2024 年 74 巻 2 号 p. 141-146
Background & Aims: This study aimed to investigate cut-off values of clinical assessment tools in the decision-making on the use of physical restraints.
Methods: This study was a retrospective analysis of routine patient data in a sub-acute care ward in a general hospital. We analyzed data of patients who were aged 65 years and older admitted to a sub-acute care ward. Upon admission, the following variables were examined: the Short Physical Performance Battery, the Japanese version of the rapid dementia screening test, the admission Functional Independence Measure (FIM), the modified version of the Fall Risk Assessment Tool and the use of physical restraint for fall prevention. The factors determining physical restraint use were investigated using multivariate logistic regression analysis based on admission variables, and the cut-off value for predicting the use or non-use of restraints at admission was estimated.
Results: Of the 73 patients, 15 patients were restrained on admission. The FIM cognitive was the sole assessment tool that predicted the physical restraint use for fall prevention. The cut-off value for the FIM cognitive was 23 points.
Conclusion: This finding could make the decision-making process more visible and transparent to minimize physical restraint use.
