Satoshi
Harada, Satoru
Tsushima, Hidetoshi
Kozuma, Ryutaro
Yamate, Satoshi
Kawahara, Shinya
Akasaki, Yukio
Harada, Tetsunari
Kokubu, Yasuhiko
Konishi, Toshiki
Nakashima, Yasuharu
author_sort Hamai, Satoshi
collection PubMed
description No report has clarified the frequency and interacting factors affecting sleep disturbance among Asian patients at midterm after total knee arthroplasty (TKA). This study aimed to evaluate the frequency of sleep disturbance at midterm after TKA in a Japanese cohort and to identify intervening factors for sleep. We hypothesized that residual knee pain and decreased functional capability negatively interact with sleep quality after TKA. A total of 209 Japanese participants (average age: 77.1 ± 8.3 years; postoperative follow-up period: 4.5 ± 1.9 years) who underwent primary TKA for knee osteoarthritis were included in this study. Sleep quality, satisfaction, pain, functional capability, joint awareness, and mental condition were evaluated using the Pittsburgh Sleep Quality Index (PSQI), Knee Society Score (KSS) 2011, Forgotten Joint Score (FJS)-12, and 12-Item Short-Form Health Survey (SF-12) Mental Component Summary (MCS). Multivariable analysis was performed to determine the influencing factors on PSQI. The scores for the PSQI, satisfaction with pain level while lying in bed, pain during level walking, functional activity category in the KSS 2011, awareness of the artificial joint in bed at night in the FJS-12, and SF-12 MCS were 6.7 ± 3.0, 5.8 ± 1.8, 1.6 ± 2.3, 62 ± 22, 1.5 ± 1.4, and 56 ± 9.3 on average, respectively. Sleep disturbance (PSQI ≥ 5.5) occurred in 54% of the Japanese participants. Multivariable analysis revealed that high functional capability was a significant factor associated with sleep quality improvement (p < 0.05). Decreased functional capability, not residual knee pain, negatively interacted with sleep quality. The sleep disturbance rate was high during the middle postoperative period after TKA in the Japanese cohort.
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spelling pubmed-106031712023-10-28 Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study Hamai, Satoshi Harada, Satoru Tsushima, Hidetoshi Kozuma, Ryutaro Yamate, Satoshi Kawahara, Shinya Akasaki, Yukio Harada, Tetsunari Kokubu, Yasuhiko Konishi, Toshiki Nakashima, Yasuharu Sci Rep Article No report has clarified the frequency and interacting factors affecting sleep disturbance among Asian patients at midterm after total knee arthroplasty (TKA). This study aimed to evaluate the frequency of sleep disturbance at midterm after TKA in a Japanese cohort and to identify intervening factors for sleep. We hypothesized that residual knee pain and decreased functional capability negatively interact with sleep quality after TKA. A total of 209 Japanese participants (average age: 77.1 ± 8.3 years; postoperative follow-up period: 4.5 ± 1.9 years) who underwent primary TKA for knee osteoarthritis were included in this study. Sleep quality, satisfaction, pain, functional capability, joint awareness, and mental condition were evaluated using the Pittsburgh Sleep Quality Index (PSQI), Knee Society Score (KSS) 2011, Forgotten Joint Score (FJS)-12, and 12-Item Short-Form Health Survey (SF-12) Mental Component Summary (MCS). Multivariable analysis was performed to determine the influencing factors on PSQI. The scores for the PSQI, satisfaction with pain level while lying in bed, pain during level walking, functional activity category in the KSS 2011, awareness of the artificial joint in bed at night in the FJS-12, and SF-12 MCS were 6.7 ± 3.0, 5.8 ± 1.8, 1.6 ± 2.3, 62 ± 22, 1.5 ± 1.4, and 56 ± 9.3 on average, respectively. Sleep disturbance (PSQI ≥ 5.5) occurred in 54% of the Japanese participants. Multivariable analysis revealed that high functional capability was a significant factor associated with sleep quality improvement (p < 0.05). Decreased functional capability, not residual knee pain, negatively interacted with sleep quality. The sleep disturbance rate was high during the middle postoperative period after TKA in the Japanese cohort. Nature Publishing Group UK 2023-10-26 /pmc/articles/PMC10603171/ /pubmed/37884595 http://dx.doi.org/10.1038/s41598-023-45603-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Hamai, Satoshi
Harada, Satoru
Tsushima, Hidetoshi
Kozuma, Ryutaro
Yamate, Satoshi
Kawahara, Shinya
Akasaki, Yukio
Harada, Tetsunari
Kokubu, Yasuhiko
Konishi, Toshiki
Nakashima, Yasuharu
Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study
title Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study
title_full Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study
title_fullStr Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study
title_full_unstemmed Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study
title_short Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study
title_sort interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a japanese retrospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10603171/
https://www.ncbi.nlm.nih.gov/pubmed/37884595
http://dx.doi.org/10.1038/s41598-023-45603-4
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