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Related Experiment Videos

Adverse effects associated with physical restraint.

Wanda K Mohr1, Theodore A Petti, Brian D Mohr

  • 1Rutgers University, College of Nursing, Newark, New Jersey, USA. mohr@nightingale.rutgers.edu

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|July 18, 2003
PubMed
Summary

Physical restraint use can lead to death, yet it is not monitored in the US. More research is needed to understand restraint-related risks and reduce adverse outcomes.

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Area of Science:

  • Medical research
  • Forensic pathology
  • Clinical medicine

Background:

  • Physical restraint use lacks national monitoring in the US, with data collection being voluntary.
  • Investigative reports in 1999 highlighted lethal outcomes associated with physical restraint, underscoring its critical nature.
  • This review examines the literature on the causes of death linked to physical restraint procedures.

Purpose of the Study:

  • To review existing literature on the causes of death associated with physical restraint.
  • To identify knowledge gaps regarding the risks and adverse effects of restraint use.
  • To highlight the need for research into risk factors and harm reduction strategies.

Main Methods:

  • Comprehensive literature search across electronic databases: Medline, Cinahl, and PsycINFO.

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  • Inclusion of research from diverse fields including pathology, nursing, cardiology, psychology, and emergency medicine.
  • Systematic review of studies focusing on restraint use and associated mortality.
  • Main Results:

    • The literature review identified a critical need for data on restraint-related adverse events.
    • Current statistics on restraint use and its consequences are limited due to lack of mandatory monitoring.
    • Evidence suggests a link between physical restraint and potentially lethal outcomes.

    Conclusions:

    • Further research is essential to equip clinicians with data on risk factors and adverse effects of restraint.
    • Studies are required to develop and validate procedures for reducing physical restraint use.
    • Investigating individual and combined risk factors contributing to restraint-related injury and death is crucial.