The Relationship Between Physical Restraint Removal and Falls and Injuries Among Nursing Home Residents

Capezuti, Elizabeth; Strumpf, Neville E.; Evans, Lois K.; Grisso, Jeane Ann; Maislin, Greg

doi:10.1093/gerona/53a.1.m47

Cited by 122 publications

(94 citation statements)

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“…(35) This is further supported in a later study where Capezuti et al found that the removal of restraints did not increase fall risk or subsequent injuries from falls in nursing home residents. (36) In our study, we found that the use of restraints in our hospital for agitated or disruptive patients was not common. This may be due to better awareness about the consequences of restraint use in the frail elderly population.…”

Section: Na: Not Availablementioning

confidence: 57%

Comparison between elderly inpatient fallers with and without dementia

Lim¹,

Mamun²,

Lim³

2014

smedj

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INTRODUCTIONThis study aimed to examine the various factors associated with inpatient falls among patients with and without dementia in a hospital setting. METHODSThis was a retrospective one-year study using data collected from Singapore General Hospital's electronic reporting system for inpatient falls. RESUlTSIn the study period, 298 patients aged ≥ 65 years fell during their hospital stay. The majority of the patients (n = 248) did not have dementia. In our study, fallers with dementia were more likely to use ambulatory aids, be visually impaired and have urinary incontinence. More patients with dementia than those without had a history of previous falls, and were placed on fall precaution with restricted freedom of movement, which at times, included restraints. However, the difference between patients who were put on restraints and those who were allowed to move freely was not statistically significant. The majority of falls in both groups occurred at the bedside. We found that fallers without dementia were more likely to fall during the morning shift, whereas fallers with dementia were more likely to fall during the night shift. Fallers with dementia were more likely to be confused at the time of the fall. CONClUSIONIn our study, we found that fallers with dementia were more likely to have visual impairment, have urinary incontinence, use walking aids, and to be confused and physically restrained at the time of the fall. The fallers without dementia in our study may have undiagnosed dementia.

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Section: Na: Not Availablementioning

confidence: 57%

Comparison between elderly inpatient fallers with and without dementia

Lim¹,

Mamun²,

Lim³

2014

smedj

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show abstract

“…muscle weakness, balance impairment, environmental hazards, restraints). The use of physical restraints, in particular, has been extensively debated, (Capezuti, Strumpf, Evans, Grisso, & Maislin, 1998;Hamers & Huizing, 2005), but data on their effect on falls is still inconclusive, and only few studies were available for each restraint device (i.e. bedrails, trunk restraints).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis

Deandrea

Bravi

Turati

et al. 2013

Archives of Gerontology and Geriatrics

270

212

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“…The most common indication for use of PR was high risk of falls. The validity of this indication is questioned by studies showing a lower fall or injury incidence during restraint reduction in nursing homes (12,13). The difference in the use of PR for more than 24 hours between hospitals and nursing homes, although not justified by it, can probably be explained by the higher number of acutely ill cognitively impaired patients in geriatric hospital wards.…”

Section: To the Editormentioning

confidence: 99%

Differences in Period Prevalence of the Use of Physical Restraints in Elderly Inpatients of European Hospitals and Nursing Homes

Vries¹,

Ligthart²,

Nikolaus³

2004

The Journals of Gerontology Series A: Biological Sciences and M

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The Relationship Between Physical Restraint Removal and Falls and Injuries Among Nursing Home Residents

Abstract: Physical restraint removal does not lead to increases in falls or subsequent fall-related injury in older nursing home residents.

Cited by 122 publications

References 0 publications

Comparison between elderly inpatient fallers with and without dementia

Comparison between elderly inpatient fallers with and without dementia

Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis

Differences in Period Prevalence of the Use of Physical Restraints in Elderly Inpatients of European Hospitals and Nursing Homes

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