Jean Francois Cazeneuve
Clinique Victor Pauchet, FrancePresentation Title:
What about sleep quality improvement after total hip arthroplasty for unilateral osteoarthritis in active elderly?
Abstract
Purpose : The aim of this retrospective study is to evaluate sleep disturbance, mental and physical functions before and six months after an arthroplasty for unilateral hip osteoarthritis in active elderly.
Methods : Sex, age, mental / physical health status and Charleston Comorbidity Index (CCI) were abstracted from our personal database. Data were aggregated using short Form 36 Health Survey, Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and Visual Analog scale Pain Score (VAS).
Results : four patients among our 72-patient cohort were removed because of an early secondary surgery due to dislocation, hematoma, complex proximal humeral fracture and displaced distal radius fracture. During the first post-operative month, sleep quality stayed on an equal level to the pre-operative state. Pain decreased significantly from baseline to six months post-operatively. A significant improvement of sleep quality could be detected during all the follow-ups for all scores. Finding was not negatively impacted by severe CCI.
Conclusion : According to our study, patients undergoing a total hip arthroplasty for primary unilateral osteoarthritis can expect an improvement of sleep quality and mental / physical functions at a six-month follow-up. High-quality prospective cohort studies are required to reliably confirm these data.
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