What is a significant Epworth score?

0–10 Normal range in healthy adults 11–14 Mild sleepiness 15–17 Moderate sleepiness 18 or higher Severe sleepiness. If you scored 11 or higher, consider seeing a sleep medicine specialist to diagnose and treat the cause of your sleepiness. © Copyright M.W. Johns 1990–97. Download the Epworth Sleepiness Scale (PDF).

How do you determine severity of sleep apnea?

The severity of OSA is determined by an index – Apnea Hypopnea Index (AHI) or Respiratory Disturbance Index (RDI), if PSG is preformed, or Respiratory Event Index (REI) if OCST is performed. AHI or REI <5/hour = normal (for adults); 5–14.9/hour = mild OSA; 15–29.9/hour = moderate OSA; and ≥30/hour = severe OSA.

Is the Epworth Sleepiness Scale valid?

Scoring test-retest reliability Total ESS scores are reliable in a test-retest sense over a period of months (p < 0.001). The ESS score is highly variable when administered sequentially to a clinical population being evaluated for a potential sleep related breathing disorder.

How are participants asked to fill out the Epworth sleepiness scale?

The ESS is a self-administered questionnaire with 8 questions. Respondents are asked to rate, on a 4-point scale (0-3), their usual chances of dozing off or falling asleep while engaged in eight different activities. Most people engage in those activities at least occasionally, although not necessarily every day.

What level of sleep apnea requires a CPAP?

All patients with an apnea-hypopnea index (AHI) greater than 15 are considered eligible for CPAP, regardless of symptomatology. For patients with an AHI of 5-14.9, CPAP is indicated only if the patient has one of the following: excessive daytime sleepiness (EDS), hypertension, or cardiovascular disease.

How do I read my sleep study results?

Sleep Stages: How much time the patient spent in the different levels of sleep during the study….The scale of AHI is:

  1. < 5 = normal in an adult. (In a child > 1.5 indicates clinically significant sleep apnea)
  2. 5-15 = mild.
  3. 15-30 = moderate.
  4. > 30 = severe.

Why am I tired in the afternoon but not at night?

In part, it’s physiological: Our normal circadian cycle dictates a period of sleepiness or decreased alertness in the afternoon. However, sleep disorders, medical disorders, stress, insufficient sleep or poor eating habits can also cause excessive sleepiness at this time.

How many apnea events per hour is normal?

That’s because it’s considered normal for everyone to have up to four apneas an hour. It’s also common if your AHIs vary from night to night. For some CPAP users, even higher AHIs are acceptable, depending on the severity of your sleep apnea.