Physical Restraints and Post-Traumatic Stress Disorder in Survivors of Critical Illness: A Systematic Review and Meta-analysis.

  title={Physical Restraints and Post-Traumatic Stress Disorder in Survivors of Critical Illness: A Systematic Review and Meta-analysis.},
  author={Zenan M Franks and Jonathan A Alcock and Tommy Lam and Kimberley J Haines and Nitin Arora and Mahesh Ramanan},
  journal={Annals of the American Thoracic Society},
RATIONALE Physical restraints are used liberally in some Intensive Care Units (ICUs) to prevent patient harm from device removal or falls. While the intention of restraint use is patient safety, their application may inadvertently cause physical or psychological harm. Physical restraints may contribute to Post-traumatic stress disorder (PTSD) but there is paucity of supportive data. OBJECTIVES To investigate the association between physical restraint use and PTSD symptoms in ICU survivors… 
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The hypothesis that the impact of care within the ICU has an impact on subsequent psychological morbidity and therefore must be assessed in future studies looking at the way patients are sedated in theICU and how physical restraint is used is raised.
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  • Li-Yin Chang, K. Wang, Y. Chao
  • Medicine
    American journal of critical care : an official publication, American Association of Critical-Care Nurses
  • 2008
An impaired level of consciousness on admission to the intensive care unit and the presence of nosocomial infection intensify the risk for unplanned extubation, even when physical restraints are used.