Sleep quality correlates with effectiveness of ultrapulse fractional CO2 laser in the treatment of facial atrophic acne scars

Author:

Hua Hui1ORCID,Li Min2,Zhai Xiaoyu1,Zhou Shu1ORCID,Pan Zhonglan3,Hou Zuoqiong4,Zhou Bingrong5

Affiliation:

1. Department of Dermatology Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University Nantong China

2. Department of Integrated Chinese and Western Medicine Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University Nantong China

3. Nanjing Yijia Medical Aesthetic Clinic Nanjing China

4. Department of Burn and Plastic Surgery The First Affiliated Hospital of Nanjing Medical University Nanjing China

5. Department of Dermatology The First Affiliated Hospital of Nanjing Medical University Nanjing China

Abstract

AbstractUltrapulse fractional CO2 laser is effective for acne atrophic scars. Whether this effectiveness is affected by sleep quality remains unclear. Aiming to investigate the relationship between sleep quality and postoperative effectiveness, a retrospective clinical study was conducted, enrolling 83 patients with atrophic acne scar. Sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI) questionnaire at 3 months after the end of the first treatment. The ECCA (échelle d'évaluation clinique des cicatrices d'acné) scale was used to evaluate the clinical effectiveness before and at 3 months after treatment. The patients were divided into a mild to moderate improvement group and a good to excellent improvement group, based on whether they achieved a 50% ECCA improvement rate. PSQI score was higher in the mild and moderate improvement group than in the good to excellent improvement group (7.6 ± 4.5 vs 3.8 ± 1.7, p < 0.001). Multivariate logistic regression showed that both PSQI score (odds ratio = 0.6 [95% CI = 0.5–0.8], p < 0.001) and scar type were correlated with postfractional CO2 laser effectiveness. Pearson correlation analysis suggested that PSQI score was negatively correlated with ECCA decline score (r = −0.6139, p < 0.0001). Receiver operating characteristic curve analysis showed that PSQI score (area under the curve = 0.759) and scar type (area under the curve = 0.737) were all closely correlated with postoperative effectiveness, without statistical difference between their accuracies (p = 0.647). Decision curve analysis demonstrated that both PSQI score and scar type correlated with postoperative effectiveness. Our results demonstrated that sleep quality correlates with the postoperative effectiveness of ultrapulse fractional CO2 laser in the treatment of atrophic acne scars.

Funder

National Natural Science Foundation of China

Publisher

Wiley

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