Outcomes among hospitalized patients with dementia and behavioral disturbances when physical restraints are introduced Article Swipe
Amteshwar Singh
,
Ishaan Gupta
,
Scott M. Wright
,
Ché Matthew Harris
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/jgs.18422
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/jgs.18422
Background Physical restraint use among patients hospitalized with dementia and behavioral disturbances has not been studied nationally in the United States. Methods National Inpatient Sample database years 2016 through 2020 were used to compare physically restrained and unrestrained patients with dementia and behavioral disturbances. Multivariable regression analyses were used to assess patient outcomes. Results There were 991,605 patients coded for dementia with behavioral disturbances. Among these, physical restraints were used with 64,390 (6.5%) and not with 927,215 (93.5%). Patients in the restrained group were younger (mean age standard error: 78.7 0.25 vs. ; p < 0.01) and more often male (59.0% vs. 45.8%; p < 0.01) compared to the unrestrained group. A higher proportion of Black patients were in the restrained group (15.2% vs. 11.8%; p < 0.01). Larger hospitals also made up a more significant proportion of restrained versus unrestrained patients (53.3% vs. 45.1%; p < 0.01). Those with physical restraints had longer lengths of stays (adjusted mean difference [aMD] = 2.6 days CI [2.2–3.0]; p < 0.01) and higher total hospital charges (aMD = $13,150 CI [10,827‐15,472]; p < 0.01). There were similar adjusted odds for in‐hospital mortality (adjusted odds ratio [aOR] = 1.0 [CI 0.95–1.1]; p = 0.28) and lower odds of being discharged to home after hospitalization (aOR = 0.74 [0.70–0.79]; <0.01) for patients with physical restraints compared to those without. Conclusion Among patients hospitalized with dementia and behavioral disturbances, those with physical restraints had greater hospital resource utilization outcomes. Attempts to limit physical restraint use whenever possible may improve outcomes in this vulnerable population.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/jgs.18422
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jgs.18422
- OA Status
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- Cited By
- 11
- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4378470247Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/jgs.18422Digital Object Identifier
- Title
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Outcomes among hospitalized patients with dementia and behavioral disturbances when physical restraints are introducedWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-05-26Full publication date if available
- Authors
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Amteshwar Singh, Ishaan Gupta, Scott M. Wright, Ché Matthew HarrisList of authors in order
- Landing page
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https://doi.org/10.1111/jgs.18422Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jgs.18422Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jgs.18422Direct OA link when available
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Medicine, Dementia, Odds ratio, Odds, Internal medicine, Logistic regression, Pediatrics, Physical therapy, DiseaseTop concepts (fields/topics) attached by OpenAlex
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11Total citation count in OpenAlex
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2025: 7, 2024: 4Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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