Document Detail

Deaths caused by bedrails.
MedLine Citation:
PMID:  9215328     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine how bedrails cause death in order to suggest clinical and ergonomic changes to prevent such deaths and to promote research to improve the use and design of bed systems. DESIGN: A review of reports of adult deaths and injuries from bedrails contained in the United States Consumer Product Safety Commission Death Certificate File and its Reported Incidents File and its National Injury Information Clearinghouse Accident Investigations from 1993 to 1996. Deaths involving the use of vest restraints were excluded. We reconstructed, reenacted, and have graphically depicted major patterns of deaths. A review of the literature to 1966 was also done. RESULTS: The 74 deaths described are categorized into three types: (1) 70% were entrapments between the mattress and a rail so that the face was pressed against the mattress, (2) 18% were entrapment and compression of the neck within the rails, and (3) 12% were deaths caused by being trapped by the rails after sliding partially off the bed and having the neck flexed or the chest compressed. CONCLUSIONS: Deaths from bedrails are underrecognized and preventable clinical events that can occur in any medical setting. Preventing these events will require a unified redesign of the relationships between rails, mattresses, and beds, which are now often assembled and used as separate products. Clinicians can prevent many of these deaths by using bedrails much more judiciously, confirming the proper relationships between beds, rails and mattresses, and using alarms.
K Parker; S H Miles
Related Documents :
25481078 - Late-preterm birth and neonatal morbidities: population-level and within-family estimates.
25144988 - Sex ratio at birth in croatia: update.
11573708 - Relationship between rehospitalization and future death in patients treated for potenti...
25183438 - Increased number of teeth predict acquisition of mutans streptococci in infants.
12117478 - Congenital myasthenic syndrome associated with episodic apnea and sudden infant death.
6773018 - Spondyloepiphyseal dysplasia congenita. a cause of lethal neonatal dwarfism.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  45     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-07-30     Completed Date:  1997-07-30     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  797-802     Citation Subset:  IM    
Department of Geriatric Medicine, St. Paul Ramsey Medical Center, Minnesota, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Consumer Product Safety
Equipment Failure
Nursing Homes*
Protective Devices / adverse effects*
Restraint, Physical / adverse effects
Wounds and Injuries / mortality*
Comment In:
J Am Geriatr Soc. 1998 Jun;46(6):794   [PMID:  9625205 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Effects of a restraint reduction intervention and OBRA '87 regulations on psychoactive drug use in n...
Next Document:  Reduced systemic arterial compliance is associated with left ventricular hypertrophy and diastolic d...