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Determinants of mechanical restraint in an acute psychiatric care unit

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dc.contributor.author El-Abidi, Khadija
dc.contributor.author Moreno-Poyato, Antonio Rafael
dc.contributor.author Toll Privat, Alba
dc.contributor.author Córcoles, David
dc.contributor.author Aceña-Domínguez, Rosa
dc.contributor.author Pérez Solá, Victor
dc.contributor.author Mané Santacana, Anna
dc.date.accessioned 2022-09-29T06:50:31Z
dc.date.available 2022-09-29T06:50:31Z
dc.date.issued 2021
dc.identifier.citation El-Abidi K, Moreno-Poyato AR, Toll Privat A, Corcoles Martinez D, Aceña-Domínguez R, Pérez-Solà V, et al. Determinants of mechanical restraint in an acute psychiatric care unit. World J Psychiatry. 2021 Oct 19; 11(10): 854-63. DOI: 10.5498/wjp.v11.i10.854
dc.identifier.issn 2220-3206
dc.identifier.uri http://hdl.handle.net/10230/54200
dc.description.abstract Background: despite numerous attempts to reduce the use of mechanical restraint (MR), this technique continues to be widely applied in many acute psychiatric care settings. In order to reduce MR, a better understanding of the variables associated with its use and duration in different clinical environments is essential. Aim: to determine the proportion of patients subjected to MR and the duration thereof in two acute care psychiatric units; and to identify the variables associated with the use and duration of MR. Methods: descriptive study of all patients admitted to the acute psychiatric units at the Parc de Salut Mar (Barcelona, Spain) in the year 2018. The number and percentage of patients subjected to MR, as well as the duration of each episode were assessed. The following data were also registered: sociodemographic characteristics, psychiatric diagnosis, and presence of cultural and/or language barriers. Multivariate analyses were performed to assess determinants of MR and its duration. Results: of the 464 patients, 119 (25.6%) required MR, with a median of 16.4 h per MR. Two factors - a diagnosis of psychotic disorder [Odds ratios (OR) = 0.22; 95%CI: 0.06-0.62; P = 0.005] and the presence of a language barrier (OR = 2.13; 95%CI: 1.2-3.7; P = 0.007) - were associated with a significantly higher risk of MR. Male sex was associated with a longer duration of MR (B = -19.03; 95%CI: -38.06-0.008; P = 0.05). Conclusion: the presence of a language barrier and a psychotic disorder diagnosis are associated with a significantly higher risk of MR. Furthermore, male sex is associated with a longer duration of MR. Individualized restraint protocols that include the required tools are necessary to ultimately limit the use of mechanical restraint.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Baishideng Publishing Group
dc.rights Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
dc.rights.uri http://creativecommons.org/Licenses/by-nc/4.0/
dc.title Determinants of mechanical restraint in an acute psychiatric care unit
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.5498/wjp.v11.i10.854
dc.subject.keyword Determining factors
dc.subject.keyword Mechanical restraint
dc.subject.keyword Prolonged restraint
dc.subject.keyword Psychiatric acute unit
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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