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The utility of patient-completed and partner-completed Epworth Sleepiness Scale scores in the evaluation of obstructive sleep apnea.
Sleep Breath. 2016 Dec; 20(4):1347-1354.SB

Abstract

PURPOSE

Excessive daytime sleepiness in obstructive sleep apnea (OSA) is often rated differently by patients and their partners. This cross-sectional study compared the utility of patient-completed and partner-completed Epworth Sleepiness Scale (ESS) scores in the evaluation of suspected OSA.

METHODS

Eighty-five patient-partner pairs were enrolled, and 75 patients completed diagnostic sleep studies. The individual and combined utilities of patient-completed and partner-completed ESS scores in identifying OSA and predicting various sleep study-derived indicators of disease severity were determined.

RESULTS

Mean partner-completed ESS scores were higher than patient-completed ESS scores (12.3 ± 4.2 vs. 9.4 ± 4.8, p < 0.0001); Bland-Altman plot showed significant bias (partner-completed ESS scores 33.5 % higher, SD ±55.2 %). Partner-completed and combined (but not patient-completed) ESS scores correlated weakly with the apnea-hypopnea index (AHI; partner-completed ESS score r s = 0.25, p = 0.029; combined ESS score r s = 0.29, p = 0.013) and oxygen desaturation index (partner-completed ESS score r s = 0.26, p = 0.025; combined ESS score r s = 0.23, p = 0.047). None of the ESS scores correlated with body mass index, arousal index, or other parameters of nocturnal oxygen desaturation. In OSA (AHI > 15/h) detection, partner-completed ESS scores had greater sensitivity than patient-completed ESS scores (76.9 vs. 46.2 %) but poorer specificity (39.1 vs. 65.2 %); sensitivity was greatest (82.7 %) when either patient-completed or partner-completed ESS score was 10 or higher, and specificity was greatest (80.8 %) when both scores were 10 or higher.

CONCLUSIONS

Neither patient-completed nor partner-completed ESS scores by themselves have great utility in identifying OSA or predicting its severity. However, taking both scores into consideration together improves the sensitivity and specificity of the screening process.

Authors+Show Affiliations

JFK Neuroscience Institute/Seton Hall University, 65 James Street, Edison,, NJ, 08818, USA. sbhat2012@yahoo.com.JFK Neuroscience Institute/Seton Hall University, 65 James Street, Edison,, NJ, 08818, USA.Seton Hall University, 400 South Orange Avenue, South Orange, NJ, 07079, USA.JFK Neuroscience Institute/Seton Hall University, 65 James Street, Edison,, NJ, 08818, USA.JFK Neuroscience Institute/Seton Hall University, 65 James Street, Edison,, NJ, 08818, USA.JFK Neuroscience Institute/Seton Hall University, 65 James Street, Edison,, NJ, 08818, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27301400

Citation

Bhat, Sushanth, et al. "The Utility of Patient-completed and Partner-completed Epworth Sleepiness Scale Scores in the Evaluation of Obstructive Sleep Apnea." Sleep & Breathing = Schlaf & Atmung, vol. 20, no. 4, 2016, pp. 1347-1354.
Bhat S, Upadhyay H, DeBari VA, et al. The utility of patient-completed and partner-completed Epworth Sleepiness Scale scores in the evaluation of obstructive sleep apnea. Sleep Breath. 2016;20(4):1347-1354.
Bhat, S., Upadhyay, H., DeBari, V. A., Ahmad, M., Polos, P. G., & Chokroverty, S. (2016). The utility of patient-completed and partner-completed Epworth Sleepiness Scale scores in the evaluation of obstructive sleep apnea. Sleep & Breathing = Schlaf & Atmung, 20(4), 1347-1354. https://doi.org/10.1007/s11325-016-1370-8
Bhat S, et al. The Utility of Patient-completed and Partner-completed Epworth Sleepiness Scale Scores in the Evaluation of Obstructive Sleep Apnea. Sleep Breath. 2016;20(4):1347-1354. PubMed PMID: 27301400.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The utility of patient-completed and partner-completed Epworth Sleepiness Scale scores in the evaluation of obstructive sleep apnea. AU - Bhat,Sushanth, AU - Upadhyay,Hinesh, AU - DeBari,Vincent A, AU - Ahmad,Muhammad, AU - Polos,Peter G, AU - Chokroverty,Sudhansu, Y1 - 2016/06/15/ PY - 2016/03/16/received PY - 2016/06/07/accepted PY - 2016/05/13/revised PY - 2016/6/16/pubmed PY - 2017/11/29/medline PY - 2016/6/16/entrez KW - Epworth Sleepiness Scale KW - Obstructive sleep apnea KW - Partner-completed Epworth Sleepiness Scale KW - Patient-completed Epworth Sleepiness Scale KW - Spouse-completed Epworth Sleepiness Scale KW - Spouses and obstructive sleep apnea SP - 1347 EP - 1354 JF - Sleep & breathing = Schlaf & Atmung JO - Sleep Breath VL - 20 IS - 4 N2 - PURPOSE: Excessive daytime sleepiness in obstructive sleep apnea (OSA) is often rated differently by patients and their partners. This cross-sectional study compared the utility of patient-completed and partner-completed Epworth Sleepiness Scale (ESS) scores in the evaluation of suspected OSA. METHODS: Eighty-five patient-partner pairs were enrolled, and 75 patients completed diagnostic sleep studies. The individual and combined utilities of patient-completed and partner-completed ESS scores in identifying OSA and predicting various sleep study-derived indicators of disease severity were determined. RESULTS: Mean partner-completed ESS scores were higher than patient-completed ESS scores (12.3 ± 4.2 vs. 9.4 ± 4.8, p < 0.0001); Bland-Altman plot showed significant bias (partner-completed ESS scores 33.5 % higher, SD ±55.2 %). Partner-completed and combined (but not patient-completed) ESS scores correlated weakly with the apnea-hypopnea index (AHI; partner-completed ESS score r s = 0.25, p = 0.029; combined ESS score r s = 0.29, p = 0.013) and oxygen desaturation index (partner-completed ESS score r s = 0.26, p = 0.025; combined ESS score r s = 0.23, p = 0.047). None of the ESS scores correlated with body mass index, arousal index, or other parameters of nocturnal oxygen desaturation. In OSA (AHI > 15/h) detection, partner-completed ESS scores had greater sensitivity than patient-completed ESS scores (76.9 vs. 46.2 %) but poorer specificity (39.1 vs. 65.2 %); sensitivity was greatest (82.7 %) when either patient-completed or partner-completed ESS score was 10 or higher, and specificity was greatest (80.8 %) when both scores were 10 or higher. CONCLUSIONS: Neither patient-completed nor partner-completed ESS scores by themselves have great utility in identifying OSA or predicting its severity. However, taking both scores into consideration together improves the sensitivity and specificity of the screening process. SN - 1522-1709 UR - https://www.unboundmedicine.com/medline/citation/27301400/The_utility_of_patient_completed_and_partner_completed_Epworth_Sleepiness_Scale_scores_in_the_evaluation_of_obstructive_sleep_apnea_ L2 - https://dx.doi.org/10.1007/s11325-016-1370-8 DB - PRIME DP - Unbound Medicine ER -