Do You Have Sleep Apnea?
Assess your risk for sleep apnea:
1. Do you have a history of snoring?
___ No, I have never been told of this. (0)
___ Yes, but mild or infrequent. (0)
___ Yes, but only moderate and noncontinuous. (2)
___ Yes, severe and consistent. (8)
2. Have you been told that you have “pauses” in breathing during your sleep?
___ No, I have never been told of this. (0)
___ Yes, but infrequent (2)
___ Yes, inconsistent but most nights (8)
___ Yes, severely so (10)
3. Are you overweight?
___ No (0)
___ Yes < 20 lbs. (2)
___ Yes 20 – 50 lbs. (3)
___ Yes > 50 lbs. (8)
4. Evaluate your sleepiness (Epworth Sleepiness Scale)
___ Score < 8 (0)
___ Score 9 – 13 (1)
___ Score 14 – 18 (6)
___ Score > 19 (8)
5. Does your medical history include?
___ a. High Blood Pressure (6)
___ b. Stroke (1)
___ c. Heart Disease (1)
___ d. Morning Headaches (1)
___ e. More than 3 awakenings/night (4)
___ f. Excess fatigue (1)
___ Depression (1)
___ Diabetes, even borderline (1)
The total score of all 5 sections denotes your “Apnea Risk Score”
TOTAL “Apnea Risk Score”_______
APNEA RISK SCORE SCALE
5 – 9 Discuss complaints with your doctor.
10 – 14 Important to discuss complaints with your doctor
(consider sleep evaluation).
15 – 19 Sleep consultation or sleep study suggested.
> 20 Significant risk of sleep apnea.
This suggests a sleep study should be scheduled.