Cargando…
Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement
BACKGROUND: Octogenarians with aortic stenosis are an increasing population of patients admitted for surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI). Although adequate sleep is important after illness and surgery, it has scarcely been studied in the immedia...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804287/ https://www.ncbi.nlm.nih.gov/pubmed/26635329 http://dx.doi.org/10.1177/1474515115620992 |
_version_ | 1782422995402227712 |
---|---|
author | Amofah, Hege Andersen Broström, Anders Fridlund, Bengt Bjorvatn, Bjørn Haaverstad, Rune Hufthammer, Karl Ove Kuiper, Karel KJ Ranhoff, Anette Hylen Norekvål, Tone M |
author_facet | Amofah, Hege Andersen Broström, Anders Fridlund, Bengt Bjorvatn, Bjørn Haaverstad, Rune Hufthammer, Karl Ove Kuiper, Karel KJ Ranhoff, Anette Hylen Norekvål, Tone M |
author_sort | Amofah, Hege Andersen |
collection | PubMed |
description | BACKGROUND: Octogenarians with aortic stenosis are an increasing population of patients admitted for surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI). Although adequate sleep is important after illness and surgery, it has scarcely been studied in the immediate postoperative phase. AIMS: To determine and compare the nature of self-reported sleep and insomnia, and recorded sleep–wake patterns in octogenarians during the in-hospital postoperative phase after SAVR or TAVI. METHODS: A prospective cohort design was used that included octogenarian patients undergoing SAVR or TAVI at a regional university hospital. Self-reports were used to document sleep and insomnia, and actigraphy was used to record sleep–wake patterns. Data were collected at baseline preoperatively, and then daily for the first five postoperative days. RESULTS: SAVR patients experienced the most insomnia on postoperative nights later in recovery, while TAVI patients experienced the most insomnia on postoperative nights early in recovery. The median total sleep time, as measured by actigraphy, was 6.4 h, and the median sleep efficiency was 79% for the five postoperative nights, but no differences were found between SAVR and TAVI patients on this parameter. All patients slept more during daytime than at night, with SAVR patients having significantly more total sleep hours for all five days than TAVI patients (p < 0.01). CONCLUSION: Octogenarians with aortic stenosis had disturbed self-reported sleep, increased insomnia, and disturbed sleep–wake patterns postoperatively, resulting in more daytime sleep and inactivity. In patients undergoing SAVR or TAVI, sleep evolves differently during the in-hospital postoperative phase. |
format | Online Article Text |
id | pubmed-4804287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-48042872016-04-06 Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement Amofah, Hege Andersen Broström, Anders Fridlund, Bengt Bjorvatn, Bjørn Haaverstad, Rune Hufthammer, Karl Ove Kuiper, Karel KJ Ranhoff, Anette Hylen Norekvål, Tone M Eur J Cardiovasc Nurs Original Articles BACKGROUND: Octogenarians with aortic stenosis are an increasing population of patients admitted for surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI). Although adequate sleep is important after illness and surgery, it has scarcely been studied in the immediate postoperative phase. AIMS: To determine and compare the nature of self-reported sleep and insomnia, and recorded sleep–wake patterns in octogenarians during the in-hospital postoperative phase after SAVR or TAVI. METHODS: A prospective cohort design was used that included octogenarian patients undergoing SAVR or TAVI at a regional university hospital. Self-reports were used to document sleep and insomnia, and actigraphy was used to record sleep–wake patterns. Data were collected at baseline preoperatively, and then daily for the first five postoperative days. RESULTS: SAVR patients experienced the most insomnia on postoperative nights later in recovery, while TAVI patients experienced the most insomnia on postoperative nights early in recovery. The median total sleep time, as measured by actigraphy, was 6.4 h, and the median sleep efficiency was 79% for the five postoperative nights, but no differences were found between SAVR and TAVI patients on this parameter. All patients slept more during daytime than at night, with SAVR patients having significantly more total sleep hours for all five days than TAVI patients (p < 0.01). CONCLUSION: Octogenarians with aortic stenosis had disturbed self-reported sleep, increased insomnia, and disturbed sleep–wake patterns postoperatively, resulting in more daytime sleep and inactivity. In patients undergoing SAVR or TAVI, sleep evolves differently during the in-hospital postoperative phase. SAGE Publications 2015-12-03 2016-04 /pmc/articles/PMC4804287/ /pubmed/26635329 http://dx.doi.org/10.1177/1474515115620992 Text en © The European Society of Cardiology 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Amofah, Hege Andersen Broström, Anders Fridlund, Bengt Bjorvatn, Bjørn Haaverstad, Rune Hufthammer, Karl Ove Kuiper, Karel KJ Ranhoff, Anette Hylen Norekvål, Tone M Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement |
title | Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement |
title_full | Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement |
title_fullStr | Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement |
title_full_unstemmed | Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement |
title_short | Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement |
title_sort | sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804287/ https://www.ncbi.nlm.nih.gov/pubmed/26635329 http://dx.doi.org/10.1177/1474515115620992 |
work_keys_str_mv | AT amofahhegeandersen sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT brostromanders sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT fridlundbengt sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT bjorvatnbjørn sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT haaverstadrune sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT hufthammerkarlove sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT kuiperkarelkj sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT ranhoffanettehylen sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT norekvaltonem sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement AT sleepinoctogenariansduringthepostoperativephaseaftertranscatheterorsurgicalaorticvalvereplacement |