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Efficacy of melatonin on sleep quality after laparoscopic cholecystectomy.

Indian journal of pharmacology
January 1, 2018
Vaibhav Vij et al. (4 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether melatonin improves sleep quality in patients undergoing laparoscopic cholecystectomy by reducing sleep latency and increasing total sleep duration.

Results Summary

Melatonin significantly decreased sleep latency (13.6 ± 14.95 min vs. 20.10 ± 16.18 min in placebo) and increased total sleep duration compared to placebo, indicating improved sleep quality post-surgery.

Population

Patients undergoing laparoscopic cholecystectomy (100 participants).

Effective Dosage

6 mg melatonin tablets taken 45 minutes before sleep.

Duration

3 days after surgery.

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
decrease
sleep latency (SL)
patients undergoing laparoscopic cholecystectomy (LC)
13.6 ± 14.95 vs. 20.10 ± 16.18 min
results in decrease
#1
melatonin
increase
quality of sleep
patients undergoing laparoscopic cholecystectomy (LC)
-
could improve
#2
melatonin
decrease
SL
patients undergoing laparoscopic cholecystectomy (LC)
-
decreasing
#3
melatonin
increase
TSD
patients undergoing laparoscopic cholecystectomy (LC)
-
increasing
#4
Abstract

CONTEXT: Postoperative sleep and circadian rhythm disturbances were associated with prolonged postoperative convalescence, respiratory, and cardiovascular morbidity. Sleep disturbances have been shown to be due to decreased levels of circulating melatonin after surgery. If this sleep pattern and circadian rhythm are recycled, outcome after surgery could be improved. AIMS: The aim of this study was to observe the effect of melatonin on the quality of sleep in patients undergoing laparoscopic cholecystectomy (LC). SUBJECTS AND METHODS: Hundred patients of LC participated in this randomized, placebo-controlled, double-blind, clinical trial. Patients were randomized equally into Group A who received 6 mg melatonin tablets 45 min before sleep for 3 days after surgery and Group B who received placebo. RESULTS: Melatonin usage results in decrease in sleep latency (SL) as compared to placebo (13.6 ± 14.95 vs. 20.10 ± 16.18 min, CONCLUSIONS: Results in this study could demonstrate that melatonin as a single agent could improve the quality of sleep after LC by decreasing SL and increasing TSD.

Medical Subject Headings (MeSH)
AdultCentral Nervous System DepressantsCholecystectomy, LaparoscopicCircadian RhythmDouble-Blind MethodFemaleHumansMaleMelatoninMiddle AgedPostoperative ComplicationsSleepSleep Wake DisordersTime Factors
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations17
Citations/Year2.4
Relative Citation Ratio1.27
NIH Percentile59.1%
Research Impact Scores
APT Score0.75
Weight Score2.10
Normalized Score0.70
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