Nocturia and obstructive sleep apnea in spinal cord injured patients – a cohort study

Purpose To describe the prevalence of nocturia and obstructive sleep apnea (OSA) in a cohort of spinal cord injury (SCI) patients and to describe their association. Additionally, to assess clinical and urodynamic data explaining nocturia and to evaluate the effect of OSA management with continuous p...

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Bibliographic Details
Published in:World journal of urology 2024-09, Vol.42 (1), p.519, Article 519
Main Authors: Lambert, C., Maria, J. Di, Denys, P., Even, A., Welniarz, A., Hartley, S., Prigent, H., Leotard, A., Joussain, Charles
Format: Article
Language:English
Subjects:
Apnea
Continuous positive airway pressure
Mechanical ventilation
Medical records
Medicine
Medicine & Public Health
Nephrology
Nocturia
Oncology
Paralysis
Patients
Polyuria
Population studies
Sleep apnea
Sleep disorders
Spinal cord
Spinal cord injuries
Statistical analysis
Urinary tract
Urology
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Summary:Purpose To describe the prevalence of nocturia and obstructive sleep apnea (OSA) in a cohort of spinal cord injury (SCI) patients and to describe their association. Additionally, to assess clinical and urodynamic data explaining nocturia and to evaluate the effect of OSA management with continuous positive airway pressure (CPAP). Method Retrospective analysis of data from patients with SCI followed in a tertiary care rehabilitation center with a specialized sleep and neuro-urology units. All adult SCI patients who underwent urodynamic assessment before polysomnography (PSG) between 2015 and 2023 were eligible. Subjective (nocturia) and objective data (urodynamic data, polysomnography, CPAP built-in software) were collated from the Handisom database (database register no. 20200224113128) and the medical records of SCI patients. Statistical testing used Mann-Whitney test for non-parametric variables, Fisher’s exact test for contingency analysis and the Spearman correlation test to assess correlations. A p-value 
ISSN:1433-8726
0724-4983
1433-8726
DOI:10.1007/s00345-024-05190-z