What question did this study set out to answer?

To assess the nationwide association between physical restraint use and clinical and resource utilization outcomes in hospitalized patients with dementia and behavioral disturbances.

May 26, 2023Journal of the American Geriatrics SocietyOpen Access

Outcomes among hospitalized patients with dementia and behavioral disturbances when physical restraints are introduced

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Authors

ASAmteshwar SinghJohns Hopkins University IGIshaan GuptaJohns Hopkins University SWScott M. WrightJohns Hopkins University

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Implication

Retrospective database study reveals longer stays and higher costs with physical restraint use in dementia patients with behavioral disturbances, highlighting the need to limit restraint use.

Key Points

To assess the nationwide association between physical restraint use and clinical and resource utilization outcomes in hospitalized patients with dementia and behavioral disturbances.
Analyzed data from the National Inpatient Sample database for years 2016 through 2020.
Compared physically restrained versus unrestrained patients with dementia and behavioral disturbances using multivariable regression analyses.
Restrained patients experienced longer hospital stays (adjusted mean difference [aMD] = 2.6 days, 95% CI [2.2–3.0], p < 0.01) and higher total hospital charges (aMD = $13,150, 95% CI [10,827–15,472], p < 0.01).
Restraint use was not associated with differences in in-hospital mortality (aOR = 1.0, 95% CI [0.95–1.1], p = 0.28) but was associated with lower odds of discharge home (aOR = 0.74, 95% CI [0.70–0.79], p < 0.01).

Cite This Study

Singh et al. (2023) studied this question.

synapsesocial.com/papers/6a871a80a131ca6707155ddf https://doi.org/10.1111/jgs.18422

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Implication

Retrospective database study reveals longer stays and higher costs with physical restraint use in dementia patients with behavioral disturbances, highlighting the need to limit restraint use.

Outcomes among hospitalized patients with dementia and behavioral disturbances when physical restraints are introduced

Discussion

Member takes

Implication

Key Points

Cite This Study

Outcomes among hospitalized patients with dementia and behavioral disturbances when physical restraints are introduced

Discussion

Member takes

Implication

Key Points

Cite This Study

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