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The Health Consequences of Using Physical Restraints in Nursing Homes

Bibliographic Data

ID9101682
AuthorsNicholas G Castle (0000-0001-5950-0788, University of Pittsburgh, corresponding author), John Engberg (0000-0003-4212-3538, RAND Corporation)
Year2009
Volume47
Issue11
Pages1164-1173
Publication date2009-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3181b58a69
PMID19786918
OpenAlexW1967667526
LanguageEN
Citations received1
References cited20

BACKGROUND: Using a national longitudinal sample of nursing homes residents (N = 264,068), we examine whether physical restraint use contributes to subsequent physical or psychological health decline. METHODS: The minimum data set, the on-line survey certification and recording system, and the area resource file were the data sources used. This data represented the period of 2004 and 2005. To control for the difference in characteristics between residents who were subsequently physically restrained and who were not, we use a propensity score matching method. RESULTS: For all outcomes examined (except depression), that is, behavior issues, cognitive performance, falls, walking dependence, activities of daily living, pressure ulcers, and contractures, were all significantly worse for restrained residents compared with matched residents who were not restrained. DISCUSSION: Physical restraint use represents poor clinical practice, and the benefits to residents of further reducing physical restraint use in nursing homes are substantial

Certification · Depression (economics) · Matching (statistics) · Minimum Data Set · Nursing homes · Physical therapy · Propensity score matching · Sample (material) · Elder Abuse and Neglect · Healthcare Decision-Making and Restraints · Medicine · Nursing · Traumatic Brain Injury Research · Gerontology

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  • Constructing a Control Group Using Multivariate Matched Sampling Methods That Incorporate the Propensity Score

    Paul R Rosenbaum, Donald B Rubin•The American Statistician•1985

  • The Ethics of Mechanical Restraints

    Robert J Moss, John La Puma•The Hastings Center Report•1991

  • Nursing Home Staffing and Its Relationship to Deficiencies

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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