Research Article

Assessment of Perioperative Sleep Characteristics Using Subjective and Objective Methods: A Secondary Analysis of Prospective Cohort Study

Table 3

Results from the mixed-effects model for sleep fragmentation, sleep latency, and sleep time.

CharacteristicWatchPATSMHSQ
Beta (95% CI)Beta (95% CI)

Sleep fragmentation (times)
Intercept6.64 [5.94, 7.33]<0.0012.15 [1.13, 3.17]<0.001
Time: postoperative vs. preoperative0.50 [0.13, 0.87]0.0071.50 [0.96, 2.04]<0.001
Admission type: inpatient vs. outpatient-0.79 [-1.34, -0.24]0.0050.58 [-0.21, 1.38]0.15
Anesthesia: general vs. other-0.60 [-1.12, -0.08]0.0250.14 [-0.60, 0.88]0.7
vs. <16-0.09 [-0.64, 0.45]0.7-0.91 [-1.67, -0.14]0.020
Obesity: vs. <300.11 [-0.42, 0.64]0.70.37 [-0.39, 1.12]0.3
pAHI: ≥15 vs. <150.33 [-0.18, 0.83]0.20.11 [-0.60, 0.83]0.8

Sleep latency (min)
Intercept18.99 [11.70, 26.28]<0.00124.80 [5.23, 44.36]0.013
Time: postoperative vs. preoperative3.86 [0.17, 7.54]0.0401.31 [-10.16, 12.78]0.8
Admission type: inpatient vs. outpatient1.07 [-4.74, 6.89]0.72.14 [-12.94, 17.22]0.8
Anesthesia: general vs. other0.52 [-4.97, 6.01]0.9-7.00 [-21.04, 7.05]0.3
vs. <165.41 [-0.30, 11.13]0.06312.20 [-2.46, 26.86]0.10
Obesity: vs. <30-6.08 [-11.64, -0.52]0.03215.15 [0.63, 29.67]0.041
pAHI: ≥15 vs. <154.05 [-1.23, 9.33]0.13-7.21 [-20.79, 6.38]0.3

Night sleep time (hours)
Intercept5.30 [4.68, 5.93]<0.0017.12 [6.14, 8.10]<0.001
Time: postoperative vs. preoperative0.03 [-0.30, 0.37]0.8-1.51 [-2.07, -0.94]<0.001
Admission type: inpatient vs. outpatient0.76 [0.26, 1.25]0.003-0.56 [-1.31, 0.19]0.15
Anesthesia: general vs. other0.56 [0.09, 1.03]0.0190.46 [-0.24, 1.16]0.2
vs. <16-0.21 [-0.70, 0.27]0.4-0.41 [-1.14, 0.32]0.3
Obesity: vs. <30-0.54 [-1.01, -0.06]0.026-0.69 [-1.40, 0.02]0.057
pAHI: ≥15 vs. <150.29 [-0.16, 0.74]0.20.70 [0.02, 1.37]0.042

SMHSQ: St. Mary’s Hospital Sleep Questionnaire; BMI: body mass index (kg/m2); CI: confidence interval; CES-D: Center for Epidemiologic Studies Depression scale; pAHI: peripheral arterial tonometry-derived apnea-hypopnea index. A mixed-effects model was conducted adjusting for adjusted for admission type, anesthesia type, depression, obesity, and pAHI.