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11. Obstructive Sleep Apnea in School-Aged Children Presented with Nocturnal Enuresis

Author

Shafiek, Hanaa, Evangelisti, Melania, Abd-elwahab, Nashwa Hassan, Barreto, Mario, Villa, Maria Pia, and Mahmoud, Mahmoud Ibrahim

Subjects
Enuresis -- Diagnosis, Elementary school students -- Health aspects, Sleep apnea syndromes -- Diagnosis, Health
Abstract

Objectives We aimed to detect obstructive sleep apnea (OSA) among school-age children presented with nocturnal enuresis (NE) and to identify the possible risk factors for OSA in them. Methods Sixty-six children aged > 5-16 years presented with NE were enrolled in the study. Children with urinary tract anatomical abnormalities or infection, intellectual disabilities, genetic syndromes, psychological issues, and diabetes mellitus were excluded. They were clinically examined, scored using sleep clinical record score (SCR), and subjected for full-night polysomnogram (PSG). Children with obstructive apnea/hypopnea index (AHI) [greater than or equal to] 2 episodes/hour (h) were considered as OSA. Results Fifty-four children (81.8% of the recruited children) aged 8.3 ± 2.8 years agreed to undergo PSG as 68.5% had OSA with median obstructive AHI of 6.1 (3.7-13.2) episodes/h, median oxygen saturation of 97% and nadir of 88%. Thirty-three percent were obese with significantly higher AHI [7.0 (3.7-12.4) vs. 2.4 (1.3-6.1) episodes/h; p = 0.023]. SCR score correlated significantly with AHI (r.sup.2 = 0.462, p = 0.001) with 91% sensitivity in detecting OSA [greater than or equal to] 5 episodes/h. Nasal obstruction, adenoid/adult facial phenotype, and arched palate were associated with OSA (p < 0.05). Conclusion NE is commonly associated with OSA especially in obese children. Nasal obstruction, abnormal facial phenotype, and high-arched palate were common risk factors., Author(s): Hanaa Shafiek [sup.1] [sup.2] , Melania Evangelisti [sup.2] , Nashwa Hassan Abd-elwahab [sup.1] , Mario Barreto [sup.2] , Maria Pia Villa [sup.2] , Mahmoud Ibrahim Mahmoud [sup.1] Author Affiliations: [...]

Published
2020
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49. List of contributors

Author

Aaronson, Nicole L., Araji, Fayruz, Arens, Raanan, Baldassari, Cristina M., Bhattacharjee, Rakesh, Bitners, Anna C., Boss, Emily F., Brouillette, Robert T., Caccamese, John F., Camacho, Macario, Caraballo, Michelle, Cheong, Crystal, Constantin, Evelyn, Diaz-Abad, Montserrat, Dominguez Batista, Dayana M., Drusin, Madeleine A., Evangelisti, Melania, Friedman, Norman R., Gurberg, Joshua, Hartnick, Christopher J., Horne, Rosemary S.C., Hsu, Wei-Chung, Isaiah, Amal, Kadosh, Orna K., Kang, Kun-Tai, Katz, Eliot S., Kirkham, Erin M., Kolosky, Taylor, Koritala, Bala S.C., Kukwa, Wojciech, Lam, Derek J., Landry, Vivianne, Lasso-Pirot, Anayansi, Lawlor, Claire M., Lawson, Michael J., Mathew, Nidhi, McClain, Kathleen, Migacz, Ewa, Mitchell, Ron B., Naqvi, Kamal S., Narang, Indra, Nguyen, Lily H.P., Parikh, Sanjay R., Paruthi, Shalini, Patel, Neha B., Pereira, Kevin D., Perkins, Jonathan N., Preciado, Diego A., Pride, Natalie, Propst, Evan J., Quaney, Rachel R., Redline, Susan, Sax, Leah E., Semsar-Kazerooni, Koorosh, Shah, Udayan K., Sidelnikov, Danielle, Sin, Sanghun, Smith, David F., Spruyt, Karen, Su-Velez, Brooke M., Tapia, Ignacio E., Teplitzky, Taylor B., Ulualp, Seckin O., Villa, Maria Pia, Volner, Keith, Walter, Lisa M., Waters, Karen A., Watkins, Mariel, Wilken, Nicholas R., Wynings, Erin M., Xiao, Lena, and Zalzal, Habib G.

Published
2024
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