Study evaluates, Sleep disorder in orthopedic trauma patient
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There is substantial evidence that sleep disorder is a predictor of depression and is an important feature of posttraumatic stress disorder.

All orthopedic trauma patients confined in a trauma ward were included in this retrospective study. Patients with mental impairment or craniocerebral injuries were excluded from the study. Basic demographic data and the Injury Severity Score (ISS) classification based on medical records were collected. The Pittsburgh sleep quality index (PSQI) was used to evaluate sleep quality, the visual analog scale (VAS) was used to evaluate physical pain, and the Barthel Index (BI) was used to evaluate activities of daily living (ADL).

Results:
--The average PSQI score was 6.3. A total of 581 patients had a PSQI score more than 5, indicating the presence of sleep disorders.

--The PSQI score was more than 10 in 174 patients. Univariate statistical analysis showed that age, sex, education, ADL, and ISS classification were associated with increased PSQI scores.

--Marital status and pain were not associated with increased PSQI scores. When multivariate analysis was used to control for confounding variables, sex, ADL, and ISS classification remained independently associated with PSQI.

Finally, sleep disturbances were widespread (51.4% with PSQI greater than 5) and significant (15.4% with PSQI greater than 10) in traumatic orthopedic injury patients. Sex, ADL, and ISS categorization were all found to be strongly linked to sleep disturbances.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02487-2
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