Structural and Clinical Factors Associated with Physical Restraint Use in a Pediatric Emergency Department
CPS involvement, transport by police or EMS, autism diagnosis, and Black race were independently associated with increased physical restraint use in pediatric ED patients. These findings emphasize the role of both structural and child-level factors in contributing to physical restraint in emergency behavioral health care, highlighting the need for a multifactorial approach to reduce restraint use.
Authors
- Gunjan Tiyyagura (ORCID: https://orcid.org/0000-0003-0342-0919)
- Max Rolison (ORCID: https://orcid.org/0000-0001-9534-3767)
- Ambrose H. Wong (ORCID: https://orcid.org/0000-0001-7471-1647)
- Isaac V. Faustino (ORCID: https://orcid.org/0000-0001-7445-4265)
- Anusha Kumar
- Pamela Hoffman (ORCID: https://orcid.org/0000-0002-5228-7416)
- Emily Powers (ORCID: https://orcid.org/0000-0002-5138-8397)
- Veronika Shabanova (ORCID: https://orcid.org/0000-0001-8090-9238)
- Shu-Rou Huang
- Motunrayo Adu
Institutions
- Children's Hospital of Philadelphia (US)
- Yale University (US)
- Boston Children's Museum (US)
- New York University (US)
Publication Details
- Journal
- Journal of the American College of Emergency Physicians Open
- Published
- 2025-11-13
- DOI
- https://doi.org/10.1016/j.acepjo.2025.100277
- Primary Topic
- Healthcare Decision-Making and Restraints
- Type
- article
- Field-Weighted Citation Impact
- 0.00