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The 'multiple sleep latency test' (MSLT) is an objective tool which indicates the degree of sleepiness by measuring the sleep latency (i.e. the speed of falling asleep). [ 38 ] [ 39 ] It also gives information regarding the presence of abnormal REM sleep onset episodes. [ 38 ]
In 2018 NHS England started a new initiative to reduce the number of what it now called "stranded" or "super stranded" patients, super stranded being people in hospital for more 20 days. About 18,000 of the 101,259 acute and general beds in English NHS hospitals were occupied by "super stranded" patients in May 2018.
NHS Improvement (NHSI) was a non-departmental body in England, responsible for overseeing the National Health Service's foundation trusts and NHS trusts, as well as independent providers that provide NHS-funded care. It supported providers to give patients consistently safe, high quality, compassionate care within local health systems that are ...
Treatment of excessive daytime sleepiness (EDS) relies on identifying and treating the underlying disorder which may cure the person from the EDS. Drugs like modafinil , [ 22 ] armodafinil , [ 23 ] pitolisant [ 24 ] (Wakix), sodium oxybate (Xyrem) oral solution, have been approved as treatment for EDS symptoms in the United States.
checking that the NHS is following national guidelines; advising the NHS on best practice; CHI will be independent, rigorous and fair in its work, highlighting best practice in the NHS and encouraging others to adopt it, while not flinching from saying clearly where urgent improvement is required; Its six operating principles were:
Idiopathic hypersomnia (IH) is a neurological disorder which is characterized primarily by excessive sleep and excessive daytime sleepiness (EDS). [1] Idiopathic hypersomnia was first described by Bedrich Roth in 1976, and it can be divided into two forms: polysymptomatic and monosymptomatic.
The Epworth Sleepiness Scale has been validated primarily in obstructive sleep apnea, though it has also shown success in detecting narcolepsy and idiopathic hypersomnia. [3] It is used to measure excessive daytime sleepiness and is repeated after the administration of treatment (e.g., CPAP) to document improvement of symptoms. [6]
It is crucial to aim for objective measures to quantify the sleepiness. A good measurement tool is the multiple sleep latency test (MSLT). It assesses the sleep onset latency during the course of one day—often from 8:00 to 16:00. [10] An average sleep onset latency of less than 5 minutes is an indication of pathological sleepiness. [11]