Evidence map›Paper›PMID 40413711›Full record

ArticleEuropean geriatric medicine2025

Perioperative sleep disturbances in older adults: a scoping review of epidemiology and treatment.

Hao Guo, Li-Heng Li, Fei Xiao, Yu-Bo Xie

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hao Guo *Department of Anesthesiology, Renmin Hospital, Hubei University of Medicine, Shiyan, China.
Li-Heng Li *Department of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning, 530000, China.
Fei Xiao *Department of Anesthesiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Yu-Bo XieDepartment of Anesthesiology, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chendu, China. xybdoctor@163.com.ORCID http://orcid.org/0000-0002-7198-7506

Funding

Guangxi Clinical Research Center for Anesthesiology No. GK AD22035214the Guangxi Key Research and Development Program No. AB24010066the Special Fund of Neurotoxicity of General Anesthetics and Its Prevention and Treatment Innovation Team of the First Affiliated Hospital of Guangxi Medical University No. YYZS2022001
6 · The paper itself

Abstract

purposePerioperative sleep disturbances are prevalent in older adults undergoing surgery, contributing to poor postoperative recovery, increased complications, and prolonged hospitalization. Despite their clinical significance, standardized assessment and management approaches remain insufficient.

methodsA scoping review conducted in accordance with PRISMA-ScR guidelines was performed using PubMed, Embase, and Web of Science. Studies focusing on perioperative sleep disturbances in older adults (aged ≥ 65 years) were included, covering prevalence, risk factors, and outcomes. No language restrictions were applied, and studies in English, Chinese, and Japanese were included. Both subjective (e.g., Pittsburgh Sleep Quality Index) and objective (e.g., actigraphy, polysomnography) assessment tools were reviewed, with data synthesized narratively to summarize evidence on prevalence, risk factors, and management strategies.

resultsPreoperative sleep disturbances prevalence ranges from 0 to 91%, while postoperative sleep disturbances affect 6.7% to 93% of patients. Most included studies enrolled participants aged 65-75 years, limiting generalizability to older adults ≥ 80 years. sleep disturbances are associated with increased postoperative pain sensitivity, heightened risk of delirium, cognitive decline, and prolonged recovery. Additionally, sleep disturbances correlate with worsened emotional states, including anxiety and depression, which further impair functional recovery. Key risk factors include pain, anesthesia, hospital environmental factors, and preexisting psychological distress. Management strategies involve multimodal analgesia, psychological interventions, environmental modifications, and pharmacologic treatments (e.g., dexmedetomidine, melatonin).

conclusionPerioperative sleep disturbances significantly impact postoperative recovery by affecting pain levels, cognitive function, emotional stability, and overall rehabilitation progress. Standardized assessment and targeted interventions are needed to mitigate these effects. Future research should refine diagnostic criteria and explore individualized treatment approaches to optimize perioperative sleep management.

Indexed as

Postoperative ComplicationsSleep Wake DisordersAgedAged, 80 and overHumansPerioperative PeriodPrevalenceRisk FactorsInterventionOlder adultsPerioperativeSleep disturbancesSleep quality

Identifiers

PMID40413711

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.