ArticlePloS one2021
Physical restraint of dementia patients in acute care hospitals during the COVID-19 pandemic: A cohort analysis in Japan.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Correlation Between the Dementia Assessment Sheet for Community-Based Integrated Care System-21 Scores and Criteria for Determination of the Daily Life Independence Level of Older Adults With Dementia Using the Diagnosis Procedure Combination Database.Geriatrics & gerontology international · 2026Article
- Factors Associated With Physical Restraint Use in Older Adults With Dementia in Geriatric Care Facilities During the COVID-19 Pandemic in Japan.International journal of geriatric psychiatry · 2025Article
- Research progress on risk prediction models of physical restraint in the elderly: a narrative review.Frontiers in aging · 2025Review
- Article
- Dignity as a Central Issue in Treating Patients with Dementia Associated with COVID-19 Infection.Medicina (Kaunas, Lithuania) · 2023Article
- Coding for Physical Restraint Status Among Hospitalized Patients: a 2019 National Inpatient Sample Analysis.Journal of general internal medicine · 2023Article
- COVID-19 delirium and encephalopathy: Pathophysiology assumed in the first 3 years of the ongoing pandemic.Brain disorders (Amsterdam, Netherlands) · 2023Review
- Exploring the ethics of physical restraints: Students' questioning.Nursing ethics · 2023Article
- Prevention of physical restraints in the acute care setting (PROTECT): study protocol for a cluster-randomised controlled pilot study.BMJ open · 2023Article
- Restraint Practices in Incapable Wandering Patients During COVID-19: Ethics and Best Practice Recommendations.Canadian geriatrics journal : CGJ · 2022Article
- Staff perceptions of the consequences of COVID-19 on quality of dementia care for residents in Ontario long-term care homes.International journal of geriatric psychiatry · 2022Article
- What factors contribute to the need for physical restraint in institutionalized residents in Taiwan?PloS one · 2022Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe coronavirus disease (COVID-19) pandemic has caused unprecedented challenges for the medical staff worldwide, especially for those in hospitals where COVID-19-positive patients are hospitalized. The announcement of COVID-19 hospital restrictions by the Japanese government has led to several limitations in hospital care, including an increased use of physical restraints, which could affect the care of elderly dementia patients. However, few studies have empirically validated the impact of physical restraint use during the COVID-19 pandemic. We aimed to evaluate the impact of regulatory changes, consequent to the pandemic, on physical restraint use among elderly dementia patients in acute care hospitals.
methodsIn this retrospective study, we extracted the data of elderly patients (aged > 64 years) who received dementia care in acute care hospitals between January 6, 2019, and July 4, 2020. We divided patients into two groups depending on whether they were admitted to hospitals that received COVID-19-positive patients. We calculated descriptive statistics to compare the trend in 2-week intervals and conducted an interrupted time-series analysis to validate the changes in the use of physical restraint.
resultsIn hospitals that received COVID-19-positive patients, the number of patients who were physically restrained per 1,000 hospital admissions increased after the government's announcement, with a maximum incidence of 501.4 per 1,000 hospital admissions between the 73rd and 74th week after the announcement. Additionally, a significant increase in the use of physical restraints for elderly dementia patients was noted (p = 0.004) in hospitals that received COVID-19-positive patients. Elderly dementia patients who required personal care experienced a significant increase in the use of physical restraints during the COVID-19 pandemic.
conclusionUnderstanding the causes and mechanisms underlying an increased use of physical restraints for dementia patients can help design more effective care protocols for similar future situations.
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