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11-12 mild excessive daytime symptoms. 13-15 moderate excessive daytime symptoms. 16-24 severe excessive daytime symptoms.
The Epworth Sleepiness Scale is widely used in the field of sleep medicine as a subjective measure of a patient's sleepiness. The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0 (no chance of dozing) to 3 (high chance of dozing).
ESS scores of 11-24 represent increasing levels of 'excessive daytime sleepiness' (EDS). The percentage of people with EDS varies widely between different groups, from about 10 to 40% or more (Johns and Hocking, 1997; Sanford et al, 2006).
The ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. The higher the ESS score, the higher that person's average sleep propensity in daily life (ASP), or their 'daytime sleepiness'. The questionnaire takes no more than 2 or 3 minutes to answer. It is available in many different languages.
0-7: It is unlikely that you are abnormally sleepy. 8-9: You have an average amount of daytime sleepiness. 10-15: You may be excessively sleepy depending on the situation. You may want to consider seeking medical attention.
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The ESS score is the sum of these 8 situational subscores, with the total score ranging from 0 to 24. A score of 10 or more indicates significant daytime somnolence and 16 or more suggests severe daytime somnolence. Demand for OSA services is on the rise in most countries.
The multiple sleep latency test (MSLT) and the maintenance of wakefulness test (MWT) use objective measures to quantify sleepiness. The Oxford SLEep Resistance (OSLER) test, which is a simplified variation of the MWT, is another objective that can be used to indirectly quantify sleepiness.
The ESS score is the sum of these 8 situational subscores, with the total score ranging from 0 to 24. A score of 10 or more indicates significant daytime somnolence and 16 or more suggests severe daytime somnolence. Demand for OSA services is on the rise in most countries.
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. Cronbach's alpha statistic = 0.88 \u2013 0.74 in 4 different groups of subjects.
The Epworth sleepiness scale (ESS) is often used clinically to screen for the manifestations of the behavioral morbidity associated to obstructive sleep apnea (OSA). The purpose of this study was to assess the sensitivity of the ESS in the identification of OSA, as defined by an elevated apnea-hypopnea index.

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