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Use of Physical Restraints in Dutch Intensive Care Units: A Prospective Multicenter Study

2015; American Association of Critical-Care Nurses; Volume: 24; Issue: 6 Linguagem: Inglês

10.4037/ajcc2015348

1937-710X

Arendina W. van der Kooi, Linda M. Peelen, Rosa J. Raijmakers, Renee Vroegop, D. F. Bakker, H. Tekatli, Mark van den Boogaard, A. J. C. Slooter,

Emergency and Acute Care Studies

Patient Safety Issues| November 01 2015 Use of Physical Restraints in Dutch Intensive Care Units: A Prospective Multicenter Study Arendina W. van der Kooi, PhD; Arendina W. van der Kooi, PhD Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Corresponding author: Arendina W. van der Kooi, phd, Department of Intensive Care Medicine, University Medical Center Utrecht, F.06.149, PO Box 85500, 3508 GA, Utrecht, the Netherlands (e-mail: a.w.vanderkooi@umcutrecht.nl). Search for other works by this author on: This Site PubMed Google Scholar Linda M. Peelen, PhD; Linda M. Peelen, PhD Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Search for other works by this author on: This Site PubMed Google Scholar Rosa J. Raijmakers, BSc; Rosa J. Raijmakers, BSc Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Search for other works by this author on: This Site PubMed Google Scholar Renée L. Vroegop, BSc; Renée L. Vroegop, BSc Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Search for other works by this author on: This Site PubMed Google Scholar Danique F. Bakker, BSc; Danique F. Bakker, BSc Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Search for other works by this author on: This Site PubMed Google Scholar Hilâl Tekatli, MSc; Hilâl Tekatli, MSc Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Search for other works by this author on: This Site PubMed Google Scholar Mark van den Boogaard, PhD; Mark van den Boogaard, PhD Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Search for other works by this author on: This Site PubMed Google Scholar Arjen J.C. Slooter, MD, PhD Arjen J.C. Slooter, MD, PhD Arendina W. van der Kooi is a researcher; Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, and Hilâl Tekatli are students; and Arjen J.C. Slooter is an intensivist and neurologist, Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. Linda M. Peelen is a statistician, Department of Intensive Care Medicine, University Medical Center Utrecht, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht. Mark van den Boogaard is a researcher, Department of Intensive Care Medicine, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Search for other works by this author on: This Site PubMed Google Scholar Am J Crit Care (2015) 24 (6): 488–495. https://doi.org/10.4037/ajcc2015348 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Tools Icon Tools Cite Icon Cite Get Permissions Citation Arendina W. van der Kooi, Linda M. Peelen, Rosa J. Raijmakers, Renée L. Vroegop, Danique F. Bakker, Hilâl Tekatli, Mark van den Boogaard, Arjen J.C. Slooter; Use of Physical Restraints in Dutch Intensive Care Units: A Prospective Multicenter Study. Am J Crit Care 1 November 2015; 24 (6): 488–495. doi: https://doi.org/10.4037/ajcc2015348 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search nav search search input Search input auto suggest search filter All ContentAmerican Journal of Critical Care Search Advanced Search BackgroundIncreasing evidence indicates that harmful effects are associated with the use of physical restraint.ObjectivesTo characterize the use of physical restraint in intensive care units. Prevalence, adherence to protocols, and correlates of the use of physical restraint were determined. For comparisons between ICUs, adjustments were made for differences in patients’ characteristics.MethodsA prospective, cross-sectional, observational multicenter study with a representative sample (n = 25) of all Dutch intensive care units, ranging from local hospitals to academic centers. Each unit was visited twice, and all 379 patients admitted during these visits were included and were examined for use of physical restraint.ResultsPhysical restraint was used in 23% of all patients (range, 0%-56% for different units). Of all 346 nurses interviewed, 31% reported using a protocol when applying physical restraint. When corrections were made for clustering within units, the risk for use of physical restraint was increased in patients with delirium or coma, in patients who could not communicate verbally, and in patients receiving psychoactive or sedative medications. Sex, severity of illness, and nurse to patient ratio were not independently related to use of physical restraint. In 11 units (44%), use of physical restraint was more frequent than expected on the basis of patients’ characteristics, although this finding was not significant.ConclusionsPhysical restraint is frequently used in Dutch intensive care units. The differences in frequency between units suggest that opportunities exist to limit the use of physical restraint. ©2015 American Association of Critical-Care Nurses2015 You do not currently have access to this content.