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

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

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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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

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spelling	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter studyBosch Alcaraz, AlejandroBelda Hofheinz, SylviaCorrionero Alegre, JesusGarcía Piñero, José MiguelGil Domínguez, SoniaFernández Lorenzo, RocíoMata Ferro, MaríaMartín Gómez, AinhoaSerradell Orea, MartaLuna Castaño, PatriciaSaz Roy, Mª ÁngelesZuriguel Pérez, EsperanzaMartínez Oliva, MartaGonzález Rivas, SusanaAñaños Montoto, NereaEspildora González, María JoséMartín-Peñasco Osorio, ElenaCarracedo Muñoz, EvaLópez Fernández, EduardoLozano Almendral, GemaUreste Parra, M. VictoriaGomez Merino, AliciaGarcia Martínez, AlexandraMorales Cervera, DavidFrade Pardo, LauraDíaz Lerma, AinhoaPiqueras Rodríguez, PedroSeguretat dels pacientsPediatria intensivaPatients safetyPediatric intensive careObjective: 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]).Elsevier Ltd.2026202620242026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 p.application/pdfhttps://hdl.handle.net/2445/228927Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1016/j.iccn.2024.103788Intensive And Critical Care Nursing, 2024, vol. 85, p. 103788https://doi.org/10.1016/j.iccn.2024.103788cc-by-nc-nd (c) Bosch Alcaraz, Alejandro et al., 2024http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:dnet:recercat____::a8eea74c3289de382ad6a314e850a1d82026-05-29T05:05:01Z
dc.title.none.fl_str_mv	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
title	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
spellingShingle	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study Bosch Alcaraz, Alejandro Seguretat dels pacients Pediatria intensiva Patients safety Pediatric intensive care
title_short	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
title_full	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
title_fullStr	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
title_full_unstemmed	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
title_sort	Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
dc.creator.none.fl_str_mv	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
author	Bosch Alcaraz, Alejandro
author_facet	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
author_role	author
author2	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
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	Seguretat dels pacients Pediatria intensiva Patients safety Pediatric intensive care
topic	Seguretat dels pacients Pediatria intensiva Patients safety Pediatric intensive care
description	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]).
publishDate	2024
dc.date.none.fl_str_mv	2024 2026 2026 2026
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://hdl.handle.net/2445/228927
url	https://hdl.handle.net/2445/228927
dc.language.none.fl_str_mv	Inglés
language_invalid_str_mv	Inglés
dc.relation.none.fl_str_mv	Reproducció del document publicat a: https://doi.org/10.1016/j.iccn.2024.103788 Intensive And Critical Care Nursing, 2024, vol. 85, p. 103788 https://doi.org/10.1016/j.iccn.2024.103788
dc.rights.none.fl_str_mv	cc-by-nc-nd (c) Bosch Alcaraz, Alejandro et al., 2024 http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess
rights_invalid_str_mv	cc-by-nc-nd (c) Bosch Alcaraz, Alejandro et al., 2024 http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	8 p. application/pdf
dc.publisher.none.fl_str_mv	Elsevier Ltd.
publisher.none.fl_str_mv	Elsevier Ltd.
dc.source.none.fl_str_mv	Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str	Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str	Recercat. Dipósit de la Recerca de Catalunya
collection	Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study

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