Racial, Ethnic, and Age-Related Disparities in Sedation and Restraint Use for Older Adults in the Emergency Department
Jivalagian P, Gettel C, Smith C, Robinson L, Brinker M, Shah D, Kumar A, Faustino I, Nath B, Chang-Sing E, Taylor R, Kennedy M, Hwang U, Wong A. Racial, Ethnic, and Age-Related Disparities in Sedation and Restraint Use for Older Adults in the Emergency Department. American Journal Of Geriatric Psychiatry 2024 PMID: 39054237, DOI: 10.1016/j.jagp.2024.07.004.Peer-Reviewed Original ResearchPhysical restraint useRestraint useOlder adultsED visitsPhysical restraintEmergency departmentElectronic health record dataHealth record dataBlack non-HispanicPatient-level characteristicsAge-related disparitiesAssociated with increased useRegional hospital networkCross-sectional studyLogistic regression modelsChemical sedationRetrospective cross-sectional studyNon-Hispanic groupNon-HispanicAgitation managementHospital sitesHospital networkRecord dataWhite non-Hispanic groupPrimary outcomeRacial and Ethnic Disparities in Patient Restraint in Emergency Departments by Police Transport Status
Chang-Sing E, Smith C, Gagliardi J, Cramer L, Robinson L, Shah D, Brinker M, Jivalagian P, Hu Y, Turner N, Wong A. Racial and Ethnic Disparities in Patient Restraint in Emergency Departments by Police Transport Status. JAMA Network Open 2024, 7: e240098. PMID: 38381433, PMCID: PMC10882414, DOI: 10.1001/jamanetworkopen.2024.0098.Peer-Reviewed Original ResearchConceptsED visitsPolice transportCross-sectional studyEmergency departmentPhysical restraintBlack patientsBlack raceWhite patientsCross-sectional study of ED visitsIncreased oddsElectronic health record dataStudy of ED visitsHealth record dataEmergency carePoliceEthnic disparitiesVisit diagnosesMental healthMain OutcomesHigher oddsPatient restraintBehavioral crisesHispanic patientsBlack individualsRecord data