Evidence map›Paper›PMID 32184738›Full record

ArticleFrontiers in psychiatry2019

Physical and Pharmacological Restraints in Hospital Care: Protocol for a Systematic Review.

Wendy de Bruijn, Joost G Daams, Florian J G van Hunnik, Arend J Arends, A M Boelens, Ellen M Bosnak, Julie Meerveld, Ben Roelands, Barbara C van Munster, Bas Verwey and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Characterizing Emergency Department Care for Patients With Histories of Incarceration.Journal of the American College of Emergency Physicians open · 2025
    Article
  3. Article
  4. Nursing Ethical Decision Making on Adult Physical Restraint: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Wendy de BruijnDepartment of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Joost G DaamsMedical Library, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Florian J G van HunnikVerpleegkundigen & Verzorgenden (V&VN), Utrecht, Netherlands.
Arend J ArendsDutch Geriatric Society (NVKG), Utrecht, Netherlands.
A M BoelensDepartment of Geriatrics, UMCG, Groningen, Netherlands.
Ellen M BosnakAmsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Julie MeerveldAlzheimer Nederland, Amersfoort, Netherlands.
Ben RoelandsStichting Mind, Amersfoort, Netherlands.
Barbara C van MunsterDepartment of Internal Medicine/Geriatrics, Gelre Hospitals and UMCG, Groningen, Netherlands.
Bas VerweyDepartment of Hospital Psychiatry, NVvP, Utrecht, Netherlands.
Martijn FigeeDepartment of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Sophia E de RooijDepartment of Elderly Medicine, UMCG, Groningen, Netherlands.
Roel J T MockingDepartment of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
University of Amsterdam · NLAmsterdam University Medical Centers · NLDialyse Centrum Groningen · NLAlzheimer Nederland · NLGelre Hospitals · NLNederlandse Vereniging voor Kindergeneeskunde · NLStichting tot Steun VCVGZ · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical and pharmacological restraints, defined as all measures limiting a person in his or her freedom, are extensively used to handle unsafe or problematic behavior in hospital care. There are increasing concerns as to the extent with which these restraints are being used in hospitals, and whether their benefits outweigh their potential harm. There is currently no comprehensive literature overview on the beneficial and/or adverse effects of the use of physical and pharmacological restraints in the hospital setting.

methodsA systematic review of the existing literature will be performed on the beneficial and/or adverse effects of physical and pharmacological restraints in the hospital setting. Relevant databases will be systematically searched. A dedicated search strategy was composed. A visualization of similarities (VOS) analysis was used to further specify the search. Observational studies, and if available, randomized controlled trials reporting on beneficial and/or adverse effects of physical and/or pharmacological restraints in the general hospital setting will be included. Data from included articles will be extracted and analyzed. If the data is suitable for quantitative analysis, meta-analysis will be applied. DISCUSSION: This review will provide data on the beneficial and/or adverse effects of the use of physical and pharmacological restraints in hospital care. With this review we aim to guide health professionals by providing a critique of the available evidence regarding their choice to either apply or withhold from using restraints. A limitation of the current review will be that we will not specifically address ethical aspects of restraint use. Nevertheless, the outcomes of our systematic review can be used in the composition of a multidisciplinary guideline. Furthermore, our systematic review might determine knowledge gaps in the evidence, and recommendations on how to target these gaps with future research. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration number: CRD42019116186.

Indexed as

adverse effectsbehavioral issueschemical restraintcomplicationshospitalpharmacological restraintphysical restraintsystematic review protocol

Identifiers

PMID32184738
PMCPMC7058582
OpenAlexW2989915312

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.