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Excessive Sleepiness is the inability to maintain wakefulness with an increased propensity to fall asleep even in inappropriate circumstances and in situations which interfere with activities of daily livine. It is always due to sleep problems. Excessive sleepiness can be relieved by obtaining sufficient sleep. Providers must distinguish sleep from fatigue.
To ensure an accurate results, it's essential that the patient understands the difference between sleep and fatigue.
| Scoring Key |
| | 0=would never doze |
| | 1=slight chance of doze |
| | 2=moderate chance of doze |
| | 3=high chance of doze |
Epworth Sleepiness Scale (ESS)
|
| Situation |
Chance of dozing (0-3) |
| 1. Sitting and reading |
0 |
1 |
2 |
3 |
| 2. Watching television |
0 |
1 |
2 |
3 |
| 3. Sitting inactive in a public place - for example, a theater or meeting |
0 |
1 |
2 |
3 |
| 4. As a passenger get in a car for an hour without a break |
0 |
1 |
2 |
3 |
| 5. Lying down to rest in the afternoon |
0 |
1 |
2 |
3 |
| 6. Sitting and talking to someone |
0 |
1 |
2 |
3 |
| 7. Sitting quietly after lunch (when you've had no alcohol) |
0 |
1 |
2 |
3 |
| 8. In a car, while stopped in traffic |
0 |
1 |
2 |
3 |
|
Total Score |
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Interpretation: ESS total score > 9 indicates possible excessive daytime sleepiness or sleep disorder.
Reference:
Johns MW, Sleep, 1991
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