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Centre for Policy on Ageing | |
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| The relationship between physical restraint removal and falls and injuries among nursing home residents | | Author(s) | Elizabeth Capezuti, Neville E Strumpf, Lois K Evans |
| Journal title | The Journals of Gerontology Series A: Biological sciences and medical sciences, vol 53A, no 1, January 1998 |
| Pages | pp M47-M52 |
| Keywords | Mobility ; Restriction ; At risk ; Accidents ; Falls ; Injuries ; Residents [care homes] ; Nursing homes ; Clinical surveys ; United States of America. |
| Annotation | A major reason cited for continued restraint use in American nursing homes is the widely held belief that restraint reduction will lead to fall-related incidents and injuries. This study analyses data from a clinical trial of interventions aimed at restraint reduction in nursing homes. Two different designs were used to test the relationship between restraint reduction and falls/injuries. First, multiple logistic regression was used to compare fall/injury rates in 38 subjects who had restraints removed, to 88 who continued to be restrained. No indication of increased risk was found. Moreover, restraint removal significantly reduced the chance of minor injuries due to falls. Second, survival analysis tested the relationship between physical restraint removal and falls/injuries at the institutional level, by comparing fall/injury rates among three nursing homes (n=633) with varying rates of restraint reduction. Nursing homes with the least restraint reduction had a 50% higher rate of falls, and more than twice the rate of fall-related minor injuries, compared to homes with 23% and 56% restraint reduction, respectively. Physical restraint removal does not lead to increases in falls or subsequent fall-related injury. (RH). |
| Accession Number | CPA-980310416 A |
| Classmark | C4: 5RC: CA3: OKA: OLF: CU: KX: LHB: 3G: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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