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ICCS S3-12
(P)
AN ENURESIS CLINIC DATABASE APPLICATION
Nick VAN DER SPEK and Oksana KOZDOBA
Health Service Executive Cavan General Hospital, Department of Paediatrics and Community Child Health, Cavan,
IRELAND
PURPOSE
In our weekly nurse provided enuresis clinic of 10 years stranding in a rural part of the country, we follow the NICE and
ICCS guidelines. We experienced difficulties to consistently calculate and record the values of the measurements of the
initial assessment (Maximum Voided Volume, Maximum Nocturnal Voided Volume, Recommended amount of fluid intake
per day), measures of progress (Reduction as a percentage in wet nights from the baseline, Percentage of dry nights
(Dry-index) since last visit, Degree of response (None/Partial/Complete) at 16 weeks as well as other outcome
measures (Initial Success, Continued Success, Complete Success, Relapse, Drop out, attendance rates).
MATERIAL AND METHODS
Our solution was a Microsoft Access database named Electronic Enuresis File (EEF) located at a server which is securely
accessible through the internet which has an administrative module (for appointments, patient details, latest update of
enuresis documents etc), a clinical module which replaces most of the clinical paper work and records and makes the
above mentioned calculations user friendly. It also provides visual aids (graphs) of progress, and an analytic module for
continuous auditing of the effectiveness (clinical outcome) of the clinic.
RESULTS
Over 500 children have been served with this clinical database. Recently an enuresis clinic identical to ours has been set
up in a neighbouring health area and is working very well.
CONCLUSIONS
We see a future in this "Web based App" to support and standardise the running of bedwetting clinics in our country. We
would be keen to give a demonstration of this model of service delivery as a poster (or oral presentation) and receive
feedback from other specialists in the field.