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Mechanical restraints on the medical wards

Are protective devices safe

Bibliographic Data

ID11039731
AuthorsRichard P Lofgren (University of Pittsburgh), David S Macpherson, Rosanne Granieri, Sharon Myllenbeck, J Michael Sprafka
Year1989
Volume79
Issue6
Pages735-738
Publication date1989-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.79.6.735
PMID2729470
OpenAlexW1997514512
LanguageEN
Citations received3
References cited12

We prospectively identified 102 mechanically restrained hospital patients and determined their hospital course. The cohort was elderly, cognitively impaired with multiple chronic diseases. The in-hospital mortality was 21 percent. Nosocomial infection developed in 12 percent and new pressure sores in 22 percent. Prolonged use of restraints (greater than 4 days) was the strongest independent predictor of nosocomial infection (relative risk 1.8, 95% CI = 1.2, 2.8) and new pressure sores (RR 1.4, 95% CI = 1.1, 1.8) as determined by multiple logistic regression analysis. Patients placed in mechanical restraints for longer than four days experience frequent morbid events and should be monitored carefully

Cohort · Cohort study · Confidence interval · Logistic regression · Pressure sores · Relative risk · Emergency Medicine · Healthcare Decision-Making and Restraints · Healthcare Technology and Patient Monitoring · Internal Medicine · Medicine · Psychiatric care and mental health services · Surgery

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  • “Mini-mental state”

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  • Hospital falls

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Unique citing works3
Citations per year0.09
Citation span1991 - 1996 (6)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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