Centre for Policy on Ageing
 

 

Physical restraint among hospitalized nursing home residents
 — predictors and outcomes
Author(s)Eileen M Sullivan-Marx, Lenore H Kurlowicz, Greg Maislin
Journal titleClinical Gerontologist, vol 24, nos 1/2, 2001
Pagespp 85-102
Sourcehttp://www.tandfonline.com
KeywordsMobility ; Restriction ; Residents [care homes] ; Nursing homes ; Fractures ; Hospital services ; Admission ; Clinical surveys ; United States of America.
AnnotationThe physical restraint used amongst 1856 nursing home residents admitted to hospital with hip fracture was examined, using a data set of hip fracture patients in 20 US hospitals from 1983-1993. Mean age of patients was 85.2 years; 81.7% were women and 91.3% were white. Rate of physical restraint use was 59.4%. Pre-operative physical restraint use was predicted by younger age, confusion, dementia and needing assistance or dependency in activities of daily living (ADL). Physical restraint use following surgery was predicted by pre-operative physical restraint use, confusion, dementia and lower co-morbidity of illness. At hospital discharge, restrained patients were more likely to be dependent in ADL and continence. The reduction of physical restraints among nursing home residents admitted to hospital will require attention to a multiplicity of factors that contribute to restraint use. (KJ/RH).
Accession NumberCPA-020802204 A
ClassmarkC4: 5RC: KX: LHB: CUF: LD: QKH: 3G: 7T

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