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😴 Epworth Sleepiness Scale (ESS)

UseScreen for excessive daytime sleepiness and sleep disorders.

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SourceJohns MW. Sleep 1991

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Measures average sleep propensity, not a diagnosis.

When to use

Screen for excessive daytime sleepiness and sleep disorders.

How it works

Eight situations rated 0–3 (chance of dozing); total 0–24. > 10 indicates excessive daytime sleepiness.

Key points

  • Measures average sleep propensity, not a diagnosis.
  • High scores warrant evaluation for OSA or insufficient sleep.
  • Useful to monitor treatment response.

References

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

1. Sitting and readingSlight (1)
2. Watching TVSlight (1)
3. Sitting inactive in a public placeSlight (1)
4. As a passenger in a car for an hourSlight (1)
5. Lying down to rest in the afternoonSlight (1)
6. Sitting and talking to someoneSlight (1)
7. Sitting quietly after lunch (no alcohol)Slight (1)
8. In a car, stopped in trafficSlight (1)

→Epworth8/24

  • Interpretation:Normal daytime sleepiness (0–10)
  • Note:> 10 suggests excessive daytime sleepiness — consider evaluation for sleep disorders.
1. Sitting and readingNo chance (0)
2. Watching TVNo chance (0)
3. Sitting inactive in a public placeNo chance (0)
4. As a passenger in a car for an hourNo chance (0)
5. Lying down to rest in the afternoonNo chance (0)
6. Sitting and talking to someoneNo chance (0)
7. Sitting quietly after lunch (no alcohol)No chance (0)
8. In a car, stopped in trafficNo chance (0)

→Epworth0/24

  • Interpretation:Normal daytime sleepiness (0–10)
  • Note:> 10 suggests excessive daytime sleepiness — consider evaluation for sleep disorders.
Verification & sources · governance
FAQ

Frequently asked questions

What are the limits and cautions when using Epworth Sleepiness Scale (ESS)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Epworth Sleepiness Scale (ESS) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Epworth Sleepiness Scale (ESS) calculated in practice? Can you show a worked example?
Inputs: 1. Sitting and reading Slight (1), 2. Watching TV Slight (1), 3. Sitting inactive in a public place Slight (1), 4. As a passenger in a car for an hour Slight (1), 5. Lying down to rest in the afternoon Slight (1), 6. Sitting and talking to someone Slight (1), 7. Sitting quietly after lunch (no alcohol) Slight (1), 8. In a car, stopped in traffic Slight (1) → Result: Epworth 8 /24(Interpretation: Normal daytime sleepiness (0–10), Note: > 10 suggests excessive daytime sleepiness — consider evaluation for sleep disorders.) Inputs: 1. Sitting and reading No chance (0), 2. Watching TV No chance (0), 3. Sitting inactive in a public place No chance (0), 4. As a passenger in a car for an hour No chance (0), 5. Lying down to rest in the afternoon No chance (0), 6. Sitting and talking to someone No chance (0), 7. Sitting quietly after lunch (no alcohol) No chance (0), 8. In a car, stopped in traffic No chance (0) → Result: Epworth 0 /24(Interpretation: Normal daytime sleepiness (0–10), Note: > 10 suggests excessive daytime sleepiness — consider evaluation for sleep disorders.)
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