PMID- 24170569
OWN - NLM
STAT- MEDLINE
DCOM- 20150406
LR  - 20211021
IS  - 2327-6924 (Electronic)
IS  - 2327-6886 (Print)
IS  - 2327-6886 (Linking)
VI  - 25
IP  - 5
DP  - 2013 May
TI  - What is the best measure of daytime sleepiness in adults with heart failure?
PG  - 272-9
LID - 10.1111/j.1745-7599.2012.00784.x [doi]
AB  - PURPOSE: To identify the best screening measure of daytime sleepiness in adults 
      with heart failure (HF). DATA SOURCES: A total of 280 adults with HF completed 
      the Epworth Sleepiness Scale, the Stanford Sleepiness Scale, and a single Likert 
      item measuring daytime sleepiness. The sensitivity and specificity of these 
      self-report measures were assessed in relation to a measure of daytime 
      dysfunction from poor sleep quality. CONCLUSIONS: Only 16% of the sample reported 
      significant daytime dysfunction because of poor sleep quality. Those reporting 
      daytime dysfunction were likely to be younger (p < .001), to be unmarried (p = 
      .002), to have New York Heart Association (NYHA) functional class IV HF (p = 
      .015), and to report low income (p = .006) and fewer hours of sleep (p = .015). 
      The measure of daytime sleepiness that was most sensitive to daytime dysfunction 
      was a single Likert item measured on a 10-point (1-10) scale. Patients with a 
      score >/=4 were 2.4 times more likely to have daytime dysfunction than those with a 
      score <4. IMPLICATIONS FOR PRACTICE: Complaints of daytime dysfunction because of 
      poor sleep are not common in adults with HF. Routine use of a single question 
      about daytime sleepiness can help nurse practitioners to identify those HF 
      patients with significant sleep issues that may require further screening.
CI  - (c)2012 The Author(s) Journal compilation (c)2012 American Association of Nurse 
      Practitioners.
FAU - Riegel, Barbara
AU  - Riegel B
AD  - School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
FAU - Hanlon, Alexandra L
AU  - Hanlon AL
FAU - Zhang, Xuemei
AU  - Zhang X
FAU - Fleck, Desiree
AU  - Fleck D
FAU - Sayers, Steven L
AU  - Sayers SL
FAU - Goldberg, Lee R
AU  - Goldberg LR
FAU - Weintraub, William S
AU  - Weintraub WS
LA  - eng
GR  - R01 HL084394/HL/NHLBI NIH HHS/United States
PT  - Journal Article
DEP - 20120924
PL  - United States
TA  - J Am Assoc Nurse Pract
JT  - Journal of the American Association of Nurse Practitioners
JID - 101600770
MH  - Adult
MH  - Aged
MH  - Female
MH  - Heart Failure/*complications/psychology/therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Reproducibility of Results
MH  - Self Care
MH  - Self Report
MH  - Sensitivity and Specificity
MH  - Sleep Wake Disorders/*diagnosis/etiology/psychology
MH  - Socioeconomic Factors
PMC - PMC4130314
MID - NIHMS611465
OTO - NOTNLM
OT  - Heart failure
OT  - outcomes
OT  - screening
OT  - sleep disorders
EDAT- 2013/10/31 06:00
MHDA- 2015/04/07 06:00
PMCR- 2014/08/12
CRDT- 2013/10/31 06:00
PHST- 2013/10/31 06:00 [entrez]
PHST- 2013/10/31 06:00 [pubmed]
PHST- 2015/04/07 06:00 [medline]
PHST- 2014/08/12 00:00 [pmc-release]
AID - 10.1111/j.1745-7599.2012.00784.x [doi]
PST - ppublish
SO  - J Am Assoc Nurse Pract. 2013 May;25(5):272-9. doi: 
      10.1111/j.1745-7599.2012.00784.x. Epub 2012 Sep 24.