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  1. Home
  3. Fragmented Sleep And Opioid Medication Utilization During Hospitalization Following Orthopaedic Trauma.
  1. Home
  3. Fragmented Sleep And Opioid Medication Utilization During Hospitalization Following Orthopaedic Trauma.

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Fragmented Sleep And Opioid Medication Utilization During Hospitalization Following Orthopaedic Trauma.

David Marvin1, Jack Hudson2, Jaimo Ahn1,3

  • 1Emory University School of Medicine, Department of Orthopaedics.

Journal of Orthopaedic Trauma
|June 19, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Orthopaedic trauma patients experienced short, fragmented sleep during hospitalization. Increased opioid use was linked to poorer sleep quality, highlighting a critical area for patient care improvement.

Keywords:
ActigraphyOpioidsOrthopaedic TraumaPatient-reported OutcomesSleep

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Area of Science:

  • Orthopaedic Surgery
  • Sleep Medicine
  • Pain Management

Background:

  • Inpatient sleep disturbances are common, particularly after major trauma.
  • Opioid medications are frequently used for pain management in orthopaedic trauma patients.
  • Understanding the relationship between sleep and opioid use is crucial for optimizing recovery.

Purpose of the Study:

  • To objectively assess sleep patterns in hospitalized orthopaedic trauma patients.
  • To investigate the association between inpatient sleep quality and opioid medication utilization.

Main Methods:

  • Retrospective analysis of a prospective randomized clinical trial data.
  • Utilized wrist-worn actigraphy devices to measure sleep duration and fragmentation.
  • Employed linear mixed-effects models to analyze sleep and opioid use (MED).

Main Results:

  • 99 participants (predominantly Black and female) averaged 6 hours 36 minutes of sleep per 24 hours.
  • Sleep was fragmented with an average of 9.1 awakenings.
  • Each additional daily Morphine Milligram Equivalent (MED) was associated with 2.7 minutes less sleep (p=0.004).

Conclusions:

  • Hospitalized orthopaedic trauma patients exhibit significantly short and fragmented sleep.
  • Higher inpatient opioid utilization correlates with diminished sleep quality.
  • Findings suggest a need for interventions to improve sleep and manage pain effectively in this population.