Physical Restraints in Critically Ill Children: A Multicenter Longitudinal Point Prevalence Study*
| Autor: | Yujiro Matsuishi, Atsushi Kawaguchi, Naoki Fujiwara, Takehiro Nittsu, Emi Sasaki, Muneyuki Takeuchi, Chisato Akita, Ryo Ikebe, Ikkei Munekawa, Katsuko Sakamoto, Wakato Matsuoka, Yumi Kajinishi, Shinya Shimoyama, Tatsuya Kawasaki, Norimasa Miura, Yuko Nakayama |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Restraint Physical medicine.medical_specialty Critical Illness Prevalence MEDLINE Child Welfare Intensive Care Units Pediatric Critical Care and Intensive Care Medicine Odds Japan Patient age medicine Humans In patient Longitudinal Studies Child Critically ill business.industry Infant Physical restraints Frequent use Child Preschool Emergency medicine business |
| Zdroj: | Critical Care Medicine. 49:1955-1962 |
| ISSN: | 0090-3493 |
| Popis: | 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 main results 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. |
| Databáze: | OpenAIRE |
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