Sleep architecture parameters that predict postoperative resolution of nocturnal enuresis in children with obstructive sleep apnea

The Annals of Otology, Rhinology, and Laryngology
Prasad John ThottamIbrahim Abdulhamid

Abstract

We performed a prospective cohort study in a pediatric tertiary care center to determine whether preoperative sleep architecture is associated with complete resolution of nocturnal enuresis (NE) after adenotonsillectomy. Thirty-seven pediatric patients with primary NE who underwent adenotonsillectomy for obstructive sleep apnea (OSA) were evaluated. Preoperative polysomnograms, as well as preoperative and postoperative reports of NE, were recorded. We performed chi2 analysis, Fisher's exact test (for p values), and t-tests to evaluate the impact of multiple demographic characteristics on sleep architecture, comparing children with resolved NE to those with unresolved NE after adenotonsillectomy. The patients' mean age was 8.0 years (SD, 2.32 years). All children had presurgical primary NE. No age or gender differences were identified between children with resolved NE and those with unresolved NE. After surgery, more than half of the participants had resolution of NE. A higher percentage of boys had unresolved NE (chi2 = 3.63; p = 0.06). Improvement of NE was identified in children with a higher obstructive apnea-hypopnea index and more desaturation events. Eleven of the 12 children with prolonged stage 2 sleep reported resoluti...Continue Reading

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Citations

Feb 14, 2015·Sleep Medicine Reviews·Alex Gileles-HillelDavid Gozal
Nov 18, 2018·World Journal of Pediatrics : WJP·Miao-Shang SuChang-Chong Li

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