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Relationship between Daytime Sleepiness and Health Utility in Patients after Cardiac Surgery: A Preliminary Study

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  • Kazuhiro P. Izawa

    (Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
    Cardiovascular stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Yusuke Kasahara

    (Department of Rehabilitation Medicine, St. Marianna University School of Medicine Yokohama-City Seibu Hospital, Yokohama 241-0811, Japan
    Cardiovascular stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Koji Hiraki

    (Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, Kawasaki 216-8511, Japan
    Cardiovascular stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Yasuyuki Hirano

    (Department of Physical Therapy, Tokushima Bunri University, Tokushima 770-8514, Japan
    Cardiovascular stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Koichiro Oka

    (Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan
    Cardiovascular stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Satoshi Watanabe

    (Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, Kawasaki 216-8511, Japan
    Cardiovascular stroke Renal Project (CRP), Kobe 654-0142, Japan)

Abstract

Background Daytime sleepiness can be assessed by the Epworth Sleepiness Scale (ESS), which is widely used in the field of sleep medicine as a subjective measure of a patient’s sleepiness. Also, health utility assessed by the mean Short-Form Six-Dimension (SF-6D) score, one of several preference-based utility measures, is an important measure in health care. We aimed to examine age-related differences in daytime sleepiness and health utility and their relationship in patients 5 months after cardiac surgery. Methods ; This cross-sectional study assessed 51 consecutive cardiac surgery patients who were divided into a middle-aged (<65 years, n = 29) and older-age group (≥65 years, n = 22). The mean ESS and SF-6D utility scores were measured at 5 months after cardiac surgery and compared. In addition, the relationship between ESS and SF-6D utility scores were assessed. Results ; There were no significant differences between the middle-aged and older-aged groups in either the mean ESS (5.14 ± 2.96 vs. 4.05 ± 3.23, p = 0.22) or SF-6D utility (0.72 ± 0.14 vs. 0.71 ± 0.10, p = 0.76) scores. However, there was a negative correlation between both values in all of the patients after cardiac surgery ( r = −0.41, p = 0.003). Conclusions ; Although there were no age-related differences in the ESS and SF-6D utility values between the two groups, there was a negative correlation between these values in all patients at 5 months after cardiac surgery. This suggested that sleepiness is associated with decreased utility scores in patients at 5 months after cardiac surgery.

Suggested Citation

  • Kazuhiro P. Izawa & Yusuke Kasahara & Koji Hiraki & Yasuyuki Hirano & Koichiro Oka & Satoshi Watanabe, 2018. "Relationship between Daytime Sleepiness and Health Utility in Patients after Cardiac Surgery: A Preliminary Study," IJERPH, MDPI, vol. 15(12), pages 1-8, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2716-:d:187185
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    References listed on IDEAS

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    3. Nato Darchia & Nikoloz Oniani & Irine Sakhelashvili & Mariam Supatashvili & Tamar Basishvili & Marine Eliozishvili & Lia Maisuradze & Katerina Cervena, 2018. "Relationship between Sleep Disorders and Health Related Quality of Life—Results from the Georgia SOMNUS Study," IJERPH, MDPI, vol. 15(8), pages 1-15, July.
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