Preoperative sleep complaints are associated with poor physical recovery in the months following cardiac surgery

Ann Behav Med. 2014 Jun;47(3):347-57. doi: 10.1007/s12160-013-9557-8.

Abstract

Background: Sleep disturbance is associated with poorer outcomes in cardiac patients, but little is known about the independent role of sleep quality in coronary artery bypass graft (CABG) patients.

Purpose: This study aims to examine the relationship between preoperative sleep complaints and post-operative emotional and physical recovery in CABG surgery patients, independently of demographic, clinical and mood factors.

Methods: Two hundred thirty CABG patients (aged 67.81 ± 9.07 years) completed measures of self-reported sleep complaints before surgery and health-related quality of life (HRQoL), physical symptoms and pain 2 months after surgery.

Results: Greater sleep complaints prior to surgery were associated with greater physical symptoms, poorer physical HRQoL and greater sensory pain after surgery (p < 0.05), but not with affective pain or mental HRQoL. Preoperative mood was not able to explain these associations.

Conclusions: Sleep complaints may be implicated in physical recovery from CABG surgery but further work is needed to understand the role of causal pathways.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Affect
  • Aged
  • Coronary Artery Bypass* / psychology
  • Female
  • Humans
  • Male
  • Pain / complications
  • Pain / psychology
  • Postoperative Complications / physiopathology*
  • Postoperative Complications / psychology*
  • Postoperative Period
  • Preoperative Period*
  • Prospective Studies
  • Quality of Life / psychology*
  • Self Report
  • Sleep Wake Disorders / physiopathology*
  • Sleep Wake Disorders / psychology*
  • Symptom Assessment / psychology
  • Treatment Outcome