Physical Restraints in Critically Ill Children: A Multicenter Longitudinal Point Prevalence Study.
Crit Care Med
; 49(11): 1955-1962, 2021 11 01.
Article
in En
| MEDLINE
| ID: mdl-34166295
ABSTRACT
OBJECTIVES:
We elucidate to investigate the prevalence of and factors associated with the use of physical restraints among critically ill or injured children in PICUs.DESIGN:
This was a multicenter, longitudinal point prevalence study.SETTING:
We included 26 PICUs in Japan. PATIENTS Included children were 1 month to 10 years old. We screened all admitted patients in the PICUs on three study dates (in March, June, and September 2019). INTERVENTION None. MEASUREMENTS AND MAINRESULTS:
We collected prevalence and demographic characteristics of critically ill or injured children with physical restraints, as well as details of physical restraints, including indications and treatments provided. A total of 398 children were screened in the participating PICUs on the three data collection dates. The prevalence of children with physical restraints was 53% (211/398). Wrist restraint bands were the most frequently used means (55%, 117/211) for potential contingent events. The adjusted odds of using physical restraint in patients 1-2 years old was 2.3 (95% CI, 1.3-4.0) compared with children less than 1 year old. When looking at the individual hospital effect, units without a prespecified practice policy for physical restraints management or those with more than 10 beds were more likely to use physical restraints.CONCLUSIONS:
The prevalence of physical restraints in critically ill or injured children was high, and significant variation was observed among PICUs. Our study findings suggested that patient age, unit size, and practice policy of physical restraint could be associated with more frequent use of physical restraints.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Restraint, Physical
/
Intensive Care Units, Pediatric
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Child Welfare
/
Critical Illness
Type of study:
Clinical_trials
/
Observational_studies
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Prevalence_studies
/
Risk_factors_studies
Limits:
Child
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Child, preschool
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Humans
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Infant
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Male
Country/Region as subject:
Asia
Language:
En
Journal:
Crit Care Med
Year:
2021
Document type:
Article