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The Epworth sleepiness scale in the identification of obstructive sleep apnea.
J Nerv Ment Dis. 2008 May; 196(5):429-31.JN

Abstract

The Epworth sleepiness scale (ESS) is often used clinically to screen for the manifestations of the behavioral morbidity associated to obstructive sleep apnea (OSA). The purpose of this study was to assess the sensitivity of the ESS in the identification of OSA, as defined by an elevated apnea-hypopnea index. A retrospective chart review of 268 consecutive patients diagnosed with OSA at a multidisciplinary sleep medicine clinic was conducted. The ESS obtained a relatively low sensitivity (66%) in the identification of an apnea-hypopnea index of 5 and above at the suggested cutoff of 10 and increased to 76% at 8. The results of the study showed only fair discriminatory ability of the ESS as a screener for OSA. A score of 8 (instead of 10) is suggested as the cutoff among clinic populations being screened for a sleep disorder.

Authors+Show Affiliations

Sleep Medicine Associates of Texas, Dallas, Texas 75231, USA. ldr@sleepmed.comNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

18477888

Citation

Rosenthal, Leon D., and Diana C. Dolan. "The Epworth Sleepiness Scale in the Identification of Obstructive Sleep Apnea." The Journal of Nervous and Mental Disease, vol. 196, no. 5, 2008, pp. 429-31.
Rosenthal LD, Dolan DC. The Epworth sleepiness scale in the identification of obstructive sleep apnea. J Nerv Ment Dis. 2008;196(5):429-31.
Rosenthal, L. D., & Dolan, D. C. (2008). The Epworth sleepiness scale in the identification of obstructive sleep apnea. The Journal of Nervous and Mental Disease, 196(5), 429-31. https://doi.org/10.1097/NMD.0b013e31816ff3bf
Rosenthal LD, Dolan DC. The Epworth Sleepiness Scale in the Identification of Obstructive Sleep Apnea. J Nerv Ment Dis. 2008;196(5):429-31. PubMed PMID: 18477888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Epworth sleepiness scale in the identification of obstructive sleep apnea. AU - Rosenthal,Leon D, AU - Dolan,Diana C, PY - 2008/5/15/pubmed PY - 2008/5/22/medline PY - 2008/5/15/entrez SP - 429 EP - 31 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 196 IS - 5 N2 - The Epworth sleepiness scale (ESS) is often used clinically to screen for the manifestations of the behavioral morbidity associated to obstructive sleep apnea (OSA). The purpose of this study was to assess the sensitivity of the ESS in the identification of OSA, as defined by an elevated apnea-hypopnea index. A retrospective chart review of 268 consecutive patients diagnosed with OSA at a multidisciplinary sleep medicine clinic was conducted. The ESS obtained a relatively low sensitivity (66%) in the identification of an apnea-hypopnea index of 5 and above at the suggested cutoff of 10 and increased to 76% at 8. The results of the study showed only fair discriminatory ability of the ESS as a screener for OSA. A score of 8 (instead of 10) is suggested as the cutoff among clinic populations being screened for a sleep disorder. SN - 1539-736X UR - https://www.unboundmedicine.com/medline/citation/18477888/The_Epworth_sleepiness_scale_in_the_identification_of_obstructive_sleep_apnea_ L2 - https://doi.org/10.1097/NMD.0b013e31816ff3bf DB - PRIME DP - Unbound Medicine ER -