{"id":17206,"date":"2014-10-02T10:31:13","date_gmt":"2014-10-02T14:31:13","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=17206"},"modified":"2014-10-05T20:33:32","modified_gmt":"2014-10-06T00:33:32","slug":"study-pain-keeps-surgery-patients-awake-extends-hospital-stay","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2014\/10\/study-pain-keeps-surgery-patients-awake-extends-hospital-stay\/","title":{"rendered":"Study: Pain keeps surgery patients awake, extends hospital stay"},"content":{"rendered":"<p>From the Henry Ford Health System media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/02\/hospital-stay.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-10895\" alt=\"hospital stay\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/02\/hospital-stay.jpg\" width=\"290\" height=\"193\" \/><\/a>Pain can make it difficult for some patients to get a good night&#8217;s rest while recovering in the hospital following certain surgical procedures, <strong>often resulting in longer hospital stays<\/strong>, according to researchers at Henry Ford Hospital in Detroit.<\/p>\n<p>The study shows <strong>patients who reported poor sleep while in the hospital following total hip replacement or knee replacement surgery had higher pain scores.<\/strong><\/p>\n<p>&#8220;Our results show that increased pain scores result in deceased sleep duration,&#8221; says study lead author Anya Miller, M.D., with the Department of Otolaryngology-Head &amp; Neck Surgery at Henry Ford.<\/p>\n<p>&#8220;So <strong>better pain control could potentially improve sleep duration for these patients<\/strong>.&#8221;<\/p>\n<p>Study results will be presented Wednesday at the 2014 American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) annual meeting in Orlando.<\/p>\n<p>The Henry Ford study sought to identify the amount of sleep disruption that occurs in the post-operative in-patient hospital setting. <strong>As previous studies on this topic have shown, patients commonly report being awoken by noise, lights or hospital staff while in the hospita<\/strong>l.<\/p>\n<p>That&#8217;s why for the Henry Ford study, Dr. Miller and study senior author Kathleen Yaremchuk, M.D., purposely chose a hospital floor that observes a quiet time between 10 p.m. and 6 a.m. where the doors are closed and lights are dimmed.<\/p>\n<p>This setting enabled them to better determine the relationship between sleep disruption caused by pain.<\/p>\n<p><strong>Fifty patients who had undergone total hip or knee replacement surgery were included in the study<\/strong>. These surgeries offer variables that are easier to measure in that the surgery and perioperative interventions are standardized with a pain protocol before and after surgery.<\/p>\n<p>The researchers looked at the patients&#8217; total sleep time, sleep efficiency, pain scores and use of narcotics for pain.<\/p>\n<p>The study results reveal:<\/p>\n<ul>\n<li>Patients have significantly decreased sleep efficiency and wake more frequently when compared to the general population<\/li>\n<li><strong>Poor sleep results in higher pain scores<\/strong><\/li>\n<li>Better pain control can result in improved sleep efficiency and decreased awakenings<\/li>\n<li><strong>Improved sleep efficiency could result in decreased length of stay<\/strong> in the hospital after surgery<\/li>\n<\/ul>\n<p>&#8220;Sleep is very important to patients&#8217; recovery following surgery,&#8221; says Dr. Miller.<\/p>\n<p>&#8220;If we can identify factors that cause disruption in patients&#8217; sleep such as pain, noise, and interruptions in the hospital setting <strong>we can help improve sleep quality and potentially decrease adverse outcomes<\/strong>.&#8221;<\/p><\/blockquote>\n<p>Along with Drs. Miller and Yaremchuk, Henry Ford study co-authors are Thomas Roehrs, Ph.D.; and Timothy Roth, Ph.D.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Henry Ford Health System media release: Pain can make it difficult for some patients to get a good night&#8217;s rest while recovering in the hospital following certain surgical&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2014\/10\/study-pain-keeps-surgery-patients-awake-extends-hospital-stay\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,344,60,43,338],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17206"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=17206"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17206\/revisions"}],"predecessor-version":[{"id":17208,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17206\/revisions\/17208"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=17206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=17206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=17206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}