Dysfunctional voiding in children with asthma

• Published in: Archives of disease in childhood Vol. 98; no. 4; pp. 312 - 314
• Main Authors: Soyer, Ozge Uysal, Kilincoglu, Betul, Senyucel, Mine Fedakar, Aslan, Mustafa Kemal, Cakmak, Murat, Dallar, Yildiz, Soyer, Tutku
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01.04.2013; BMJ Publishing Group; BMJ Publishing Group Ltd; BMJ Publishing Group LTD
• Subjects: Abdomen; Age; Age Factors; Airway management; Allergies; Asthma; Asthma - complications; Asthma - physiopathology; Biological and medical sciences; Care and treatment; Case-Control Studies; Child; Child, Preschool; Children; Chronic illnesses; Chronic obstructive pulmonary disease, asthma; Comorbidity; Control Groups; Departments; Diagnosis; dysfunctional voiding; enuresis nocturna; Female; Gender; General aspects; Health aspects; Health risk assessment; Humans; Logistic Models; Male; Medical care; Medical care (Private); Medical sciences; Miscellaneous; Parent Background; Parents & parenting; Pneumology; Prevalence; Prevention and actions; Prospective Studies; Public health. Hygiene; Public health. Hygiene-occupational medicine; Regression (Statistics); Risk Factors; Statistical Analysis; Surveys and Questionnaires; Urinary tract diseases; Urinary tract infections; Urination Disorders - complications; Urogenital system; Turkey; Human; Lung disease; Pediatrics; Respiratory disease; Bronchus disease; Obstructive pulmonary disease; Child; Public health; Asthma
• DOI: 10.1136/archdischild-2012-301867
• ISSN: 0003-9888

A prospective study was performed to evaluate the prevalence of suspected dysfunctional voiding (DV) and associated risk factors in children with asthma. The DV is defined as any voiding symptoms and/or urinary incontinence. Children (4–10-year-old) with asthma (n=178) and healthy subjects (n=197) were enrolled. DV and Incontinence Scoring System were administrated. Demographic features and asthma related characteristics were recorded. Suspected DV was noted in 19 (27.9%) of patients with asthma and 5 (6.6%) of healthy subjects in children younger than 6 years of age (p=0.001). In this patient group, asthma increased the risk of suspected DV (OR=5.7 (95% CI 1.988 to 16.344)). Children with asthma older than 6 years of age had similar prevalence of suspected DV but they had higher frequency of voiding and urgency. Asthma is associated with higher DV symptom scores in younger children who have already completed toilet training and with some of DV symptoms such as frequency and urgency in older children.