Obstructive sleep apnea and excessive day time sleepiness as measured by epworth sleepiness scale
Abstract
Introduction: Many patients search for medical care for symptom of a sleep disorder, obstructive sleep apnea hypopnea syndrome (OSAHS). Currently overnight polysomnography is the gold standard for diagnosis of OSAHS. However, the test is costly and time taking, accessible in big cities only and is not always well accepted by patients. Therefore approximately 95% of the patients with sleep disorders are not diagnosed. Although subjective, the Epworth Sleepiness Scale may contribute to analyze signs and symptoms. It is easy to be applied, fast and free of charge. The purpose of our study was to evaluate Epworth Sleepiness Scale Scores and AHI in obese patients and to compare these parameters.
Methods: The present study is an observational study which was conducted in the Department of Pulmonary Medicine, People’s College of medical Science & Research Centre, Bhopal from Oct. 2013 to April 2015. Randomly selected 100 patients with BMI ≥23 fulfilling inclusion and exclusion criteria were assessed in the study.
Result: In our study we took 100 patients, 5 of them have ESS score <9 and 95 patients have ESS >9.In mild AHI group 2, patients were in ESS< 9 group and 6 patients were in ESS >9 group. In moderate AHI group 2 patients were in ESS score <9 group and 25 patients were in ESS >9 group. In severe AHI group only 1 patient were in ESS< 9 group and 64 patients were in ESS >9 group.
Conclusion: We concluded that ESS shows correlation with AHI for severe and normal levels, but not for mild and moderate levels.
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References
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