Angina severity predicts worse sleep quality after coronary artery bypass grafting

dc.authorid0000-0002-8782-7603
dc.contributor.authorYılmaz, Seyhan
dc.contributor.authorAksoy, Eray
dc.contributor.authorDoğan, Tolga
dc.contributor.authorDiken, Adem İlkay
dc.contributor.authorYalçınkaya, Adnan
dc.contributor.authorÖzşen, Kelime
dc.date.accessioned2019-05-10T09:39:51Z
dc.date.available2019-05-10T09:39:51Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractObjective: We sought to reveal whether the severity of angina pectoris affects sleep quality after elective coronary artery bypass grafting. Material and methods: Patients scheduled to undergo isolated coronary artery bypass grafting were divided into two groups, having a recent myocardial infarction (Group 1, n=22, mean age 59.40±7.79 years) or not having a recent myocardial infarction (Group 2, n=30, mean age 59.73±7.72 years). The assessment included the Canadian Cardiovascular Society Angina Score, the visual analogue scale for postoperative pain and the Pittsburgh Sleep Quality Index (PSQI). Results: The two groups were similar in regard to baseline characteristics. Cross-clamp time was significantly higher (p=0.007) and the use of inotropes was significantly more common (p=0.01) in those patients with recent myocardial infarction compared to those without. Mean Canadian Cardiovascular Society scores were also higher in patients with recent myocardial infarction (p=0.02). Total Pittsburgh Sleep Quality Index score was significantly higher in patients with recent myocardial infarction (8.45±3.50 vs. 5.03±2.32, respectively, p<0.001). In multivariate analysis, higher angina score (OR: 3.27, 95% CI, 1.20-8.90, p=0.02) and longer time of intensive care unit stay (OR: 6.15, 95% CI, 1.49-25.35, p=0.01) were found to be independent predictors of poor sleep quality. The Canadian Cardiovascular Society angina score showed a significant positive correlation with poor sleep duration score (<0.001), sleep disturbance score (p=0.02), day dysfunction due to sleepiness score (p=0.001), sleep efficiency score (p=0.003), overall sleep quality score (0.03) and total PSQI score (p=0.004). Conclusion: The severity of angina pectoris in the preoperative period is independently associated with worse sleep quality after elective isolated coronary artery bypass surgery. © The Author(s) 2016.
dc.identifier.citationYılmaz, S., Aksoy, E., Doğan, T., Diken, A. İ., Yalçınkaya, A., Özşen, K. (2016). Angina severity predicts worse sleep quality after coronary artery bypass grafting. Perfusion, 31(6), 471-476.
dc.identifier.doi10.1177/0267659115627690
dc.identifier.endpage476en_US
dc.identifier.issn0267-6591
dc.identifier.issue6en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage471en_US
dc.identifier.urihttps://doi.org/10.1177/0267659115627690
dc.identifier.urihttps://hdl.handle.net/11491/793
dc.identifier.volume31en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherSAGE Publications Ltd
dc.relation.ispartofPerfusion (United Kingdom)
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAngina Pectorisen_US
dc.subjectCoronary Artery Diseaseen_US
dc.subjectSleep Qualityen_US
dc.titleAngina severity predicts worse sleep quality after coronary artery bypass grafting
dc.typeArticle

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