Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study

Objective: To calculate the prevalence of physical restraint (PR) use in Spanish PICUs and (2) to analyze the correlation between the prevalence of PR use and the sociodemographic, clinical variables of the patients and the PICU structural and organizational variables. Methods: We conducted a multic...

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Autores: Alcaraz, AB, Hofheinz, SB, Alegre, JC, Pinero, JMG, Dominguez, SG, Lorenzo, RF, Ferro, MM, Gómez, AM, Orea, MS, Castaño, PL, Roy, MAS, Pérez, EZ, Oliva, MM, Rivas, SG, Montoto, NA, González, MJE, Osorio, EMP, Muñoz, EC, Fernández, EL, Almendral, GL, Parra, MVU, Merino, AG, Martinez, AG, Cervera, DM, Pardo, LF, Lerma, AD, Rodriguez, PP
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p28266
Acesso em linha:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28266
Access Level:acceso abierto
Palavra-chave:Physical restraint
Pediatrics
Intensive Care Units
Behavior
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spelling Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter studyAlcaraz, ABHofheinz, SBAlegre, JCPinero, JMGDominguez, SGLorenzo, RFFerro, MMGómez, AMOrea, MSCastaño, PLRoy, MASPérez, EZOliva, MMRivas, SGMontoto, NAGonzález, MJEOsorio, EMPMuñoz, ECFernández, ELAlmendral, GLParra, MVUMerino, AGMartinez, AGCervera, DMPardo, LFLerma, ADRodriguez, PPPhysical restraintPediatricsIntensive Care UnitsBehaviorObjective: To calculate the prevalence of physical restraint (PR) use in Spanish PICUs and (2) to analyze the correlation between the prevalence of PR use and the sociodemographic, clinical variables of the patients and the PICU structural and organizational variables. Methods: We conducted a multicenter prevalence study from January 2022 to January 2023 in Spanish PICUs. The method of data collection was by direct observation, review of the patient's medical history, and asking the professionals involved in the patient's care. Three weekly 24-hour prevalence observations (morning, afternoon, and night) were conducted for 6 months. Results: A total of 336 patients were included in the study, obtaining an overall crude prevalence of PR use of 16 % (95 %CI: 15 %-17.7 %). Pediatric patients with respiratory pathology received the highest number of hours of PR, with significant differences observed when comparing respiratory cases with post-surgical cases. Statistical significance was also observed when comparing the mean scores of hours of PR according to admission diagnosis (p = 0.01), with respiratory patients being the ones who were restrained the longest (24 h [20-24]) and infectious patients the least (15 h [14-20]). Patients who receive PR upon admission remain in this situation for more hours (24 h [15-24] and in the PICUs that specifically recorded PR application, fewer hours of PR occurred (20 h [4-24]). Conclusions: The use of PR is still present in the PICUs analyzed, with a crude prevalence of 16%. Factors such as the reason for admission, the use of respiratory support, and the reason for application of PR were linked to the hours of use of PR. Implications for clinical practice: Knowing the prevalence of PR use will make professionals aware that it is still necessary to implement policies that avoid its use to prevent the side effects they have in pediatric patients.ELSEVIER SCI LTD2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28266Intensive and Critical Care NursingISSN: 09643397ISSNe: 15324036reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p282662026-05-27T12:37:41Z
dc.title.none.fl_str_mv Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
title Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
spellingShingle Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
Alcaraz, AB
Physical restraint
Pediatrics
Intensive Care Units
Behavior
title_short Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
title_full Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
title_fullStr Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
title_full_unstemmed Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
title_sort Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
dc.creator.none.fl_str_mv Alcaraz, AB
Hofheinz, SB
Alegre, JC
Pinero, JMG
Dominguez, SG
Lorenzo, RF
Ferro, MM
Gómez, AM
Orea, MS
Castaño, PL
Roy, MAS
Pérez, EZ
Oliva, MM
Rivas, SG
Montoto, NA
González, MJE
Osorio, EMP
Muñoz, EC
Fernández, EL
Almendral, GL
Parra, MVU
Merino, AG
Martinez, AG
Cervera, DM
Pardo, LF
Lerma, AD
Rodriguez, PP
author Alcaraz, AB
author_facet Alcaraz, AB
Hofheinz, SB
Alegre, JC
Pinero, JMG
Dominguez, SG
Lorenzo, RF
Ferro, MM
Gómez, AM
Orea, MS
Castaño, PL
Roy, MAS
Pérez, EZ
Oliva, MM
Rivas, SG
Montoto, NA
González, MJE
Osorio, EMP
Muñoz, EC
Fernández, EL
Almendral, GL
Parra, MVU
Merino, AG
Martinez, AG
Cervera, DM
Pardo, LF
Lerma, AD
Rodriguez, PP
author_role author
author2 Hofheinz, SB
Alegre, JC
Pinero, JMG
Dominguez, SG
Lorenzo, RF
Ferro, MM
Gómez, AM
Orea, MS
Castaño, PL
Roy, MAS
Pérez, EZ
Oliva, MM
Rivas, SG
Montoto, NA
González, MJE
Osorio, EMP
Muñoz, EC
Fernández, EL
Almendral, GL
Parra, MVU
Merino, AG
Martinez, AG
Cervera, DM
Pardo, LF
Lerma, AD
Rodriguez, PP
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Physical restraint
Pediatrics
Intensive Care Units
Behavior
topic Physical restraint
Pediatrics
Intensive Care Units
Behavior
description Objective: To calculate the prevalence of physical restraint (PR) use in Spanish PICUs and (2) to analyze the correlation between the prevalence of PR use and the sociodemographic, clinical variables of the patients and the PICU structural and organizational variables. Methods: We conducted a multicenter prevalence study from January 2022 to January 2023 in Spanish PICUs. The method of data collection was by direct observation, review of the patient's medical history, and asking the professionals involved in the patient's care. Three weekly 24-hour prevalence observations (morning, afternoon, and night) were conducted for 6 months. Results: A total of 336 patients were included in the study, obtaining an overall crude prevalence of PR use of 16 % (95 %CI: 15 %-17.7 %). Pediatric patients with respiratory pathology received the highest number of hours of PR, with significant differences observed when comparing respiratory cases with post-surgical cases. Statistical significance was also observed when comparing the mean scores of hours of PR according to admission diagnosis (p = 0.01), with respiratory patients being the ones who were restrained the longest (24 h [20-24]) and infectious patients the least (15 h [14-20]). Patients who receive PR upon admission remain in this situation for more hours (24 h [15-24] and in the PICUs that specifically recorded PR application, fewer hours of PR occurred (20 h [4-24]). Conclusions: The use of PR is still present in the PICUs analyzed, with a crude prevalence of 16%. Factors such as the reason for admission, the use of respiratory support, and the reason for application of PR were linked to the hours of use of PR. Implications for clinical practice: Knowing the prevalence of PR use will make professionals aware that it is still necessary to implement policies that avoid its use to prevent the side effects they have in pediatric patients.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28266
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28266
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER SCI LTD
publisher.none.fl_str_mv ELSEVIER SCI LTD
dc.source.none.fl_str_mv Intensive and Critical Care Nursing
ISSN: 09643397
ISSNe: 15324036
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.228081

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