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Thrombosis associated with physical restraints.

E Hem1, O Steen, S Opjordsmoen

  • 1Department of Behavioural Sciences in Medicine, Faculty of Medicine, University of Oslo, Norway.

Acta Psychiatrica Scandinavica
|February 24, 2001
PubMed
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Physical restraint in psychiatric settings may increase the risk of thrombosis, a serious blood clot condition. This study highlights two cases, one fatal, emphasizing the need for vigilance and further research into restraint safety.

Area of Science:

  • Psychiatry
  • Vascular Medicine
  • Patient Safety

Background:

  • Physical restraint is a common yet controversial practice in psychiatric units.
  • Thromboembolic phenomena, such as blood clots, are serious medical events.
  • The link between physical restraint and thrombosis has not been well-established.

Observation:

  • This study presents two cases of patients experiencing thromboembolic events during or following physical restraint.
  • One of these cases resulted in a fatal outcome, underscoring the severity of the association.

Findings:

  • The authors report the first documented instances of thrombosis directly linked to the use of physical restraint.
  • Literature review supports immobilization and potential leg trauma during restraint as plausible mechanisms for thrombosis development.

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Implications:

  • Healthcare professionals must exercise heightened vigilance for thrombosis in patients undergoing physical restraint in psychiatric wards.
  • There is a critical need for systematic research to better understand and mitigate the risks associated with physical restraint in psychiatric care.