Factors associated with the use of physical restraints for agitated patients in psychiatric emergency rooms.
Gen Hosp Psychiatry
; 30(3): 263-8, 2008.
Article
en En
| MEDLINE
| ID: mdl-18433659
ABSTRACT
OBJECTIVE:
To examine factors associated with physical restraint in psychiatric emergency rooms.METHOD:
We extracted variables likely to predict use of physical restraints from a large randomised trial undertaken in three psychiatric emergency rooms in Rio de Janeiro. We fitted a Bayesian binary multivariate model using only variables clearly preceding the restraints.RESULTS:
Of 301 agitated, aggressive people admitted to emergency rooms, 73 (24%) were restrained during the first 2 h of admission. In Rio, younger people (OR=1.03 for each year younger), exhibiting intense (OR=2.53) or extreme agitation (OR=7.71), thought to result from substance misuse (OR=1.75) or diagnoses other than psychosis (OR=1.88), arriving in the morning (OR=1.64) were at greater risk of physical restraints than older, less severely aggressive or agitated people, arriving at the hospital during the afternoon or night. Hospital, gender, first admission to hospital and medication were not associated with risk of being restrained.CONCLUSION:
Restraint practices in Rio are predictable and based on a limited clinical assessment. Predictive factors for physical restraint may vary worldwide, but should be monitored and studied to assist training, and to establish programs to evaluate and refine this controversial practice.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Agitación Psicomotora
/
Restricción Física
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Agresión
/
Servicios de Urgencia Psiquiátrica
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
Límite:
Adult
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Female
/
Humans
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Male
/
Middle aged
País/Región como asunto:
America do sul
/
Brasil
Idioma:
En
Año:
2008
Tipo del documento:
Article