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Prognostic factors for alarm treatment
1Division of General Pediatrics, Children's Hospital, Boston, MA 02115, USA.
Scandinavian Journal of Urology and Nephrology. Supplementum
|January 1, 1997
Summary
Enuresis alarms are an effective treatment for bedwetting, with a 75% success rate and low relapse. Standardizing definitions and protocols is crucial for optimizing this intervention.
Area of Science:
- Pediatrics
- Urology
- Behavioral Medicine
Background:
- Enuresis alarms, first reported in 1904, became routine in the 1930s.
- Common alarms use bed or underwear sensors with audible warnings.
- Literature review reveals inconsistent definitions and unclear alarm mechanisms.
Purpose of the Study:
- To review the literature on enuresis alarms.
- To identify challenges in understanding and applying enuresis alarm therapy.
- To highlight the need for standardized definitions and protocols.
Main Methods:
- Systematic literature review of studies on enuresis alarms.
- Analysis of alarm types, success rates, and relapse.
- Evaluation of methods for predicting alarm response.
Main Results:
- Alarm success rate is approximately 75%, irrespective of alarm type.
- Low relapse rates are observed after successful alarm treatment.
- Multivariate analysis is superior to univariate for predicting outcomes, but no definitive predictors exist.
Conclusions:
- Enuresis alarms represent the best available intervention for bedwetting.
- Standardized definitions and uniform study protocols are essential.
- Targeting well-defined populations may improve alarm response prediction.