Comparison of the results of the Epworth Sleepiness Scale and the Multiple Sleep Latency Test

Chervin, Ronald D.; Aldrich, Michael S.; Pickett, Roberta; Guilleminault, Christian

doi:10.1016/s0022-3999(96)00239-5

Cited by 267 publications

(156 citation statements)

References 18 publications

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“…Among subjective scales, the ESS is well accepted and currently the most commonly used [10,14,20], and in order to compare its results to other subjective methods, we used the insomnia index and the apnea index score that are used to evaluate different aspects of sleep [10,11]. In addition, subjective sleepiness measured by these methods correlate significantly with objective sleepiness measured by the multiple sleep latency test, albeit imperfectly [10,21].…”

Section: Discussionmentioning

confidence: 99%

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Urban Bus Drivers’ Sleep Problems and Crash Accidents

Razmpa

Niat

Saedi

2011

Indian J Otolaryngol Head Neck Surg

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Sleep problems and their direct consequence, sleepiness, results in critical effects on psychomotor skills, memory, decision making, concentration and learning; all of which may play roles in accidents and errors. Despite the importance of quality of sleep among drivers there are only few researches that deal with them. Therefore, we designed this research to better understand possible relationships. This cross-sectional study was performed between 2006 and 2007 among 175 bus drivers of a transportation company in Tehran, the capital of Iran. Participants filled out a questionnaire concerning their demographic and personal history, associated disease, the insomnia index, the Epworth sleepiness scale (ESS), and the apnea index. Then they elaborated their history of crashes. Data was analyzed with the SPSS software through v 2 , Oneway ANOVAs, and Pearson correlation tests. The mean age, and body mass index (BMI) were 43.47 ± 6.85 years and 26.35 ± 3.87 kg/m 2 . The mean duration of sleep among these drivers was 6.37 ± 1.62 h per day. The mean accident rate was 2.31 ± 1.83 per year. There was a significant correlation between the insomnia index and BMI (P = 0.014), age (0.00), marital status (0.00), associated disease (0.005), and drug history (0.028). There was a significant relationship between marital status and the ESS, and also between age and accident rate in the past years. Sleep problems were a frequent finding among the studied group and had a significant relationship with their crash history. These results can be an alarming sign to choose bus drivers more carefully and pay more attention to treating their sleep disorders.

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Section: Discussionmentioning

confidence: 99%

“…The ESS is an 8-item questionnaire where each question is answered on a scale of 0 (would never dose) to 3 (high chance of dosing), yielding a total between 0 (minimum) and 24 (maximum sleepiness) which is then classified into three groups: minimum (0-8), moderate (9)(10)(11)(12)(13)(14)(15)(16), and high risk (17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Methodsmentioning

confidence: 99%

Urban Bus Drivers’ Sleep Problems and Crash Accidents

Razmpa

Niat

Saedi

2011

Indian J Otolaryngol Head Neck Surg

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“…Fourth, the Epworth Sleepiness Scale used in the present study is a self-report measurement that subjectively assesses excessive daytime sleepiness. However, the subjective measure of the Epworth Sleepiness Scale and more objective measure of the Multiple Sleep Latency Test may result in slightly different values, but can be considered complimentary measures of sleepiness (28,29).…”

Section: Discussionmentioning

confidence: 99%

Relationships between Sleep-Disordered Breathing and Blood Pressure and Excessive Daytime Sleepiness among Truck Drivers

et al. 2006

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“…38 However, preadolescent children are likely not to fall asleep within this time period, and therefore a 30-minute nap opportunity has been suggested. 34,39,40 Because our patients' ages were heterogeneously distributed, we selected the 30-minute trials for all participants, thereby reducing the likelihood of missing a true difference between the index and control groups. In healthy prepubertal children, the average SL in the MSLT was reported at 23.7 minutes, 34 23.5 minutes, 40 and 26.4 minutes, 39 and our control prepubertal subjects were no exception.…”

Section: Discussionmentioning

confidence: 99%

Severe Hypersomnolence After Pituitary/Hypothalamic Surgery in Adolescents: Clinical Characteristics and Potential Mechanisms

Snow¹,

Gozal

Malhotra

et al. 2002

Pediatrics

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ABSTRACT. Objectives. After resection of hypothalamic/pituitary tumors, children are at risk for development of hormonal deficiencies, obesity, and hypersomnolence. However, the prevalence and pathophysiology of these complications are unclear. The purpose of this study was to assess the prevalence and severity of hypersomnolence in children after resection of pituitary tumors and to study the potential factors that contribute to this sleepiness if present. We further hypothesized that decrements in orexin levels may contribute to the sleepiness.Methods. Six children who underwent hypothalamic/ pituitary surgery were identified. Five of these patients and 5 matched control subjects underwent overnight polysomnography followed by a multiple sleep latency test. Children who had a primary sleep disorder (eg, obstructive sleep apnea) underwent treatment and were restudied subsequently (n ‫؍‬ 2). Blood levels of pituitary hormones were measured. Blood and cerebrospinal fluid (CSF) were drawn from 4 patients and 3 control subjects to measure orexin levels.Results. Endocrine control was appropriate in all children. Although patients had longer sleep duration but similar sleep efficiency than control subjects, relatively severe daytime somnolence was present (mean sleep latency: 10.3 ؎ 5.3 minutes vs 26.2 ؎ 1.1 minute in control subjects). Sleepiness did not correlate with body mass index or age. Furthermore, serum and CSF orexin levels did not differ between patients and control subjects.Conclusions. Severe daytime sleepiness is frequent among children who undergo pituitary/hypothalamic surgery and does not seem to result from inappropriate cortisol or thyroxine replacement, disturbed nocturnal sleep, or low levels of orexin in the serum or CSF. We therefore speculate that other, unidentified neurohormonal mechanisms may mediate the excessive sleepiness of these patients. Pediatrics 2002;110(6). URL: http:// www.pediatrics.org/cgi/content/full/110/6/e74; sleep, excessive daytime sleepiness, adolescents, orexin (hypocretin), brain tumors, craniopharyngioma.

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Comparison of the results of the Epworth Sleepiness Scale and the Multiple Sleep Latency Test

Cited by 267 publications

References 18 publications

Urban Bus Drivers’ Sleep Problems and Crash Accidents

Urban Bus Drivers’ Sleep Problems and Crash Accidents

Relationships between Sleep-Disordered Breathing and Blood Pressure and Excessive Daytime Sleepiness among Truck Drivers

Severe Hypersomnolence After Pituitary/Hypothalamic Surgery in Adolescents: Clinical Characteristics and Potential Mechanisms

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