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

Author

Listed:
  • Lofgren, R.P.
  • MacPherson, D.S.
  • Granieri, R.
  • Myllenbeck, S.
  • Sprafka, J.M.

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 (>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.

Suggested Citation

  • Lofgren, R.P. & MacPherson, D.S. & Granieri, R. & Myllenbeck, S. & Sprafka, J.M., 1989. "Mechanical restraints on the medical wards: Are protective devices safe?," American Journal of Public Health, American Public Health Association, vol. 79(6), pages 735-738.
    • Handle: RePEc:aph:ajpbhl:1989:79:6:735-738_4
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    Cited by:

    1. Victoria Schirm & Marjorie Gray & Marlene Peoples, 1993. "Nursing Personnel's Perceptions of Physical Restraint Use in Long-Term Care," Clinical Nursing Research, , vol. 2(1), pages 98-110, February.
    2. Linda M. Janelli & Suzanne S. Dickerson & Marlene R. Ventura, 1995. "Focus Groups," Clinical Nursing Research, , vol. 4(4), pages 425-441, November.

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