TY - JOUR
T1 - Physical restraint among hospitalized nursing home residents
T2 - Predictors and outcomes
AU - Sullivan-Marx, Eileen M.
AU - Kurlowicz, Lenore H.
AU - Maislin, Greg
AU - Carson, Jeffrey L.
N1 - Funding Information:
This research was supported by funding from the Frank Morgan Jones Fund and Sigma Theta Tau, Xi Chapter, University of Pennsylvania School of Nursing. The original data set used for this study was supported by funding from the Agency for Health Care Policy and Research, Jeffrey L. Carson, MD, Principal Investigator (1RO1HS07322).
PY - 2002
Y1 - 2002
N2 - We examined physical restraint use among 1856 nursing home residents hospitalized with hip fracture using a data set of hip fracture patients in 20 U. S. hospitals from 1983-1993. Mean age of patients was 85.2 years, 81.7% were women, and 91.3% were white. Rate of physical restraint use was 59.4%. Pre-operative physical restraint use was predicted by younger age, confusion, dementia, and needing assistance or dependency in activities of daily living (ADL). Physical restraint use following surgery was predicted by pre-operative physical restraint use, confusion, dementia, and lower co-morbidity of illness. At hospital discharge, restrained patients were more likely to be dependent in ADL and continence. The reduction of physical restraints among hospitalized nursing home residents will require attention to a multiplicity of factors that contribute to restraint use.
AB - We examined physical restraint use among 1856 nursing home residents hospitalized with hip fracture using a data set of hip fracture patients in 20 U. S. hospitals from 1983-1993. Mean age of patients was 85.2 years, 81.7% were women, and 91.3% were white. Rate of physical restraint use was 59.4%. Pre-operative physical restraint use was predicted by younger age, confusion, dementia, and needing assistance or dependency in activities of daily living (ADL). Physical restraint use following surgery was predicted by pre-operative physical restraint use, confusion, dementia, and lower co-morbidity of illness. At hospital discharge, restrained patients were more likely to be dependent in ADL and continence. The reduction of physical restraints among hospitalized nursing home residents will require attention to a multiplicity of factors that contribute to restraint use.
KW - Functional status
KW - Hip fracture, cognitive impairment
KW - Nursing homes
KW - Older adults
KW - Outcomes
KW - Physical restraint
UR - http://www.scopus.com/inward/record.url?scp=0036289871&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036289871&partnerID=8YFLogxK
U2 - 10.1300/J018v24n01_07
DO - 10.1300/J018v24n01_07
M3 - Article
AN - SCOPUS:0036289871
SN - 0731-7115
VL - 24
SP - 85
EP - 101
JO - Clinical Gerontologist
JF - Clinical Gerontologist
IS - 1-2
ER -