2026-04-30T09:02:46Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/250812025-12-18T12:57:08Zcom_20.500.12105_15322com_20.500.12105_2051com_20.500.12105_2052col_20.500.12105_16963col_20.500.12105_16987col_20.500.12105_19618

00925njm 22002777a 4500 dc Bosch Alcaraz, Alejandro author Belda Hofheinz, Sylvia author Corrionero Alegre, Jesús author García Piñero, José Miguel author Gil Domínguez, Sonia author Fernández Lorenzo, Rocío author Mata Ferro, María author Martín Gómez, Ainhoa author Serradell Orea, Marta author Luna Castaño, Patricia author Saz Roy, M Ángeles author Zuriguel Pérez, Esperanza author Martínez Oliva, Marta author González Rivas, Susana author Añaños Montoto, Nerea author Espildora González, María José author Martín-Peñasco Osorio, Elena author Carracedo Muñoz, Eva author López Fernández, Eduardo author Lozano Almendral, Gema author Ureste Parra, Maria Victoria author Gomez Merino, Alicia author García Martínez, Alexandra author Morales Cervera, David author Frade Pardo, Laura author Díaz Lerma, Ainhoa author Piqueras Rodríguez, Pedro author 2024-12 Objective: To calculate the prevalence of physical restraint (PR) use in Spanish PICUs and (2) to analyze the correlation between the prevalence of PR use and the sociodemographic, clinical variables of the patients and the PICU structural and organizational variables. Methods: We conducted a multicenter prevalence study from January 2022 to January 2023 in Spanish PICUs. The method of data collection was by direct observation, review of the patient's medical history, and asking the professionals involved in the patient's care. Three weekly 24-hour prevalence observations (morning, afternoon, and night) were conducted for 6 months. Results: A total of 336 patients were included in the study, obtaining an overall crude prevalence of PR use of 16 % (95 %CI: 15 %-17.7 %). Pediatric patients with respiratory pathology received the highest number of hours of PR, with significant differences observed when comparing respiratory cases with post-surgical cases. Statistical significance was also observed when comparing the mean scores of hours of PR according to admission diagnosis (p = 0.01), with respiratory patients being the ones who were restrained the longest (24 h [20-24]) and infectious patients the least (15 h [14-20]). Patients who receive PR upon admission remain in this situation for more hours (24 h [15-24] and in the PICUs that specifically recorded PR application, fewer hours of PR occurred (20 h [4-24]). Conclusions: The use of PR is still present in the PICUs analyzed, with a crude prevalence of 16%. Factors such as the reason for admission, the use of respiratory support, and the reason for application of PR were linked to the hours of use of PR. Implications for clinical practice: Knowing the prevalence of PR use will make professionals aware that it is still necessary to implement policies that avoid its use to prevent the side effects they have in pediatric patients. Intensive Crit Care Nurs. 2024 Dec:85:103788. 10.1016/j.iccn.2024.103788 1532-4036 0964-3397 Intensive Crit Care Nurs 39116510 https://hdl.handle.net/20.500.12105/25081 Behavior Intensive Care Units Pediatrics Physical restraint Prevalence of use of physical restraints in pediatric intensive care units and correlated variables: A Spanish multicenter study