TY - JOUR AU - Drakatos, Panagis AU - Ghiassi, Ramesh AU - Jarrold, Ian AU - Harris, Judy AU - Abidi, Athar AU - Douiri, Abdel AU - Hart, Nicholas AU - Kosky, Christopher AU - Williams, Adrian J. AU - Partridge, Martyn R. AU - Steier, Joerg PY - 2014 TI - The use of an online pictorial Epworth Sleepiness Scale in the assessment of age and gender specific differences in excessive daytime sleepiness JF - Journal of Thoracic Disease; Vol 7, No 5 (May 29, 2015): Journal of Thoracic Disease Y2 - 2014 KW - N2 - Background: Excessive daytime sleepiness (EDS) is a non-specific but highly prevalent cardinal symptom of sleep disorders. We hypothesized that with modern media and an online pictorial Epworth Sleepiness Scale (ESS) age and gender specific differences of EDS could be identified on a large scale. This could be helpful in the screening of patients with sleep disorders. Patients and methods: In 8,098 subjects, age and gender were recorded in addition to an online pictorial ESS (range 0-24 points). The cut-off for EDS (ESS >10 points) was chosen in line with the traditional ESS. Results: The prevalence of EDS was slightly higher in male subjects (45% vs. 43%, P=0.033). When age was considered, female subjects tended to be sleepier in their 3 rd and 4 th lifetime decade (P=0.01 and P=0.003, respectively), whilst male subjects scored significantly higher in their 7 th decade (P<0.0001); there was a trend to more daytime symptoms with higher age (P for trend <0.001). Conclusions: The online pictorial ESS identifies gender differences in EDS and reveals increased levels of sleepiness associated with higher age. The use of modern media facilitates reaching out to the general population to raise awareness of conditions associated with EDS such as sleep apnoea. UR - https://jtd.amegroups.org/article/view/2631