ArticleIntensive care medicine2023
Association of language concordance and restraint use in adults receiving mechanical ventilation.
Article in Intensive care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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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.
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Who cites it
12 citing papers in PubMed.
- Physical restraint in the intensive care units: a narrative review of current practices and outcomes.Journal of intensive care · 2026Review
- Cognitive recovery after critical illness: comparing English and Spanish-speaking survivors.Critical care (London, England) · 2026Article
- Disparities in Physical Restraints and Antipsychotic use in Hospitalized Patients with Limited English Proficiency.Journal of general internal medicine · 2026Article
- Delirium in the Pediatric Cardiac Intensive Care Unit and Use of a Language Other than English.Pediatric cardiology · 2026Article
- Ensuring inclusion is central to critical care research design.Intensive care medicine · 2026Article
- More than Words: Race, Language Preference, and Restraint Use in the Intensive Care Unit.Annals of the American Thoracic Society · 2025Article
- Language Preference and Use of Physical and Chemical Restraints Among Hospitalized Older Adults With Dementia.Journal of the American Geriatrics Society · 2025Article
- Accuracy of preferred language data in a multi-hospital electronic health record in Toronto, Canada.PLOS digital health · 2025Article
- The Financial Impact of Post Intensive Care Syndrome.Critical care clinics · 2025Review
- Vulnerabilities During and After Critical Illness: Care-Seeking and Language-Concordant Care.CHEST critical care · 2024Article
- Through the eyes of Spanish-speaking patients, caregivers, and community leaders: a qualitative study on the in-patient hospital experience.International journal for equity in health · 2024Article
- Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization.JAMA network open · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeClinician-patient language concordance improves patient outcomes in non-intensive care unit (ICU) settings. We sought to assess the association of ICU nurse-patient language concordance with delirium-related outcomes.
methodsWe conducted a retrospective cohort study of adult English- or Spanish-speaking mechanically ventilated ICU patients admitted to ICUs at the University of Miami Hospital and Clinics (January 2021-September 2022). Our primary exposure was nurse-patient language concordance on each shift. We used mixed-effects multivariable regression to evaluate the association of language concordance with the primary outcome of restraint use, and secondary outcomes of agitation and identification of delirium, during each shift (with patient as a random effect).
resultsOur cohort included 4326 shifts (3380 [78.1%] with language concordance) from 548 patients and 157 nurses. Spanish language was preferred by 269 (49.1%) of patients. English-speaking patients tended to be younger (65 [53, 75] vs 73 [61, 83], p < 0.001) and of non-Hispanic ethnicity (55.5% vs 7.1%, p < 0.001). English-speakers had restraints ordered on fewer of their included shifts (0 [0, 3] vs 1 [0, 3], p = 0.005). After adjustment, the odds of restraint use on shifts with language concordance was significantly lower (odds ratio [OR, 95% confidence interval [CI]]: 0.50 [0.39-0.63], p < 0.001). Agitation (18.6% vs 25.2%; OR [95% CI]: 0.71 [0.55-0.92], p = 0.009) and delirium identification (34.5% vs 41.3%; OR [95% CI]: 0.54 [0.34-0.88], p = 0.014) were also less common.
conclusionsWe identified a twofold reduction in the odds of restraint use among mechanically ventilated patients for language concordant nurse-patient dyads. Ensuring nurse-patient language concordance may improve ICU delirium, agitation, and restraint use.
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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.