Zolpidem improves patients’ sleep quality after surgical treatment for infective endocarditis: a prospective observational study
Purpose The objective of this study was to investigate the efficacy of zolpidem for improving post-operative sleep quality among patients with infective endocarditis (IE) and to identify the potential risk factors for impaired sleep quality at 6 months after surgery. Methods Patients with IE who und...
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| Veröffentlicht in: | Sleep & breathing 2022-09, Vol.26 (3), p.1097-1105 |
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| container_title | Sleep & breathing |
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| creator | Hu, Xiangming Huang, Deyi Lin, Caidi Li, Xiaoming Lu, Fen Wei, Wenting Yu, Zhihong Liao, Huosheng Huang, Fang Huang, Xuezhen Jia, Fujun |
| description | Purpose
The objective of this study was to investigate the efficacy of zolpidem for improving post-operative sleep quality among patients with infective endocarditis (IE) and to identify the potential risk factors for impaired sleep quality at 6 months after surgery.
Methods
Patients with IE who underwent surgical treatment were divided into two groups according to zolpidem usage. The Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were used to evaluate patients’ sleep quality and daytime sleepiness at baseline, which was the second day after transferal, and at 6 months after surgery. Logistic regression was used to identify potential risk factors.
Results
There were 32 patients in the zolpidem group and 42 in the control group. The PSQI and ESS scores at 6 months after surgery were significantly lower than those at baseline in both groups (
P
= 0.04). Additionally, 9 patients (28%) in the zolpidem group and 22 patients (52%) in the control group suffered poor sleep quality. Multivariate analysis identified age (odds ratio [OR] = 1.26, 95% confidence interval [CI]: 1.12–1.42), baseline PSQI score (OR = 2.66, 95%CI: 1.55–4.65), and no zolpidem usage (OR = 45.48, 95%CI: 3.01–691.23) as independent factors for poor sleep quality.
Conclusions
Poor sleep quality after IE surgery was prevalent among patients even 6 months after IE surgery. Age, baseline PSQI score and no zolpidem usage were independently associated with poor sleep quality. Therefore, zolpidem has the potential to be an effective part of a treatment arsenal for poor sleep quality after surgical treatment for IE. |
| doi_str_mv | 10.1007/s11325-021-02479-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2566040357</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2566040357</sourcerecordid><originalsourceid>FETCH-LOGICAL-c303t-8176c3bc1325d171236bf7b74ae8feac91c1dc39974f6016767fa753747550973</originalsourceid><addsrcrecordid>eNp9kctqHDEQRZsQQ_zID2QlyCabdlStljTKLhi_wOCNs8lGaNQlI9Mvq9RjZhfyF_49f0k0HkMgiywKFejcW1XcqvoE_BQ4118JQDSy5g2UarWpn95VhyCbpgbNzfvXntdGQvOhOiJ64BzalYHD6vfPqZ9jhwOLw5ymDRKbXY44Znr59cyoR5zZ4-L6mLfMhYyJ0ZLuo3c9ywldHgrKwpRYHAP6HDfIcOwm71IXc6RvzLHiS_Pb37QmTJsyYRqLA-Wl255UB8H1hB_f3uPqx8X53dlVfXN7eX32_ab2gotcr0ArL9Z-d2gHGhqh1kGvdetwFdB5Ax46L4zRbVAclFY6OC2FbrWU3GhxXH3Z-5Z9HhekbIdIHvvejTgtZBupFG-5kDv08z_ow7SksnGhNFfGgGploZo95cuBlDDYOcXBpa0Fbnex2H0stsRiX2OxT0Uk9iIq8HiP6a_1f1R_AO9xk_E</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2706991645</pqid></control><display><type>article</type><title>Zolpidem improves patients’ sleep quality after surgical treatment for infective endocarditis: a prospective observational study</title><source>Springer Nature - Complete Springer Journals</source><creator>Hu, Xiangming ; Huang, Deyi ; Lin, Caidi ; Li, Xiaoming ; Lu, Fen ; Wei, Wenting ; Yu, Zhihong ; Liao, Huosheng ; Huang, Fang ; Huang, Xuezhen ; Jia, Fujun</creator><creatorcontrib>Hu, Xiangming ; Huang, Deyi ; Lin, Caidi ; Li, Xiaoming ; Lu, Fen ; Wei, Wenting ; Yu, Zhihong ; Liao, Huosheng ; Huang, Fang ; Huang, Xuezhen ; Jia, Fujun</creatorcontrib><description>Purpose
The objective of this study was to investigate the efficacy of zolpidem for improving post-operative sleep quality among patients with infective endocarditis (IE) and to identify the potential risk factors for impaired sleep quality at 6 months after surgery.
Methods
Patients with IE who underwent surgical treatment were divided into two groups according to zolpidem usage. The Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were used to evaluate patients’ sleep quality and daytime sleepiness at baseline, which was the second day after transferal, and at 6 months after surgery. Logistic regression was used to identify potential risk factors.
Results
There were 32 patients in the zolpidem group and 42 in the control group. The PSQI and ESS scores at 6 months after surgery were significantly lower than those at baseline in both groups (
P
= 0.04). Additionally, 9 patients (28%) in the zolpidem group and 22 patients (52%) in the control group suffered poor sleep quality. Multivariate analysis identified age (odds ratio [OR] = 1.26, 95% confidence interval [CI]: 1.12–1.42), baseline PSQI score (OR = 2.66, 95%CI: 1.55–4.65), and no zolpidem usage (OR = 45.48, 95%CI: 3.01–691.23) as independent factors for poor sleep quality.
Conclusions
Poor sleep quality after IE surgery was prevalent among patients even 6 months after IE surgery. Age, baseline PSQI score and no zolpidem usage were independently associated with poor sleep quality. Therefore, zolpidem has the potential to be an effective part of a treatment arsenal for poor sleep quality after surgical treatment for IE.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-021-02479-w</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Dentistry ; Endocarditis ; Internal Medicine ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Neurology ; Observational studies ; Otorhinolaryngology ; Patients ; Pediatrics ; Pneumology/Respiratory System ; Risk factors ; Sleep ; Sleep and wakefulness ; Sleep Breathing Physiology and Disorders • Original Article ; Sleep deprivation ; Surgery ; Zolpidem</subject><ispartof>Sleep & breathing, 2022-09, Vol.26 (3), p.1097-1105</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021</rights><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c303t-8176c3bc1325d171236bf7b74ae8feac91c1dc39974f6016767fa753747550973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-021-02479-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-021-02479-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids></links><search><creatorcontrib>Hu, Xiangming</creatorcontrib><creatorcontrib>Huang, Deyi</creatorcontrib><creatorcontrib>Lin, Caidi</creatorcontrib><creatorcontrib>Li, Xiaoming</creatorcontrib><creatorcontrib>Lu, Fen</creatorcontrib><creatorcontrib>Wei, Wenting</creatorcontrib><creatorcontrib>Yu, Zhihong</creatorcontrib><creatorcontrib>Liao, Huosheng</creatorcontrib><creatorcontrib>Huang, Fang</creatorcontrib><creatorcontrib>Huang, Xuezhen</creatorcontrib><creatorcontrib>Jia, Fujun</creatorcontrib><title>Zolpidem improves patients’ sleep quality after surgical treatment for infective endocarditis: a prospective observational study</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><description>Purpose
The objective of this study was to investigate the efficacy of zolpidem for improving post-operative sleep quality among patients with infective endocarditis (IE) and to identify the potential risk factors for impaired sleep quality at 6 months after surgery.
Methods
Patients with IE who underwent surgical treatment were divided into two groups according to zolpidem usage. The Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were used to evaluate patients’ sleep quality and daytime sleepiness at baseline, which was the second day after transferal, and at 6 months after surgery. Logistic regression was used to identify potential risk factors.
Results
There were 32 patients in the zolpidem group and 42 in the control group. The PSQI and ESS scores at 6 months after surgery were significantly lower than those at baseline in both groups (
P
= 0.04). Additionally, 9 patients (28%) in the zolpidem group and 22 patients (52%) in the control group suffered poor sleep quality. Multivariate analysis identified age (odds ratio [OR] = 1.26, 95% confidence interval [CI]: 1.12–1.42), baseline PSQI score (OR = 2.66, 95%CI: 1.55–4.65), and no zolpidem usage (OR = 45.48, 95%CI: 3.01–691.23) as independent factors for poor sleep quality.
Conclusions
Poor sleep quality after IE surgery was prevalent among patients even 6 months after IE surgery. Age, baseline PSQI score and no zolpidem usage were independently associated with poor sleep quality. Therefore, zolpidem has the potential to be an effective part of a treatment arsenal for poor sleep quality after surgical treatment for IE.</description><subject>Dentistry</subject><subject>Endocarditis</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Neurology</subject><subject>Observational studies</subject><subject>Otorhinolaryngology</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Sleep and wakefulness</subject><subject>Sleep Breathing Physiology and Disorders • Original Article</subject><subject>Sleep deprivation</subject><subject>Surgery</subject><subject>Zolpidem</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kctqHDEQRZsQQ_zID2QlyCabdlStljTKLhi_wOCNs8lGaNQlI9Mvq9RjZhfyF_49f0k0HkMgiywKFejcW1XcqvoE_BQ4118JQDSy5g2UarWpn95VhyCbpgbNzfvXntdGQvOhOiJ64BzalYHD6vfPqZ9jhwOLw5ymDRKbXY44Znr59cyoR5zZ4-L6mLfMhYyJ0ZLuo3c9ywldHgrKwpRYHAP6HDfIcOwm71IXc6RvzLHiS_Pb37QmTJsyYRqLA-Wl255UB8H1hB_f3uPqx8X53dlVfXN7eX32_ab2gotcr0ArL9Z-d2gHGhqh1kGvdetwFdB5Ax46L4zRbVAclFY6OC2FbrWU3GhxXH3Z-5Z9HhekbIdIHvvejTgtZBupFG-5kDv08z_ow7SksnGhNFfGgGploZo95cuBlDDYOcXBpa0Fbnex2H0stsRiX2OxT0Uk9iIq8HiP6a_1f1R_AO9xk_E</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Hu, Xiangming</creator><creator>Huang, Deyi</creator><creator>Lin, Caidi</creator><creator>Li, Xiaoming</creator><creator>Lu, Fen</creator><creator>Wei, Wenting</creator><creator>Yu, Zhihong</creator><creator>Liao, Huosheng</creator><creator>Huang, Fang</creator><creator>Huang, Xuezhen</creator><creator>Jia, Fujun</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20220901</creationdate><title>Zolpidem improves patients’ sleep quality after surgical treatment for infective endocarditis: a prospective observational study</title><author>Hu, Xiangming ; Huang, Deyi ; Lin, Caidi ; Li, Xiaoming ; Lu, Fen ; Wei, Wenting ; Yu, Zhihong ; Liao, Huosheng ; Huang, Fang ; Huang, Xuezhen ; Jia, Fujun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c303t-8176c3bc1325d171236bf7b74ae8feac91c1dc39974f6016767fa753747550973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Dentistry</topic><topic>Endocarditis</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Neurology</topic><topic>Observational studies</topic><topic>Otorhinolaryngology</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Risk factors</topic><topic>Sleep</topic><topic>Sleep and wakefulness</topic><topic>Sleep Breathing Physiology and Disorders • Original Article</topic><topic>Sleep deprivation</topic><topic>Surgery</topic><topic>Zolpidem</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hu, Xiangming</creatorcontrib><creatorcontrib>Huang, Deyi</creatorcontrib><creatorcontrib>Lin, Caidi</creatorcontrib><creatorcontrib>Li, Xiaoming</creatorcontrib><creatorcontrib>Lu, Fen</creatorcontrib><creatorcontrib>Wei, Wenting</creatorcontrib><creatorcontrib>Yu, Zhihong</creatorcontrib><creatorcontrib>Liao, Huosheng</creatorcontrib><creatorcontrib>Huang, Fang</creatorcontrib><creatorcontrib>Huang, Xuezhen</creatorcontrib><creatorcontrib>Jia, Fujun</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, Xiangming</au><au>Huang, Deyi</au><au>Lin, Caidi</au><au>Li, Xiaoming</au><au>Lu, Fen</au><au>Wei, Wenting</au><au>Yu, Zhihong</au><au>Liao, Huosheng</au><au>Huang, Fang</au><au>Huang, Xuezhen</au><au>Jia, Fujun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Zolpidem improves patients’ sleep quality after surgical treatment for infective endocarditis: a prospective observational study</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><date>2022-09-01</date><risdate>2022</risdate><volume>26</volume><issue>3</issue><spage>1097</spage><epage>1105</epage><pages>1097-1105</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Purpose
The objective of this study was to investigate the efficacy of zolpidem for improving post-operative sleep quality among patients with infective endocarditis (IE) and to identify the potential risk factors for impaired sleep quality at 6 months after surgery.
Methods
Patients with IE who underwent surgical treatment were divided into two groups according to zolpidem usage. The Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were used to evaluate patients’ sleep quality and daytime sleepiness at baseline, which was the second day after transferal, and at 6 months after surgery. Logistic regression was used to identify potential risk factors.
Results
There were 32 patients in the zolpidem group and 42 in the control group. The PSQI and ESS scores at 6 months after surgery were significantly lower than those at baseline in both groups (
P
= 0.04). Additionally, 9 patients (28%) in the zolpidem group and 22 patients (52%) in the control group suffered poor sleep quality. Multivariate analysis identified age (odds ratio [OR] = 1.26, 95% confidence interval [CI]: 1.12–1.42), baseline PSQI score (OR = 2.66, 95%CI: 1.55–4.65), and no zolpidem usage (OR = 45.48, 95%CI: 3.01–691.23) as independent factors for poor sleep quality.
Conclusions
Poor sleep quality after IE surgery was prevalent among patients even 6 months after IE surgery. Age, baseline PSQI score and no zolpidem usage were independently associated with poor sleep quality. Therefore, zolpidem has the potential to be an effective part of a treatment arsenal for poor sleep quality after surgical treatment for IE.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s11325-021-02479-w</doi><tpages>9</tpages></addata></record> |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Dentistry Endocarditis Internal Medicine Medicine Medicine & Public Health Multivariate analysis Neurology Observational studies Otorhinolaryngology Patients Pediatrics Pneumology/Respiratory System Risk factors Sleep Sleep and wakefulness Sleep Breathing Physiology and Disorders • Original Article Sleep deprivation Surgery Zolpidem |
| title | Zolpidem improves patients’ sleep quality after surgical treatment for infective endocarditis: a prospective observational study |
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