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Sleep improvement after hip arthroplasty: a study on short-stem prosthesis

PURPOSE: The purpose of this study was to evaluate sleep disturbance prospectively before and after short-stem hip arthroplasty. METHODS: A prospective study on 25 patients undergoing a primary unilateral total short-stem hip replacement was conducted. Patients were observed for six months. To evalu...

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Autores principales: Hochreiter, Josef, Kindermann, Harald, Georg, Mattiassich, Ortmaier, Reinhold, Mitterer, Marian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938790/
https://www.ncbi.nlm.nih.gov/pubmed/31352563
http://dx.doi.org/10.1007/s00264-019-04375-1
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author Hochreiter, Josef
Kindermann, Harald
Georg, Mattiassich
Ortmaier, Reinhold
Mitterer, Marian
author_facet Hochreiter, Josef
Kindermann, Harald
Georg, Mattiassich
Ortmaier, Reinhold
Mitterer, Marian
author_sort Hochreiter, Josef
collection PubMed
description PURPOSE: The purpose of this study was to evaluate sleep disturbance prospectively before and after short-stem hip arthroplasty. METHODS: A prospective study on 25 patients undergoing a primary unilateral total short-stem hip replacement was conducted. Patients were observed for six months. To evaluate the sleep quality and daytime sleepiness, the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale were used. To assess the general physical health status, we used the Short Form 36 Health Survey (SF-36). Pain was recorded on a visual analog scale. RESULTS: The physical health status of the patients improved significantly (p < 0.05) during the six month follow-up period in seven out of nine categories. During the first post-operative week, the sleep quality stayed on an equal level to the pre-operative state, following a steady improvement over the next months (6 months p = 0.00). The daytime sleepiness showed a significant improvement during all the follow-ups (6 months p = 0.00). Pain decreased significantly from baseline to six months post-operatively (p = 0.00). There was no correlation between pain and sleep quality or pain and daytime sleepiness. CONCLUSION: According to our results, patients undergoing short-stem total hip arthroplasty can expect a 50% improvement of sleep quality and physical function six months after surgery.
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spelling pubmed-69387902020-01-14 Sleep improvement after hip arthroplasty: a study on short-stem prosthesis Hochreiter, Josef Kindermann, Harald Georg, Mattiassich Ortmaier, Reinhold Mitterer, Marian Int Orthop Original Paper PURPOSE: The purpose of this study was to evaluate sleep disturbance prospectively before and after short-stem hip arthroplasty. METHODS: A prospective study on 25 patients undergoing a primary unilateral total short-stem hip replacement was conducted. Patients were observed for six months. To evaluate the sleep quality and daytime sleepiness, the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale were used. To assess the general physical health status, we used the Short Form 36 Health Survey (SF-36). Pain was recorded on a visual analog scale. RESULTS: The physical health status of the patients improved significantly (p < 0.05) during the six month follow-up period in seven out of nine categories. During the first post-operative week, the sleep quality stayed on an equal level to the pre-operative state, following a steady improvement over the next months (6 months p = 0.00). The daytime sleepiness showed a significant improvement during all the follow-ups (6 months p = 0.00). Pain decreased significantly from baseline to six months post-operatively (p = 0.00). There was no correlation between pain and sleep quality or pain and daytime sleepiness. CONCLUSION: According to our results, patients undergoing short-stem total hip arthroplasty can expect a 50% improvement of sleep quality and physical function six months after surgery. Springer Berlin Heidelberg 2019-07-27 2020-01 /pmc/articles/PMC6938790/ /pubmed/31352563 http://dx.doi.org/10.1007/s00264-019-04375-1 Text en © The Author(s) 2019, corrected publication August 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Paper
Hochreiter, Josef
Kindermann, Harald
Georg, Mattiassich
Ortmaier, Reinhold
Mitterer, Marian
Sleep improvement after hip arthroplasty: a study on short-stem prosthesis
title Sleep improvement after hip arthroplasty: a study on short-stem prosthesis
title_full Sleep improvement after hip arthroplasty: a study on short-stem prosthesis
title_fullStr Sleep improvement after hip arthroplasty: a study on short-stem prosthesis
title_full_unstemmed Sleep improvement after hip arthroplasty: a study on short-stem prosthesis
title_short Sleep improvement after hip arthroplasty: a study on short-stem prosthesis
title_sort sleep improvement after hip arthroplasty: a study on short-stem prosthesis
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938790/
https://www.ncbi.nlm.nih.gov/pubmed/31352563
http://dx.doi.org/10.1007/s00264-019-04375-1
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