Italian version of the Epworth sleepiness scale: external validity

Vignatelli, Luca; Plazzi, Giuseppe; Barbato, Alfredo; Ferini‐Strambi, Luigi; Manni, Raffaele; Pompei, F.; D’Alessandro, Roberto

doi:10.1007/s100720300004

Cited by 315 publications

(207 citation statements)

References 17 publications

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“…Regarding treatment type, we found in this study that clinical insomnia was the most associated with chemotherapy (62%), this result agrees with the findings of the literature [9,22]. Berger and Fair reported that women undergoing chemotherapy for breast cancer who had more objectively measured daytime sleep and nighttime awakenings reported more chemotherapyrelated fatigue [23]. Sleepiness in cancer patients has seldom been studied, it's often evaluated as clinical manifestation of fatigue.…”

Section: Discussionsupporting

confidence: 82%

Sleep Disorders and Sleep Quality in Moroccan Adult Patients with Cancer during Treatment

Echchikhi¹,

El-Abbassi²,

Touil³

et al. 2017

J Cancer Sci Ther

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Section: Discussionsupporting

confidence: 82%

Sleep Disorders and Sleep Quality in Moroccan Adult Patients with Cancer during Treatment

Echchikhi¹,

El-Abbassi²,

Touil³

et al. 2017

J Cancer Sci Ther

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“…12,13 Patients and controls provided informed consent, which was approved by the Independent Ethical Committee of the University Hospital of Rome "Tor Vergata".…”

mentioning

confidence: 99%

Continuous Positive Airway Pressure Treatment Increases Serum Vitamin D Levels in Male Patients with Obstructive Sleep Apnea

Liguori

Romigi

Izzi

et al. 2015

Journal of Clinical Sleep Medicine

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BRIEF SUMMARYCurrent Knowledge/Study Rationale: Vitamin D not only participates in bone metabolism and regulates calcium homeostasis, but also has pleiotropic effects, modulating numerous metabolic processes. Considering that patients with obstructive sleep apnea (OSA) suffer from vitamin D defi ciency and show high serum parathyroid hormone (PTH) levels, we tested the effects of short-term continuous positive airway pressure (CPAP) on serum vitamin D and PTH levels. Study Impact: These fi ndings suggest that short-term CPAP therapy in male patients with OSA determines an increase of serum vitamin D levels. Therefore, the current study provides evidence that OSA seems to be an etiopathogenetic factor involved in vitamin D defi ciency, which may recover after CPAP therapy in male patients. Study Objective:Recent studies report a link between obstructive sleep apnea (OSA) syndrome, low vitamin D levels, and high parathyroid hormone (PTH) concentrations. The aim of the current study is to evaluate the effect of 7-night continuous positive airway pressure (CPAP) therapy on serum vitamin D, PTH, and calcium levels in patients with severe OSA syndrome. Methods: Patients with severe OSA were enrolled into the study and compared to control subjects. Patients with OSA underwent CPAP therapy for 7 nights and were consequently divided into responders (OSA-R, mean residual AHI < 5/h) and nonresponders (OSA-nR, mean residual AHI > 5/h). Serum vitamin D, PTH, and calcium levels were measured at baseline in patients with severe OSA (apnea-hypopnea index > 30/h) and control subjects. Patients with OSA underwent a fi nal morning blood sample after 7-night CPAP therapy. Results: We enrolled 90 patients with OSA into the study (65 OSA-R and 25 OSA-nR) compared to 32 control subjects. At baseline, lower vitamin D and higher PTH levels were detected in the OSA group compared to controls. After 7-night CPAP therapy, male OSA-R patients showed a signifi cant increase in vitamin D levels. Conversely, female OSA-R patients did not show the same increase in vitamin D levels. It was also observed that OSA-nR subjects did not show modifi cations of serum markers after nCPAP-therapy. Conclusions:The study demonstrates that short-term nCPAP treatment is able to promote the recovery of vitamin D homeostasis in male patients with OSA. The mediation of sexual hormones in regulating vitamin D is a possible explanation of the lack of recovery of vitamin D homeostasis in female patients with OSA as it often affects postmenopausal women. Keywords: calcium, CPAP, OSA, PTH, vitamin D Citation: Liguori C, Romigi A, Izzi F, Mercuri NB, Cordella A, Tarquini E, Giambrone MP, Marciani MG, Placidi F. Continuous positive airway pressure treatment increases serum vitamin D levels in male patients with obstructive sleep apnea.

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“…At diagnosis and at each follow-up we measured the Epworth Sleepiness Scale score. 24 At each follow-up visit we calculated the retention rate (calculated as the number of subjects who returned for follow-up divided by the total number of subjects) and downloaded the CPAP use data from the CPAP device. Any problems with CPAP treatment were addressed, and the CPAP data were reviewed with the subject, without emphasizing the achievements.…”

Section: Methodsmentioning

confidence: 99%

Polysomnograph Chart View by Patients: A New Educational Strategy to Improve CPAP Adherence in Sleep Apnea Therapy

et al. 2013

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BACKGROUND: CPAP is currently the treatment of choice for obstructive sleep apnea syndrome, but therapy adherence is poor. Many educational trials have been proposed to increase CPAP adherence. We tested the hypothesis that polysomnograph chart viewing by patients would improve CPAP adherence. METHODS: A controlled parallel group study was performed with 206 newly diagnosed obstructive sleep apnea syndrome patients, randomized into 2 groups (n ‫؍‬ 103 each): standard support group, and educational support group. Each educational support group subject viewed 2 consecutive polysomnograms on the computer screen: the first recorded during a standard diagnostic overnight polysomnography, and the second during a full-night polysomnography with nasal CPAP. The subject's attention was drawn only to the flow and oxyhemoglobin saturation curves. Clinical outcomes were assessed via polysomnography at CPAP initiation and after 1, 3, and 12 months. RESULTS: After 12 months of CPAP, 76% of the educational support group and 52% of the standard support group returned for a follow-up visit (P < .001). Statistical significance had already been reached after 1 and 3 months. Moreover, CPAP use (measured as hours of use per night) was higher in the educational support group at each control visit. CONCLUSIONS: Polysomnograph chart viewing by obstructive sleep apnea patients can increase CPAP adherence, as evaluated by rate of return for the follow-up visit and mean nightly CPAP use.

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Italian version of the Epworth sleepiness scale: external validity

Cited by 315 publications

References 17 publications

Sleep Disorders and Sleep Quality in Moroccan Adult Patients with Cancer during Treatment

Sleep Disorders and Sleep Quality in Moroccan Adult Patients with Cancer during Treatment

Continuous Positive Airway Pressure Treatment Increases Serum Vitamin D Levels in Male Patients with Obstructive Sleep Apnea

Polysomnograph Chart View by Patients: A New Educational Strategy to Improve CPAP Adherence in Sleep Apnea Therapy

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