Epworth Sleepiness Scale

About: Epworth Sleepiness Scale is a research topic. Over the lifetime, 4742 publications have been published within this topic receiving 155088 citations.

Behavioral correlates of sleep-disordered breathing in older men.

Abstract: Study Objectives: To examine the association between sleep-disordered breathing (SDB) and subjective measures of daytime sleepiness, sleep quality, and sleep-related quality of life in a large cohort of community-dwelling older men and to determine whether any association remained after adjustment for sleep duration.

Age, gender, neck circumference, and Epworth sleepiness scale do not predict obstructive sleep apnea (OSA) in moderate to severe chronic obstructive pulmonary disease (COPD): The challenge to predict OSA in advanced COPD.

Abstract: The combination of chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA) is associated with substantial morbidity and mortality We hypothesized that predictors of OSA among patients with COPD may be distinct from OSA in the general population Therefore, we investigated associations between traditional OSA risk factors (eg age), and sleep questionnaires [eg Epworth Sleepiness Scale] in 44 patients with advanced COPD As a second aim we proposed a pilot, simplified screening test for OSA in patients with COPD In a prospective, observational study of patients enrolled in the UCSD Pulmonary Rehabilitation Program we collected baseline characteristics, cardiovascular events (eg atrial fibrillation), and sleep questionnaires [eg Pittsburgh Sleep Quality Index (PSQI)] For the pilot questionnaire, a BMI ≥25 kg/m2 and the presence of cardiovascular disease were used to construct the pilot screening test Male: 59%; OSA 66% FEV1 (mean ± SD) = 410±182% pred, FEV1/FVC = 415±127%] Male gender, older age, and large neck circumference were not associated with OSA Also, Epworth Sleepiness Scale and the STOP-Bang questionnaire were not associated with OSA in univariate logistic regression In contrast, BMI ≥25 kg/m2 (OR = 394, p = 004) and diagnosis of cardiovascular disease (OR = 506, p = 003) were significantly associated with OSA [area under curve (AUC) = 074] The pilot COPD-OSA test (OR = 528, p = 005) and STOP-Bang questionnaire (OR = 513, p = 003) were both associated with OSA in Receiver Operating Characteristics (ROC) analysis The COPD-OSA test had the best AUC (074), sensitivity (92%), and specificity (83%) A ten-fold cross-validation validated our results We found that traditional OSA predictors (eg gender, Epworth score) did not perform well in patients with more advanced COPD Our pilot test may be an easy to implement instrument to screen for OSA However, a larger validation study is necessary before further clinical implementation is warranted

CPAP Adherence of Patients With Obstructive Sleep Apnea

Abstract: BACKGROUND: Continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BPAP) are the gold standard treatments for obstructive sleep apnea syndrome (OSAS), but CPAP/BPAP is not well tolerated and requires long-term follow-up. OBJECTIVE: We prospectively assessed subjective and objective adherence and factors that affect adherence in OSAS patients. METHODS: Subjects using CPAP/BPAP were questioned about adverse effects of CPAP/BPAP and were assessed with the Epworth Sleepiness Scale (ESS) at the first, third, sixth, and twelfth month, and once every 6 months after the first year. CPAP/BPAP use and objective and subjective adherence were assessed. Subjects who used CPAP/BPAP for at least 4 hours per night for at least 70% of the days monitored were regarded as adherent, and those who did not were considered non-adherent. The relationships between adherence and demographic data, polysomnography findings, ESS scores, and adverse effects were statistically analyzed. RESULTS: Six-hundred forty-eight subjects who were diagnosed with OSAS by polysomnography and accepted to use CPAP/BPAP in our sleep center between January 2005 and June 2011 were included. Four-hundred fifty-one subjects (69.6%) were men, and 197 (30.4%) were women. Two-hundred forty-eight (38.3%) subjects attended follow-ups, 246 (37.9%) were called by telephone, and 154 (23.8%) could not be reached. Of the whole population, 63.9% had obtained their CPAP/BPAP machine. In the 248 subjects who attended follow-ups, subjective adherence was 85.1% and objective adherence was 64.5%. Improvement in ESS score (P CONCLUSIONS: Of the whole population, just 38.3% attended follow-ups. The objective adherence was lower than the subjective adherence in subjects who attended follow-ups. Younger subjects were more adherent, and the most important factors that correlated with adherence were substantial improvement of daytime sleepiness and effect of CPAP/BPAP on satisfactory sleep. CONCLUSIONS: CPAP/BPAP adherence should be followed with objective monitoring.