The Relationship between the Duration of Physical Restraint and the Prognosis of Patients with Traumatic Brain Injury Combined with Pneumonia
Abstract：Objective To explore the relationship between the duration of physical restraint (PR) and adverse outcomes in patients with traumatic brain injury (TBI) combined with pneumonia. Methods A retrospective cohort study was conducted. According to the proportion of PR days to total hospitalization days, patients were divided into three groups: long-term restraint group (PR days / hospitalization days ≥ 2/3), medium-term restraint group (PR days / hospitalization days > 1/3 ~ 2/3), and short-term restraint group (PR days / hospitalization days ≤ 1/3). The general data and clinical outcomes of the three groups were compared. Results The median ICU stay for TBI patients with pneumonia was 5 days, the median hospitalization duration was 22 days, and the median FIM score at discharge was 47 points, with a 30-day mortality rate of 10.47%. Multivariate analysis showed that PR grade 2-3 was a risk factor for low FIM scores at discharge. Compared with the short-term restraint group, both the medium-term and long-term restraint groups were risk factors for prolonged ICU stay, prolonged hospitalization, and low FIM scores at discharge. Conclusion The use of PR in clinical practice should be cautious. Appropriate duration of PR application may benefit the clinical outcomes of patients with TBI combined with pneumonia.
Keywords：Traumatic Brain InjuryPneumoniaPhysical RestraintClinical Outcome
Publication Date：2025-02-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 117-122 )