Comparisons between insomnia incidence after coronary artery bypass graft surgery with coronary angioplasty

Authors
Aram Yazdani 1
Sayed Mehdi Samimi Ardestani 1
Eznollah Azargashb 1
Mohammad Reza Najarzadegan 2
Kiarash Kohansal 3
Ghazaleh Salehabadi 3
Sayed Saeed Sadr 1
1 Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences; Department of Psychiatry, Imam Hossein Hospital, Tehran, Iran
2 Research Centre of Addiction and Risky Behavior, Iran University of Medical Sciences, Tehran, Iran
3 Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Abstract
Background: The aim of this study was to investigate the incidence of insomnia after coronary angioplasty and coronary artery bypass graft surgery (CABG) and compare them.
Materials and Methods: This cross-sectional study was done in Masih Daneshvari and Emam Hossein Hospital of Tehran during a period of 12 months in 2016. The study group consisted of patients who were admitted to these hospitals with heart disease and had to go under CABG or angioplasty. Each participant completed a detailed Persian version of the insomnia severity index and demographic questionnaire which includes demographic questions and questions about the onset or durability of sleep as well as questions about the use of alcohol, caffeine, cigarettes, and sleeping drugs 2 days before the surgery and 1 week after that. The state of insomnia was measured before and after the CABG and compared with the state of insomnia before and after angioplasty.
Results: About 150 patients were included in the study (80 men [67.4%] and 70 women [43.6%]). In the CABG group, 14.67% of the preoperative patients and 24.0% of the patients after the operation had insomnia, and the difference between them was significant (P = 0.003). Furthermore, in the angioplasty group, 14.67% of the preoperative patients and 20.0% of the patients after the operation had insomnia, and the difference between them was significant (P = 0.001).
Conclusion: Insomnia after both CABG and angioplasty was significantly increased but in CABG group this increase was more than angioplasty.

Keywords

1.
Burman D. Sleep Disorders: Insomnia. FP Essent 2017;460:22-8.  Back to cited text no. 1
    
2.
Sadock BJ, Virginia A, Adock A. Synapsis of Psychiatry. Vol. 10. Philadelphia: Lippincott Wiliams & Wilkins; 2015. p. 1435-61.  Back to cited text no. 2
    
3.
Sadock BJ, Virginia A, Adock A. Comprehensive Text Book of Psychiatry. Philadelphia: Lippincott Wiliams & Wilkins; 2017. p. 2554-72.  Back to cited text no. 3
    
4.
Bollu PC, Kaur H. Sleep medicine: Insomnia and sleep. Missouri Medicine. 2019 Jan; 116 (1):68.  Back to cited text no. 4
    
5.
Taylor DJ, Mallory LJ, Lichstein KL, Durrence HH, Riedel BW, Bush AJ. Comorbidity of chronic insomnia with medical problems. Sleep 2007;30:213-8.  Back to cited text no. 5
    
6.
Reynolds AC, King N. Hybrid coronary revascularization versus conventional coronary artery bypass grafting: Systematic review and meta-analysis. Medicine (Baltimore) 2018;97:e11941.  Back to cited text no. 6
    
7.
Redeker NS, Hedges C. Sleep during hospitalization and recovery after cardiac surgery. J Cardiovasc Nurs 2002;17:56-68.  Back to cited text no. 7
    
8.
Marmagkiolis K, Iliescu C, Edupuganti MMR, Saad M, Boudoulas KD, Gupta A, et al. Primary patency with stenting versus balloon angioplasty for arteriovenous graft failure: A systematic review and meta-analysis. J Invasive Cardiol 2019;31:E356-61.  Back to cited text no. 8
    
9.
Sabrik JF. Coronary artery bypass surgery. In: Topol DJ, editor. Textbook of Cardiovascular Medicine. 3rd ed.. Philadelphia: Baltimore; 2007. p. 1290-305.  Back to cited text no. 9
    
10.
Utriyaprasit K, Moore S. Recovery symptoms and mood states in Thai CABG patients. J Transcult Nurs 2005;16:97-106.  Back to cited text no. 10
    
11.
Yazdi Z, Sadeghniiat-Haghighi K, Zohal MA, Elmizadeh K. Validity and reliability of the Iranian version of the insomnia severity index. The Malaysian journal of medical sciences: MJMS. 2012;19 (4):31.  Back to cited text no. 11
    
12.
Waterman LA, Belnap BH, Gebara MA, Huang Y, Abebe KZ, Rollman BL, et al. Bypassing the blues: Insomnia in the depressed post-CABG population. Ann Clin Psychiatry 2020;32:17-26.  Back to cited text no. 12
    
13.
Peric VM, Borzanovic MD, Stolic RV, Jovanovic AN, Sovtic SR. Severity of angina as a predictor of quality of life changes six months after coronary artery bypass surgery. Ann Thorac Surg 2006;81:2115-20.  Back to cited text no. 13
    
14.
Caruana N, McKinley S, Elliott R, Gholizadeh L. Sleep quality during and after cardiothoracic intensive care and psychological health during recovery. J Cardiovasc Nurs 2018;33:E40-9.  Back to cited text no. 14
    
15.
Liao WC, Huang CY, Huang TY, Hwang SL. A systematic review of sleep patterns and factors that disturb sleep after heart surgery. J Nurs Res 2011;19:275-88.  Back to cited text no. 15
    
16.
Edéll-Gustafsson UM, Hetta JE. Fragmented sleep and tiredness in males and females one year after percutaneous transluminal coronary angioplasty (PTCA). J Adv Nurs 2001;34:203-11.  Back to cited text no. 16
    
17.
Währborg P. Quality of life after coronary angioplasty, division of cardiology. Eur Heart J 1999;20:653-8.  Back to cited text no. 17
    
18.
Nerbass FB, Feltrim MI, Souza SA, Ykeda DS, Lorenzi-Filho G. Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. Clinics (Sao Paulo) 2010;65:1105-10.  Back to cited text no. 18
    
19.
Ranjbaran S, Dehdari T, Sadeghniiat-Haghighi K, Majdabadi MM. Poor sleep quality in patients after coronary artery bypass graft surgery: an intervention study using the PRECEDE-PROCEED model. J Tehran Heart Cent 2015;10:1-8.  Back to cited text no. 19
    
20.
Cebeci F, Celik SS. Discharge training and counselling increase self-care ability and reduce postdischarge problems in CABG patients. J Clin Nurs 2008;17:412-20.  Back to cited text no. 20
    
Advanced Biomedical Research
Volume 2020, November
November 2020
Pages 1-4