Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study
Por:
Bosch-Alcaraz A, Hofheinz, SB, Alegre, JC, Pinero, JMG, Dominguez, SG, Rocío Fernández Lorenzo, María Mata Ferro, Gómez, AM, Orea, MS, Castaño, PL, Roy, MAS, Pérez, EZ, Oliva, MM, Rivas, SG, Montoto, NA, González, MJE, Osorio, EMP, Muñoz, EC, Fernández, EL, Almendral, GL, Parra, MVU, Merino, AG, Martinez, AG, Cervera, DM, Pardo, LF, Lerma, AD and Rodriguez, PP
Publicada:
1 dic 2024
Ahead of Print:
1 ago 2024
Resumen:
Objective: To calculate the prevalence of physical restraint (PR) use in Spanish PICUs and (2) to analyze the correlation between the prevalence of PR use and the sociodemographic, clinical variables of the patients and the PICU 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 the professionals 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 of PR, with significant differences observed when comparing respiratory cases with post-surgical cases. Statistical significance 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 infectious patients the least (15 h [14-20]). Patients who receive PR upon admission remain in this situation for more hours (24 h [15-24] and in the PICUs that specifically recorded PR application, fewer hours of PR occurred (20 h [4-24]). Conclusions: The use of PR is still present in the PICUs analyzed, with a crude prevalence of 16%. Factors such as the reason for admission, the use of respiratory support, and the reason for application of PR were linked to the hours of use of PR. Implications for clinical practice: Knowing the prevalence of PR use will make professionals aware that it is still necessary to implement policies that avoid its use to prevent the side effects they have in pediatric patients.
Filiaciones:
Bosch-Alcaraz A:
Univ Barcelona UB, Fac Nursing, Dept Publ Hlth Mental Hlth & Maternal & Child Hlth, Carrerde Feixa Llarga S-N, Barcelona 08907, Spain
Univ Barcelona, Mental Hlth Psychosocial & Complex Nursing Care Re, Barcelona, Spain
Hofheinz, SB:
12 Octubre Hosp, Pediat Intens Care Unit, Madrid, Spain
Alegre, JC:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
Pinero, JMG:
Malaga Reg Univ Hosp, Malaga, Spain
Dominguez, SG:
12 Octubre Hosp, Pediat Intens Care Unit, Madrid, Spain
Rocío Fernández Lorenzo:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
María Mata Ferro:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
Castaño, PL:
Alfonso X Sabio Univ, Madrid, Spain
Hlth Care & Serv Res Unit Investen ISCIII, Madrid, Spain
Roy, MAS:
Univ Barcelona UB, Fac Nursing, Dept Publ Hlth Mental Hlth & Maternal & Child Hlth, Carrerde Feixa Llarga S-N, Barcelona 08907, Spain
Univ Barcelona, Mental Hlth Psychosocial & Complex Nursing Care Re, Barcelona, Spain
Pérez, EZ:
Vall dHebron Univ Hosp, Dept Knowledge Management & Evaluat, Barcelona, Spain
Vall dHebron Res Inst VHIR, Multidisciplinary Nursing Res Grp, Barcelona, Spain
Oliva, MM:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
Rivas, SG:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
Malaga Reg Univ Hosp, Malaga, Spain
Montoto, NA:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
González, MJE:
Malaga Reg Univ Hosp, Malaga, Spain
Osorio, EMP:
Malaga Reg Univ Hosp, Malaga, Spain
Muñoz, EC:
12 Octubre Hosp, Pediat Intens Care Unit, Madrid, Spain
Fernández, EL:
12 Octubre Hosp, Pediat Intens Care Unit, Madrid, Spain
Malaga Reg Univ Hosp, Malaga, Spain
Almendral, GL:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Parra, MVU:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Merino, AG:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Martinez, AG:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Cervera, DM:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Pardo, LF:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Lerma, AD:
Clin Hosp, Intens Care Unit, Barcelona, Spain
Rodriguez, PP:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
La Paz Hosp IdiPAZ, Hlth Res Inst, Madrid, Spain
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