Association Between Sleep Quality and Geriatric Hip Fracture: A Prospective Comparative Study
Abstract
Background: The aim of this study was to evaluate the association between sleep disturbance and geriatric hip fracture.
Methods: Between January 2023 and August 2024, 90 patients admitted to the Adult Emergency Clinic with the diagnosis of hip fracture were included in the study. In addition, a control group consisted of 90 patients, aged ≥65 years, and undergoing elective orthopedic surgery without prior hip fracture. The Pittsburg Sleep Quality Index (PSQI) test, Bone Mineral Densitometry and Vitamin D and Calcium levels were examined and noted in the inpatient service for both groups of patients two days after surgery.
Results: A total of 180 patients were included. The fracture group demonstrated higher PSQI scores compared with the control group (6.74 ± 4.02 vs 5.23 ± 3.06, p=0.005). Poor sleep quality (PSQI >5) was more frequent in the fracture group (73.3% vs 33.3%, p<0.001). Serum calcium levels were lower in the fracture group (p<0.001), while vitamin D and DEXA scores were not significantly different (p=0.796 and p=0.119, respectively). Within the fracture cohort, poorer sleep quality was associated with older age and female sex.
Conclusion: Geriatric hip fracture patients demonstrated poorer sleep quality compared with elective surgical control patients. Screening for sleep problems could help identify high-risk geriatric individuals who may benefit from comprehensive fall-prevention strategies.
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 180 participants or records.
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