Kum Rauf Oguzhan, Özcan Müge, Yurtsever Kum Nurcan, Yılmaz Yavuz Fuat, Güngör Volkan, Ünal Adnan
Ankara Numune Education and Research Hospital ENT Clinic, Ankara, Turkey,
Eur Arch Otorhinolaryngol. 2015 Jan;272(1):247-52. doi: 10.1007/s00405-014-3242-9. Epub 2014 Aug 10.
The aim of this study was to suggest a new cutoff score for the Turkish version of Epworth Sleepiness Scale (ESS) in the patients with obstructive sleep apnea. In this study, the data of 483 patients who were admitted to our clinic with the complaints of daytime sleepiness and witnessed sleep apnea were reviewed retrospectively. The correlation between ESS and polysomnography (PSG) findings were assessed, and cutoff score of the Turkish version of the ESS was investigated. The mean apnea-hypopnea index (AHI) was 27.71 ± 26.69 eV/h, the mean ESS score was 8.42 ± 4.88. According to AHI, a statistically significant difference between ESS scores was detected (p = 0.001; p < 0.01). According to AHI (AHI ≥ 5, AHI ≥ 15 and AHI ≥ 30) the best cutoff score for ESS score was found as 8. The answers that were given to the ESS questions differ according to their sociocultural and economic condition. These results indicate that a score of 8 or higher on the ESS would seem a more appropriate cutoff score to suspect clinically relevant sleepiness in the Turkish population.
本研究的目的是为阻塞性睡眠呼吸暂停患者的土耳其版爱泼沃斯思睡量表（ESS）提出一个新的临界值。在本研究中，回顾性分析了483例因白天嗜睡和目击性睡眠呼吸暂停而入住我们诊所的患者的数据。评估了ESS与多导睡眠图（PSG）结果之间的相关性，并研究了土耳其版ESS的临界值。平均呼吸暂停低通气指数（AHI）为27.71±26.69次/小时，平均ESS评分为8.42±4.88。根据AHI，ESS评分之间存在统计学显著差异（p = 0.001；p < 0.01）。根据AHI（AHI≥5、AHI≥15和AHI≥30），发现ESS评分的最佳临界值为8。根据社会文化和经济状况，对ESS问题的回答有所不同。这些结果表明，在土耳其人群中，ESS评分8分或更高似乎是怀疑临床相关嗜睡的更合适临界值。
