A Survey Study of 96 Orthopedic Trauma Patients

Authors:

Ericka Lai, Austin Gregg, Arun Aneja

Date Created:

2025-01-01

Course Title:

Professor:

Not specified

About Paper:

Sleep disturbance is common among orthopaedic trauma patients - 71.5], and 40 (58.3%) were female. Surveys were administered and may influence pain perception and management. This study at a mean follow-up of 15.2 days post-surgery or injury. Among evaluated the association between insomnia and postoperative participants, 76 (79.2%) reported no or subclinical insomnia, while opioid use, as well as its relationship with pain interference and 13 (13.5%) and 7 (7.3%) reported moderate or severe insomnia, opioid refill requests. respectively. Patients with moderate or severe insomnia had significantly higher PROMIS Pain Interference Scores (21.4, 95% Ninety-six consecutive orthopedic trauma patients were surveyed CI: 18.0 - 24.9) compared to those without (15.3, 95% CI: 13.4 - at their 2-week follow-up visits after orthopaedic surgery or injury at an academic Level 1 trauma center. Insomnia severity was 17.3, p = 0.002). Additionally, 40.0% of patients with insomnia assessed using the Insomnia Severity Index, categorized into four requested opioid refills compared to 17.1% of those without (p = 0.037). severity levels. Pain interference and opioid use were evaluated using the PROMIS Pain Interference Score and prescription refill Insomnia severity is strongly associated with greater pain data. A two-sample t-test compared pain interference scores interference and higher opioid refill requests in orthopaedic trauma between patients with and without significant insomnia, and patients. These findings highlight the critical role of sleep in Fisher’s exact test assessed the relationship between insomnia postoperativepainperceptionandopioidconsumption. Addressing severity and opioid refill requests. sleep dysfunction as part of postoperative pain management may Thisstudyincluded96patients. Medianagewas62years[IQR,45 improvepatientoutcomesandreduceopioidreliance,underscoring the importance of interdisciplinary approaches to trauma recovery.

Abstract:

Sleep disturbance is common among orthopaedic trauma patients - 71.5], and 40 (58.3%) were female. Surveys were administered and may influence pain perception and management. This study at a mean follow-up of 15.2 days post-surgery or injury. Among evaluated the association between insomnia and postoperative participants, 76 (79.2%) reported no or subclinical insomnia, while opioid use, as well as its relationship with pain interference and 13 (13.5%) and 7 (7.3%) reported moderate or severe insomnia, opioid refill requests. respectively. Patients with moderate or severe insomnia had significantly higher PROMIS Pain Interference Scores (21.4, 95% Ninety-six consecutive orthopedic trauma patients were surveyed CI: 18.0 - 24.9) compared to those without (15.3, 95% CI: 13.4 - at their 2-week follow-up visits after orthopaedic surgery or injury at an academic Level 1 trauma center. Insomnia severity was 17.3, p = 0.002). Additionally, 40.0% of patients with insomnia assessed using the Insomnia Severity Index, categorized into four requested opioid refills compared to 17.1% of those without (p = 0.037). severity levels. Pain interference and opioid use were evaluated using the PROMIS Pain Interference Score and prescription refill Insomnia severity is strongly associated with greater pain data. A two-sample t-test compared pain interference scores interference and higher opioid refill requests in orthopaedic trauma between patients with and without significant insomnia, and patients. These findings highlight the critical role of sleep in Fisher’s exact test assessed the relationship between insomnia postoperativepainperceptionandopioidconsumption. Addressing severity and opioid refill requests. sleep dysfunction as part of postoperative pain management may Thisstudyincluded96patients. Medianagewas62years[IQR,45 improvepatientoutcomesandreduceopioidreliance,underscoring the importance of interdisciplinary approaches to trauma recovery.

Source:

Harvard / Harvard College | Quincy House | Physics | 2028 / 2025

Topics:

insomnia, pain, patient, trauma, opioid, interference, refill, severity, sleep, orthopaedic, request, score

Co-authors:

@erickalai304 , @austingregg305 , @arunaneja306