Prevalence of High Epworth Sleepiness Scale Scores in a Rural Population

Pahwa, Punam; Karunanayake, CP; Hagel, Louise; Gjevre, JA; Rennie, Donna; Lawson, Joshua; Dosman, JA

doi:10.1155/2012/287309

Cited by 34 publications

(26 citation statements)

References 65 publications

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“…Consistent with results from our pilot study (40), the present study highlights that a significant percentage of the rural population experienced symptoms of excessive daytime sleepiness. This finding has implications for potential increased risks for farm-related and other forms of accidents/injuries, as well as potential increased cardiovascular morbidity risk.…”

Section: Discussionsupporting

confidence: 91%

“…The validity and reliability of the ESS has been evaluated (33,(36)(37)(38)(39). In an earlier pilot project, we studied the prevalence of a high ESS score in 283 rural residents (40). The objective of the present study was to broaden the evaluation of excessive daytime sleepiness prevalence and determinants in the much larger rural population participating in the Saskatchewan Rural Health Study (SRHS) (41).…”

Section: Une Somnolence Diurne Excessive Chez Des Habitants Des Régiomentioning

confidence: 99%

See 1 more Smart Citation

Excessive Daytime Sleepiness among Rural Residents in Saskatchewan

Gjevre

Pahwa²,

Karunanayake³

et al. 2014

Canadian Respiratory Journal

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Section: Discussionsupporting

confidence: 91%

Section: Une Somnolence Diurne Excessive Chez Des Habitants Des Régiomentioning

confidence: 99%

Excessive Daytime Sleepiness among Rural Residents in Saskatchewan

Gjevre

Pahwa²,

Karunanayake³

et al. 2014

Canadian Respiratory Journal

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“…14 Excessive daytime sleepiness (defined by ESS > 10) was a concerning discovery in our sample, significantly higher than in healthcare professionals and in the rural general population, as previously studied. 15,16 Also, the incidence of severe excessive daytime sleepiness was higher than in the French study. 13 Regarding the perceived stress, we found PSS scores again significantly higher compared to those in a recent study in the Danish population (median of 11).…”

Section: Discussionmentioning

confidence: 62%

Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

et al. 2019

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Introduction: Sleeping is essential to maintain proper relationships with others, keep alertness, and execute responsibilities, among many other functions. In the medical profession, there are several studies linking sleep deprivation with a decrease in responsiveness, cognition and attention. With this study we intended to characterize the sleep pattern of Portuguese anaesthesiologists and identify independent factors associated with sleep quality in this population.Material and Methods: An observational, cross-sectional study of senior and resident anesthesiologists working in Portugal was carried out through an online questionnaire. Individuals working exclusively in intensive care units, emergency departments or with previously diagnosed sleep disorders were excluded. Socio-demographic data, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Perceived Stress Scale were applied. Statistical significance was assessed using the Mann-Whitney test and the chi-square test. A multivariable analysis was performed to examine the association between the Pittsburgh Sleep Quality Index and certain variables.Results: Among 256 respondents, 46.1% reported “poor” quality of sleep (Pittsburgh Sleep Quality Index > 5). Within these individuals, 77.1% slept less than 7 hours per night (p < 0.001). Excessive daytime sleepiness (Epworth Sleepiness Scale > 10) was present in 41.0% of the sample, and the median Perceived Stress Scale score was 17.0. The independent factors associated with worse quality ofsleep were the number of working hours/week (OR 1.03, 95% CI 1,01 to 1,06), perceived stress (OR 1.18, 95% CI 1.11 to 1.26), taking sleep medication (OR 14.72, 95% CI 5.55 to 39.08), and sleep hours/night (OR 0.25, 95% CI 0.15 to 0.42).Discussion: This fraction of Portuguese anaesthesiologists presented a poorer quality of sleep, with excessive daytime somnolence, perceived stress and higher sedative use compared to previously studied populations.Conclusion: Our study characterizes sleep patterns and identifies potential risk factors linked to sleep disturbances in a sample of Portuguese anaesthesiologists. Government and institutional policies can endorse sleep hygiene practices and habits, promoting healthier working environments.

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“…There was no difference in the percentage of patients with an ESS score > 10 in the CPAP group compared with the controls (16.1 versus 14.3, P = 0.54). In the most recent studies in the general population, Pahwa et al (2012) found that 21% of randomly selected individuals in a Canadian rural population had ESS scores > 10, while this prevalence of 10.9% was reported by Johns and Hocking (1997) in an Australian working population in 1997. Accordingly, in the Ohayon (2012) study, 19.5% of the randomly selected population reported severe excessive sleepiness, and 20% moderate excessive sleepiness, but the ESS was not used.…”

Section: Discussionmentioning

confidence: 96%

Residual sleepiness in sleep apnea patients treated by continuous positive airway pressure

Gasa

Tamisier

Launois

et al. 2013

Journal of Sleep Research

171

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Summary Hypoxic brain damage might explain persistent sleepiness in some continuous positive airway pressure‐compliant obstructive sleep apnea called residual excessive sleepiness. Although continuous positive airway pressure may not be fully efficient in treating this symptom, wake‐promoting drug prescription in residual excessive sleepiness is no longer allowed by the European Medicines Agency. The aim of this study is to describe residual excessive sleepiness phenotypes in a large prospective sample of patients with obstructive sleep apnea. Residual excessive sleepiness was defined by an Epworth Sleepiness Scale score ≥ 11. Eligible patients from the French National Sleep Registry attending follow‐up continuous positive airway pressure visits numbered 1047. Patients using continuous positive airway pressure < 3 h (n = 275), with residual apnea–hypopnea index > 15 h−1 (n = 31) or with major depression were excluded (n = 150). Residual excessive sleepiness prevalence in continuous positive airway pressure‐treated obstructive sleep apnea was 13% (18% for those with an initial Epworth Sleepiness Scale score > 11), and significantly decreased with continuous positive airway pressure use (9% in ≥ 6 h night−1 continuous positive airway pressure users, P < 0.005). At the time of diagnosis, patients with residual excessive sleepiness had worse subjective appreciation of their disease (general health scale, Epworth Sleepiness Scale and fatigue score), and complained more frequently of continuous positive airway pressure side‐effects. Residual excessive sleepiness prevalence was lower in severe obstructive sleep apnea than in moderate obstructive sleep apnea (11% when AHI > 30 h−1 versus 18% when AHI 15–30, P < 0.005). There was no relationship between residual excessive sleepiness and body mass index, cardiovascular co‐morbidities or diabetes. Continuous positive airway pressure improved symptoms in the whole population, but to a lower extent in patients with residual excessive sleepiness (fatigue scale: −5.2 versus −2.7 in residual excessive sleepiness− and residual excessive sleepiness+ patients, respectively, P < 0.001). Residual excessive sleepiness prevalence decreased with continuous positive airway pressure compliance. Hypoxic insult is unlikely to explain residual excessive sleepiness as obstructive sleep apnea severity does not seem to be critical. Residual symptoms are not limited to sleepiness, suggesting a true ‘continuous positive airway pressure‐resistant syndrome’, which may justify treatment by wake‐promoting drugs.

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Prevalence of High Epworth Sleepiness Scale Scores in a Rural Population

Abstract: High levels of sleepiness in this population were common. Obesity was an important risk factor for high ESS score.

Cited by 34 publications

References 65 publications

Excessive Daytime Sleepiness among Rural Residents in Saskatchewan

Excessive Daytime Sleepiness among Rural Residents in Saskatchewan

Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

Residual sleepiness in sleep apnea patients treated by continuous positive airway pressure

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