Sleep Disorders |

Emerging Aplications: Screening OSA by Modified Pictorial Epsworth Sleepiness Scale in Indian Subjects FREE TO VIEW

Azmat Karim, MD
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Santosh Medical College and Hospital, New Delhi, India

Chest. 2015;148(4_MeetingAbstracts):1038A. doi:10.1378/chest.2269543
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SESSION TITLE: Sleep Disorders Poster Discussions

SESSION TYPE: Original Investigation Poster Discussion

PRESENTED ON: Wednesday, October 28, 2015 at 07:30 AM - 08:30 AM

PURPOSE: Background: The Epworth Sleepiness Scale (ESS) is a widely used Scoring Scale to measure excessive daytime sleepiness .This scale was designed to be self completed by the subjects, but unfortunately in devloping country with low literacy had affected its outcome interpretation.The traditional ESS has been translated into a modified pictorial versions for easy Comprehension by the patients.

METHODS: Method: Subjects were evaluated for their competence to self complete the the ESS (Conventional & pictorial) in Sleep Clinic at Respiratory Department of Santosh Medical College and Hospital, Ghaziabad. Modified Pictorial repersentations were designed along with 5 newer questions incorporated as sub questions in 8 Original domains prepared and labelled as Pictorial Scale. The Traditional (ESS) and Pictorial (Modified) were compared for agreement by Receiver Operating Curve(ROC), and the Area under Curve (AUC).

RESULTS: It was found that time taken to complete the traditional ESS was significantly higher in comparision to modified pictorial mPESS scale with reduced errors (Pictorial ESS 4.67min than Traditional ESS 14.43min

CONCLUSIONS: Modified pictures scale showed statistically significant improvements over ESS hence can be used as an alternative for subjects with low literacy level.

CLINICAL IMPLICATIONS: This study was completed in a hospital settings.There is more need for operational/ clinical reasearch using mpESS,to evaluate further its impact in diagnosing OSA in resource constraint settings.

DISCLOSURE: The following authors have nothing to disclose: Azmat Karim

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