Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis

Introduction. Mild traumatic brain injury (mTBI) has been widely studied and the effects of injury can be long term or even lifelong. This research aims to characterize the sleep problems of patients following acute mTBI. Methods. A total of 171 patients with mTBI within one month and 145 non-mTBI c...

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Main Authors: Ting-Yun Huang, Hon-Ping Ma, Shin-Han Tsai, Yung-Hsiao Chiang, Chaur-Jong Hu, Juchi Ou
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2015/378726
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author Ting-Yun Huang
Hon-Ping Ma
Shin-Han Tsai
Yung-Hsiao Chiang
Chaur-Jong Hu
Juchi Ou
author_facet Ting-Yun Huang
Hon-Ping Ma
Shin-Han Tsai
Yung-Hsiao Chiang
Chaur-Jong Hu
Juchi Ou
author_sort Ting-Yun Huang
collection DOAJ
description Introduction. Mild traumatic brain injury (mTBI) has been widely studied and the effects of injury can be long term or even lifelong. This research aims to characterize the sleep problems of patients following acute mTBI. Methods. A total of 171 patients with mTBI within one month and 145 non-mTBI controls were recruited in this study. The questionnaire, Pittsburgh Sleep Quality Index (PSQI), was used to evaluate seven aspects of sleep problems. A propensity score method was used to generate a quasirandomized design to account for the background information, including gender, age, Beck’s Anxiety Index, Beck’s Depression Index, and Epworth Sleepiness Scale. The effect was evaluated via cumulative logit regression including propensity scores as a covariate. Results. Before adjustment, about 60% mTBI patients and over three quarters of control subjects had mild sleep disturbance while one third mTBI patients had moderate sleep disturbance. After adjusting by the propensity scores, the scores of sleep quality and duration were significant between mTBI and control groups. Conclusion. Our study supports that sleep problem is common in mTBI group. After adjusting the confounders by propensity score, sleep duration and subjective sleep quality are the most frequently reported problems in mTBI patients within one month after the injury.
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spelling doaj-art-1f511b492dba483e88bc7f86ab4c71122025-02-03T05:52:55ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/378726378726Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score AnalysisTing-Yun Huang0Hon-Ping Ma1Shin-Han Tsai2Yung-Hsiao Chiang3Chaur-Jong Hu4Juchi Ou5Department of Emergency Medicine, Shuang-Ho Hospital, Taipei Medical University, New Taipei City 235, TaiwanDepartment of Emergency Medicine, Shuang-Ho Hospital, Taipei Medical University, New Taipei City 235, TaiwanDepartment of Emergency Medicine, Shuang-Ho Hospital, Taipei Medical University, New Taipei City 235, TaiwanDepartment of Neurosurgery, Taipei Medical University, Taipei 110, TaiwanDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City 235, TaiwanDepartment of Emergency Medicine, Shuang-Ho Hospital, Taipei Medical University, No. 291 Zhongzheng Road, Zhonghe District, New Taipei City 235, TaiwanIntroduction. Mild traumatic brain injury (mTBI) has been widely studied and the effects of injury can be long term or even lifelong. This research aims to characterize the sleep problems of patients following acute mTBI. Methods. A total of 171 patients with mTBI within one month and 145 non-mTBI controls were recruited in this study. The questionnaire, Pittsburgh Sleep Quality Index (PSQI), was used to evaluate seven aspects of sleep problems. A propensity score method was used to generate a quasirandomized design to account for the background information, including gender, age, Beck’s Anxiety Index, Beck’s Depression Index, and Epworth Sleepiness Scale. The effect was evaluated via cumulative logit regression including propensity scores as a covariate. Results. Before adjustment, about 60% mTBI patients and over three quarters of control subjects had mild sleep disturbance while one third mTBI patients had moderate sleep disturbance. After adjusting by the propensity scores, the scores of sleep quality and duration were significant between mTBI and control groups. Conclusion. Our study supports that sleep problem is common in mTBI group. After adjusting the confounders by propensity score, sleep duration and subjective sleep quality are the most frequently reported problems in mTBI patients within one month after the injury.http://dx.doi.org/10.1155/2015/378726
spellingShingle Ting-Yun Huang
Hon-Ping Ma
Shin-Han Tsai
Yung-Hsiao Chiang
Chaur-Jong Hu
Juchi Ou
Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis
Behavioural Neurology
title Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis
title_full Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis
title_fullStr Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis
title_full_unstemmed Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis
title_short Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis
title_sort sleep duration and sleep quality following acute mild traumatic brain injury a propensity score analysis
url http://dx.doi.org/10.1155/2015/378726
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