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European Archives of Oto-Rhino-Laryngology

, Volume 276, Issue 12, pp 3559–3560 | Cite as

In response to the ‘Letter to the Editor’ on the paper ‘Aging effect on sleepiness and apneas severity in patients with obstructive sleep apnea syndrome: a meta-analysis study’

  • Giannicola IannellaEmail author
  • Giuseppe Magliulo
  • Andrea De Vito
  • Claudio Vicini
Letter to the Editor
  • 36 Downloads

Dear Editor,

First, we thank for giving us the opportunity to comment the observations on our paper entitled ‘Aging effect on sleepiness and apneas severity in patients with obstructive sleep apnea syndrome: a meta-analysis study’ [1]. As it appears clearly, this was a meta-analysis study carried out to evaluate the perception of sleepiness and its severity [1] comparing over and under 65-year-old patients suffering from obstructive sleep apnea syndrome (OSA).

It is a common knowledge that the Epworth Sleepiness Scale (ESS) is based on subjective reports. However, various considerations should be stressed:
  1. 1.

    ESS is a standardized item measuring the general levels of perceived sleepiness. It has been validated in elderly populations with good sensitivity and specificity [2]. Although other objective sleepiness screening measures, such as the Multiple Sleep Latency Test and Maintenance of Wakefulness test, are available, their use is difficult and expensive [2, 3]. Thus, ESS still...

Notes

Funding

None.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Iannella G, Vicini C, Colizza A et al (2019) Aging effect on sleepiness and apneas severity in patients with obstructive sleep apnea syndrome: a meta-analysis study. Eur Arch Otorhinolaryngol 2019:3Google Scholar
  2. 2.
    Johns MW (1993) Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth Sleepiness Scale. Chest. 103:30–36CrossRefGoogle Scholar
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    Nishiyama T, Mizuno T, Kojima M et al (2014) Criterion validity of the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale for the diagnosis of sleep disorders. Sleep Med 15:422–429CrossRefGoogle Scholar
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    Kendzerska TB, Smith PM, Brignardello-Petersen R, Leung RS, Tomlinson GA (2014) Evaluation of the measurement properties of the Epworth sleepiness scale: a systematic review. Sleep Med Rev 18:321–331CrossRefGoogle Scholar
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    Morrell MJ, Finn L, McMillan A, Peppard PE (2012) The impact of ageing and sex on the association between sleepiness and sleep disordered breathing. Eur Respir J 40:386–393CrossRefGoogle Scholar
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    Sforza E, Pichot V, Martin MS, Barthélémy JC, Roche F (2015) Prevalence and determinants of subjective sleepiness in healthy elderly with unrecognized obstructive sleep apnea. Sleep Med 16(8):981–986CrossRefGoogle Scholar
  7. 7.
    Edwards BA, O’Driscoll DM, Ali A, Jordan AS, Trinder J, Malhotra A (2010) Aging and sleep: physiology and pathophysiology. Semin Respir Crit Care Med 31:618–633CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of ‘Organi di Senso’University “Sapienza”RomeItaly
  2. 2.Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery UnitMorgagni Pierantoni HospitalForlìItaly
  3. 3.Department ENT and AudiologyUniversity of FerraraFerraraItaly

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