Mechanical restraints on the medical wards: are protective devices safe?

Abstract:

: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.

journal_name

Am J Public Health

authors

Lofgren RP,MacPherson DS,Granieri R,Myllenbeck S,Sprafka JM

doi

10.2105/ajph.79.6.735

subject

Has Abstract

pub_date

1989-06-01 00:00:00

pages

735-8

issue

6

eissn

0090-0036

issn

1541-0048

journal_volume

79

pub_type

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