Pharmacologic Restraint Use During Mental Health Visits in Pediatric Emergency Departments
Pharmacologic Restraint Use During Mental Health Visits in Pediatric Emergency Departments
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DOI：
10.1016/j.jpeds.2021.03.027
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发表时间：
2021-08-23
影响因子：
5.1
通讯作者：
Hudgins, Joel D.
中科院分区：
文献类型：
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作者：
Foster, Ashley A.;Porter, John J.;Hudgins, Joel D.
目的评价儿科急诊中药物约束使用的趋势和医院变化。研究设计：我们调查了2009年至2019年在儿童医院急诊科就诊的3-21岁儿童精神卫生诊断病例。我们计算了药物束缚使用的频率，并确定了与束缚使用相关的就诊特征。我们计算了有限制的就诊和所有精神健康就诊的累计变化百分比。结果389 885人次(女性54.9%，中位年龄14.3岁)，13643人次(3.5%)使用药物约束。与药物约束使用相关的特征是青春期晚期(18-21岁)、男性、黑人种族、非拉丁裔种族、公共保险和住院(P
Objectives To evaluate the trends and hospital variation in the use of pharmacologic restraint among pediatric mental health visits in the emergency department (ED).Study design We examined ED visits with a mental health diagnosis in patients aged 3-21 years at children's hospital EDs from 2009 to 2019. We calculated the frequency of pharmacologic restraint use and determined visit characteristics associated with restraint use. We calculated cumulative percent change for visits with restraints and for all mental health visits. We used logistic regression to test trends over time and evaluate hospital variation in the frequency of restraint use.Results We identified 389 885 mental health ED visits (54.9% female, median age 14.3 years) and 13 643 (3.5%) visits with pharmacologic restraint use. Characteristics associated with pharmacologic restraint use were late adolescent age (18-21 years), male sex, Black race, non-Latino ethnicity, public insurance, and admission to the hospital (P