Cochrane · systematic review · CD007546
Interventions for preventing and reducing the use of physical restraints for older people in all long‐term care settings
Möhler, R, Richter, T, Köpke, S, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Dementia and Cognitive ImprovementAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
19
current version
GRADE rated
14
No studies
5
Included studies
NR
No studies 5 · 26.3%Ungraded 0 · 0%Very low 2 · 10.5%Low 6 · 31.6%Moderate 6 · 31.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings table ‐ Organisational intervention compared to usual care for older people in all long‐term care settings
Population: older people in all long‐term care settings
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Residents with at least one physical restraint Summary of findings table ‐ Organisational intervention vs usual care | RR 0.86 [0.76, 0.94] | 4 studies · 3849 participants | Moderate Downgraded: risk of bias, imprecision |
Residents with at least one belt Summary of findings table ‐ Organisational intervention vs usual care | RR 0.54 [0.4, 0.73] | 3 studies · 12711 participants | Moderate Downgraded: risk of bias, imprecision |
Serious adverse events related to the use of physical restraints Summary of findings table ‐ Organisational intervention vs usual care | no estimate extracted | 1 study · 8841 participants | Moderate Downgraded: imprecision |
Duration of physical restraint use Summary of findings table ‐ Organisational intervention vs usual care | no estimate extracted | 1 study · 228 participants | Moderate Downgraded: imprecision |
Residents with at least one fall Summary of findings table ‐ Organisational intervention vs usual care | RR 1.02 [0.86, 1.2] | 4 studies · 17954 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Residents with at least one fall‐related fracture Summary of findings table ‐ Organisational intervention vs usual care | RR 1.05 [0.76, 1.45] | 4 studies · 17954 participants | Low Downgraded: risk of bias, imprecision |
Residents with at least one psychotropic medication Summary of findings table ‐ Organisational intervention vs usual care | RR 1 [0.95, 1.06] | 2 studies · 3452 participants | Moderate Downgraded: risk of bias, imprecision |
Summary of findings table ‐ Simple educational intervention compared to usual care for older people in all long‐term care settings
Population: older people in all long‐term care settings
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Residents with at least one physical restraint Summary of findings table ‐ Simple educational intervention vs usual care | no estimate extracted | 6 studies · 1483 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Serious adverse events ‐ not measured Summary of findings table ‐ Simple educational intervention vs usual care | no estimate extracted | NR | No studies |
Restraint intensity Summary of findings table ‐ Simple educational intervention vs usual care | no estimate extracted | 1 study · 241 participants | Moderate Downgraded: imprecision |
Residents with at least one fall Summary of findings table ‐ Simple educational intervention vs usual care | no estimate extracted | 2 studies · 813 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Residents with at least one fall‐related serious injury Summary of findings table ‐ Simple educational intervention vs usual care | no estimate extracted | 1 study · 463 participants | Low Downgraded: risk of bias, imprecision |
Residents with at least one psychotropic medication Summary of findings table ‐ Simple educational intervention vs usual care | no estimate extracted | 5 studies · 1202 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Summary of findings table ‐ Providing information about the residents? fall risk compared to usual care for older people in all long‐term care settings
Population: older people in all long‐term care settings
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Restraint use Summary of findings table ‐ Providing information about the residents? fall risk vs usual care | no estimate extracted | 1 study · 98 participants | Low Downgraded: risk of bias, imprecision |
Serious adverse events related to the use of physical restraints ‐ not measured Summary of findings table ‐ Providing information about the residents? fall risk vs usual care | no estimate extracted | NR | No studies |
Duration of physical restraint use ‐ not measured Summary of findings table ‐ Providing information about the residents? fall risk vs usual care | no estimate extracted | NR | No studies |
Falls Summary of findings table ‐ Providing information about the residents? fall risk vs usual care | no estimate extracted | 1 study · 98 participants | Low Downgraded: risk of bias, imprecision |
Fall‐related injuries ‐ not measured Summary of findings table ‐ Providing information about the residents? fall risk vs usual care | no estimate extracted | NR | No studies |
Residents with at least one psychotropic medication ‐ not measured Summary of findings table ‐ Providing information about the residents? fall risk vs usual care | no estimate extracted | NR | No studies |