ArticleWiener klinische Wochenschrift2018
Wanted: a better cut-off value for the Epworth Sleepiness Scale.
Article in Wiener klinische Wochenschrift, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 37 citations in OpenAlex.
- Machine learning optimization of obstructive sleep apnea screening: development and validation of a gradient boosting prediction model with a clinical implementation framework.Frontiers in medicine · 2026Article
- Sleep Quality Among a Sample of Medical Students and the Association with Academic Performance: An Updated Data.Journal of epidemiology and global health · 2025Article
- Prevalence of excessive daytime sleepiness (EDS) and its association with quality of life in patients with obstructive sleep apnea (OSA): data from a sleep-center in Shenzhen, a single-center cross-sectional study.Journal of thoracic disease · 2024Article
- The deficiencies of epworth sleepiness scale in the evaluation of excessive daytime sleepiness in obstructive sleep apnea and related factors.Sleep & breathing = Schlaf & Atmung · 2024Article
- Sleep Problems and Gambling Disorder: Cross-Sectional Relationships in a Young Cohort.Journal of gambling studies · 2024Article
- Sleep Disturbances as a Consequence of Long COVID-19: Insights from Actigraphy and Clinimetric Examinations-An Uncontrolled Prospective Observational Pilot Study.Journal of clinical medicine · 2024Article
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- Association between severity of obstructive sleep apnea and its common symptoms varies by race, ethnicity, and sex.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
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- Sleep and Performance in Professional Athletes.Current sleep medicine reports · 2023Review
- Central disorders of hypersomnolence: diagnostic discrepancies between military and civilian sleep centers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- The relationship between obstructive sleep apnoea and erectile dysfunction: An underdiagnosed link? A prospective cross-sectional study.Andrologia · 2022Article
- Severity of Daytime Sleepiness and Parkinsonian-Like Symptoms in Korean Adults Aged 50-64 Years.Journal of clinical neurology (Seoul, Korea) · 2022Article
- Prevalence of hypertension and correlation with mental health in women with burning mouth syndrome: A case-control study.Frontiers in cardiovascular medicine · 2022Article
- Diagnosing narcolepsy in the active duty military population.Sleep & breathing = Schlaf & Atmung · 2021Article
- Depression of Non-Neuronal Cholinergic System May Play a Role in Co-Occurrence of Subjective Daytime Sleepiness and Hypertension in Patients with Obstructive Sleep Apnea Syndrome.Nature and science of sleep · 2021Article
- Evaluation of Obstructive Sleep Apnea in Female Patients in Primary Care: Time for Improvement?Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2021Review
- Insomnia Disorder in Adult Attention-Deficit/Hyperactivity Disorder Patients: Clinical, Comorbidity, and Treatment Correlates.Frontiers in psychiatry · 2021Article
- Article
- Cardiovascular Effect and Symptom Profile of Obstructive Sleep Apnea: Does Sex Matter?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExcessive daytime sleepiness (EDS) is the main complaint in many neurological sleep disorders, such as idiopathic hypersomnia, narcolepsy, or obstructive sleep apnea/hypopnea syndrome (OSAS). The validity of the Epworth Sleepiness Scale (ESS) as a screening tool for EDS remains controversial. We therefore investigated (1) the interrelation of the ESS total score and the mean sleep latency (MSL) during the multiple sleep latency test (MSLT) and (2) the diagnostic accuracy of the ESS total score to detect EDS in patients with the chief complaint of subjective EDS.
methodsA total of 94 patients (48 males) with subjective EDS were included in this study. Regression analyses and ROC curve analyses were carried out to assess the predictive value of the ESS score for MSL.
resultsThe ESS score significantly predicted a shortened MSL (p = 0.01, β = -0.29). After dichotomizing into two groups, the ESS score predicted MSL only in patients with hypersomnia or narcolepsy (p = 0.01, β = -0.33), but not in patients with other clinical diagnoses (e. g. OSAS; p = 0.36, β = -0.15). The ROC curve analyses indicated an optimal ESS cut-off value of 16 with a sensitivity of 70%; however, specificity remained unsatisfactory (55.6%).
conclusionsOur results suggest that the predictive value of the ESS score in patients with subjective EDS is low and patient subgroup-specific (superior in hypersomnia/narcolepsy vs. other diagnoses) and that the commonly used cut-off of 11 points may be insufficient for clinical practice.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.