Case Control Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2022; 10(21): 7256-7264
Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7256
Improved Pittsburgh Sleep Quality Index scores on first postoperative night achieved by propofol anesthesia in patients undergoing ambulatory gynecologic surgery
Chi-Hao Hu, Wen-Ying Chou
Chi-Hao Hu, Wen-Ying Chou, Department of Anesthesia, National Cheng Kung University Hospital, Tainan 704, Taiwan
Wen-Ying Chou, Institute of Clinical Pharmacy and Pharmaceutical Science, National Cheng Kung University, Tainan 704, Taiwan
Author contributions: Chou WY was responsible for study design, application of institutional review board approval, data analysis, and manuscript writing; Hu CH was responsible for data collection, obtainment of patient consent, and communication with patients.
Institutional review board statement: Ethical approval for this study was provided by Institutional Review Board of National Cheng Kung University Hospital, Tainan, Taiwan (No. B-ER-108-012-T).
Informed consent statement: Informed consent from patients was waived.
Conflict-of-interest statement: Wen-Ying Chou and Chi-Hao Hu declare that there is no conflict of interest regarding conduction of this study and preparation of this manuscript.
Data sharing statement: Data are shared after acceptance for publication.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Ying Chou, MD, PhD, Assistant Professor, Doctor, Department of Anesthesia, National Cheng Kung University Hospital, No. 138 Sheng-Li Road, Tainan 704, Taiwan. mauricecjhsu@hotmail.com
Received: November 9, 2021
Peer-review started: November 9, 2021
First decision: March 3, 2022
Revised: April 7, 2022
Accepted: June 4, 2022
Article in press: June 4, 2022
Published online: July 26, 2022
Processing time: 243 Days and 19.8 Hours
Abstract
BACKGROUND

Sleep disturbance on the first postoperative night commonly develops for patients after day surgeries. The choice of either total intravenous anesthesia by propofol or total inhalation anesthesia with sevoflurane has become an issue for preventing sleep disturbance.

AIM

To compare sleep quality on the first postoperative night for female patients after total intravenous anesthesia by propofol and total inhalation anesthesia with sevoflurane.

METHODS

We enrolled 61 American Society of Anesthesia (ASA) class I-II outpatients who underwent minor gynecologic surgeries by either propofol or sevoflurane anesthesia. Sleep quality of the very night was assessed by the Pittsburgh Sleep Quality Index (PSQI) on the next day, and PSQI scores were compared by the Wilcoxon signed-rank test and paired t-test pre-operatively and postoperatively.

RESULTS

For the propofol group, the mean postoperative global PSQI score (3.3 ± 1.3) was lower than the mean preoperative global PSQI score (4.9 ± 2.3) (P < 0.001); for the sevoflurane group, the mean postoperative global PSQI score (6.5 ± 2.8) was higher than the mean preoperative global PSQI score (5.5 ± 3.2) (P = 0.02). Eighty percent of patients receiving propofol anesthesia subjectively reported improved sleep quality, but only 17% of patients receiving sevoflurane anesthesia reported improved sleep quality.

CONCLUSION

Sleep quality assessed by the PSQI is better improved in ASA class I-II female patients receiving propofol anesthesia other than sevoflurane anesthesia for undergoing minor gynecologic surgeries.

Keywords: Propofol, Ambulatory gynecologic surgery, Pittsburgh Sleep Quality Index, American Society of Anesthesia

Core Tip: Total intravenous anesthesia by propofol and total inhalation anesthesia by sevoflurane both were feasible for patients undergoing minor gynecologic surgeries. Eighty percent of patients receiving propofol anesthesia subjectively reported improved sleep quality on the first night. Sleep quality assessed by the Pittsburgh Sleep Quality Index was better improved in American Society of Anesthesia class I-II female patients receiving propofol anesthesia other than sevoflurane anesthesia.