Perioperative Sleep Quality and Postoperative Pain Outcomes

N/AEnrolling By InvitationNCT06054802

Grant Heydinger166 enrolled

Overview

This is a prospective, observational cohort study that will examine how sleep quality impacts postoperative pain and opioid consumption for pediatric patients. The investigators will administer a questionnaire preoperatively to determine which patients have poor or good sleep quality. They will then compare postoperative pain and opioid use between groups for two weeks following surgery. For a secondary aim, investigators will use electronic medication vials (eCAP) to monitor participants' medication use at home and compare to self-reporting.

Study Type

OBSERVATIONAL

Enrollment

166

Conditions

Surgery ACL Injury Pain Sleep

Interventions

eCAPDEVICE

Eligibility

Sex: ALLMin age: 10 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * able to read, understand, and speak English * are undergoing ACL repair or reconstruction * have availability of a mobile device/computer to receive text messages Exclusion Criteria: * \< 10 or \> 18 years of age * have a history of sleep-disordered breathing including sleep apnea * have a history of chronic pain or current opioid use * have a history of developmental delay that would preclude study participation

Outcomes

Primary Outcomes

Pittsburgh Sleep Quality Index

Pittsburgh Sleep Quality Index (PSQI) is a validated, self-report questionnaire that assesses sleep quality over a one-month period that takes five to ten minutes to complete. It offers seven component scores (e.g., subjective sleep quality, latency, duration, and efficiency) as well as a composite score that measures overall sleep quality. A total score greater than five yields a sensitivity of 89.6% and specificity of 86.5% (kappa = 0.75, p \<0.001) in distinguishing good from poor sleepers.

Time frame: Baseline

Difference in opioid consumption between self-report and eCap

The eCAP Electronic Content Monitor (ECM) is a smart pill bottle used to monitor and improve medication adherence. When opened, an event is recorded, and the data is securely stored. The eCAP device timestamps medication usage and provides a visualization demonstrating how patients are taking medications, providing robust analytics. Subjects will also record each time they take an opioid pain medicine on a daily diary.

Time frame: Days 1-14 post-op