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Disordered Sleep in Adolescents Recovering From Surgery
Marjorie Odegard1, Jessica Barrington-Trimis2, Olivia A Keane3
1Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA; Department of Surgery, Hennepin County Medical Center, Minneapolis, MN, USA.
Adolescents frequently experience disordered sleep after surgery, with preoperative sleep issues and mental health conditions being key factors. Opioid use did not significantly impact postoperative sleep quality in this study.
Area of Science:
- Adolescent health
- Sleep medicine
- Postoperative care
Background:
- Sleep is crucial for recovery after surgery.
- Opioid use for pain management can disrupt sleep.
- Limited research exists on sleep patterns in adolescents using opioids post-surgery.
Purpose of the Study:
- To identify factors associated with disordered sleep in adolescents after surgery.
- To investigate the relationship between preoperative factors and postoperative sleep.
- To examine the impact of opioid use on adolescent sleep post-surgery.
Main Methods:
- Prospective, single-center, survey-based cohort study.
- Included 167 adolescents (13-20 years) undergoing common surgeries requiring opioid prescriptions.
- Utilized the Sleep Problems Questionnaire and logistic regression to analyze sleep patterns and influencing factors.
Main Results:
- Postoperative disordered sleep increased significantly (16.2% preoperatively to 24.6% postoperatively).
- Preoperative disordered sleep and mental health comorbidities were linked to worsening sleep trajectories.
- Prescription opioid use was not associated with the development or severity of postoperative disordered sleep.
Conclusions:
- Adolescents are more prone to disordered sleep following surgery.
- Addressing preoperative disordered sleep and mental health is vital for improving postoperative sleep.
- Opioid use does not appear to be a primary driver of disordered sleep in this population.
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