2024
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 outcome
2021
49156 Effects of Race and Demographics on Use of Physical Restraints in the Emergency Department
Wong A, Whitfill T, Ohuabunwa E, Ray J, Dziura J, Bernstein S, Taylor R. 49156 Effects of Race and Demographics on Use of Physical Restraints in the Emergency Department. Journal Of Clinical And Translational Science 2021, 5: 121-122. PMCID: PMC8827920, DOI: 10.1017/cts.2021.710.Peer-Reviewed Original ResearchEmergency departmentAlcohol useAfrican AmericansHealth systemED visitsEffects of raceIllicit drug useOdds ratioPhysical restraintSignificant oddsUse of physical restraintsPrivate insuranceLack of private insuranceRegional health systemAssociated with significant oddsNon-Hispanic ethnicityPrevent self-harmTotal ED visitsAssociated with oddsRetrospective cohort analysisAssociated with safety risksAfrican American raceStatistically significant oddsTertiary health systemSignificant demographic factors
2018
Physical Restraint Use in Adult Patients Presenting to a General Emergency Department
Wong AH, Taylor RA, Ray JM, Bernstein SL. Physical Restraint Use in Adult Patients Presenting to a General Emergency Department. Annals Of Emergency Medicine 2018, 73: 183-192. PMID: 30119940, DOI: 10.1016/j.annemergmed.2018.06.020.Peer-Reviewed Original ResearchConceptsPhysical restraint useEmergency departmentRestraint ordersRestraint usePhysical restraintDrug useRegional health systemManagement of behavioral disordersAdult emergency departmentPrevent self-harmCross-sectional studyPrevalence of agitationCross-sectional study of adult patientsAssociation of alcoholAdult patientsGeneral EDHealth systemED visitsManaging agitationMedical complaintsStudy of adult patientsVulnerable populationsSelf-harmUnique patientsTotal ED visits