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September 16, 2025International Journal of SurgeryOpen Access

Autonomic function effects on postoperative sleep disorder: a prospective cohort study

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Why the study?

Early identification of patients at risk of postoperative sleep disorders is needed to reduce surgical stress and improve enhanced recovery after surgery.

Can continuous HRV monitoring using a smart patch predict postoperative sleep disorders in patients undergoing radical surgery for gastrointestinal cancer?

Population

51 patients undergoing radical surgery for gastrointestinal cancer

Comparison

Patients with vs without postoperative sleep disorders

Design

Prospective cohort study

Follow-up

120 h

Key result

A risk factor prediction model established by continuous heart rate variability parameters successfully identified patients at risk for postoperative sleep disorders with an AUC of 0.815.

Authors

YFYunda FangYZYan ZhangGWGang Wang

Discussion

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Member takes

Overview

May support HRV-based PSD risk stratification after GI cancer surgery; leaves open prospective validation before clinical use.

Study Design

Type

Cohort (n=51)

Multicenter

No

Structured PICO

Can continuous HRV monitoring using a smart patch predict postoperative sleep disorders in patients undergoing radical surgery for gastrointestinal cancer?

P
Population
n=51 patients who underwent radical surgery for gastrointestinal cancer
I
Intervention
120 hours of continuous heart rate variability (HRV) monitoring using a smart patch
C
Comparator
Patients with vs without postoperative sleep disorders (PSD)
O
Outcome
Development of a prognostic model for early identification of postoperative sleep disorders (PSD) using HRV parameterssurrogate

Main Result

Effect estimate: AUC 0.815 (95% CI 0.701-0.929)

p-value: p=<0.0001

Continuous HRV monitoring using a smart patch can effectively predict postoperative sleep disorders in patients undergoing gastrointestinal cancer surgery.

Limitations

  • Small sample size
  • Insomnia cohort showed a higher proportion of advanced pathological stages and increased ICU transfers, possibly resulting in a biased result
  • Low completion rate (approximately 70%) due to the material of the HRV patch causing sweat, allergic reactions, and data artifacts

Cite This Study

Fang et al. (2025) conducted a cohort in Postoperative sleep disorder (PSD) in gastrointestinal cancer surgery (n=51). Heart rate variability (HRV) monitoring via smart patch vs. Normal sleep (PSQI ≤ 5) was evaluated on Prediction of postoperative sleep disorder using a multi-factor HRV parameter model (AUC 0.815, 95% CI 0.701-0.929, p=<0.0001). A risk factor prediction model established by continuous heart rate variability parameters successfully identified patients at risk for postoperative sleep disorders with an AUC of 0.815.

synapsesocial.com/papers/6a125f73bb918b6e5b67321fhttps://doi.org/10.1097/js9.0000000000002630
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