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

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

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Detalles Bibliográficos
Autores: Bosch Alcaraz, Alejandro, Belda Hofheinz, Sylvia, Corrionero Alegre, Jesus, García Piñero, José Miguel, Gil Domínguez, Sonia, Fernández Lorenzo, Rocío, Mata Ferro, María, Martín Gómez, Ainhoa, Serradell Orea, Marta, Luna Castaño, Patricia, Saz Roy, Mª Ángeles, Zuriguel Pérez, Esperanza, Martínez Oliva, Marta, González Rivas, Susana, Añaños Montoto, Nerea, Espildora González, María José, Martín-Peñasco Osorio, Elena, Carracedo Muñoz, Eva, López Fernández, Eduardo, Lozano Almendral, Gema, Ureste Parra, M. Victoria, Gomez Merino, Alicia, Garcia Martínez, Alexandra, Morales Cervera, David, Frade Pardo, Laura, Díaz Lerma, Ainhoa, Piqueras Rodríguez, Pedro
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::a8eea74c3289de382ad6a314e850a1d8
Acceso en línea:https://hdl.handle.net/2445/228927
Access Level:acceso abierto
Palabra clave:Seguretat dels pacients
Pediatria intensiva
Patients safety
Pediatric intensive care
Descripción
Sumario:Objective: To calculate the prevalence of physical restraint (PR) use in Spanish PICUs and (2) to analyze thecorrelation between the prevalence of PR use and the sociodemographic, clinical variables of the patients and thePICU 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 theprofessionals 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 ofPR, with significant differences observed when comparing respiratory cases with post-surgical cases. Statisticalsignificance 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 infectiouspatients the least (15 h [14–20]). Patients who receive PR upon admission remain in this situation formore hours (24 h [15–24] and in the PICUs that specifically recorded PR application, fewer hours of PR occurred(20 h [4–24]).

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