A Three-Item Instrument for Measuring Daytime Sleepiness: The Observation and Interview Based Diurnal Sleepiness Inventory (ODSI).
A Three-Item Instrument for Measuring Daytime Sleepiness: The Observation and Interview Based Diurnal Sleepiness Inventory (ODSI).
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DOI：
10.5664/jcsm.5676
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发表时间：
2016-04
期刊：
影响因子：
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通讯作者：
F. Onen;Christophe Lalanne;Victoria M Pak;N. Gooneratne;B. Falissard;S. Onen
中科院分区：
文献类型：
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作者：
F. Onen;Christophe Lalanne;Victoria M Pak;N. Gooneratne;B. Falissard;S. Onen
研究目的：我们的目的是开发一种新的三项评估工具，在老年人的白天嗜睡，观察和访谈为基础的日间嗜睡量表（ODSI），并确定其有效性，内部一致性，重测信度，最佳截止分数。方法选择133例老年阻塞性睡眠呼吸暂停（OSA）患者（平均年龄79岁）和60例正常对照者（平均年龄80岁）进行问卷调查。使用被视为金标准的埃普沃思嗜睡量表验证ODSI问卷。信度，效度和切割点进行了测试。结果ODSI具有可接受的效度、内部一致性和重测信度。ODSI具有内部一致性，其三个项目的信度系数（Pearson rho）为0.70，表明具有较强的信度。估计的灵敏度和特异性分别为0.842和0.851 [0.761; 0.911]，95%置信区间为[0.624; 0.945]。测试和重测期间量表总分的一致性较高（r = 0.970，95% bootstrap置信区间[0.898; 0.991]）。受试者操作特征分析表明，6的临界点是有效的识别老年人与过度的白天嗜睡。结论：ODSI是一个简单、有效、易于管理的三项评估，可以筛查老年OSA患者的日间过度嗜睡。
STUDY OBJECTIVES We aimed to develop a new three-item assessment tool for daytime sleepiness in older adults, the Observation and interview-based Diurnal Sleepiness Inventory (ODSI) and determine its validity, internal consistency, test-retest reliability, and optimal cutoff score. METHODS A total of 133 elderly subjects including 73 patients with obstructive sleep apnea (OSA) (mean age, 79 y) and 60 controls (mean age, 80 y) were consecutively enrolled and answered all questionnaires. The ODSI questionnaire was validated using the Epworth Sleepiness Scale considered as a gold standard. Reliability, validity, and cut-points were tested. RESULTS The ODSI has acceptable validity, internal consistency, and test-retest reliability properties. The ODSI has internal consistency and a reliability coefficient (Pearson rho) of 0.70 for its three items, which suggests strong reliability. The estimated sensitivity and specificity were 0.842 with 95% confidence interval [0.624; 0.945] and 0.851 [0.761; 0.911], respectively. The consistency of summated scale scores during test and retest sessions was high (r = 0.970, 95% bootstrap confidence interval [0.898; 0.991]). Receiver operating characteristic analysis suggests that a cut-point of 6 is effective for identifying older adults with excessive levels of daytime sleepiness. CONCLUSIONS The ODSI is a brief, valid, easy-to-administer three-item assessment that can screen for excessive daytime sleepiness among elderly patients with OSA.