Injury and death associated with hospital bed side-rails: reports to the US Food and Drug Administration from 1985 to 1995

Am J Public Health. 1997 Oct;87(10):1675-7. doi: 10.2105/ajph.87.10.1675.

Abstract

Objectives: Hospital bed side-rails, while intended for patient protection, can contribute to injury and death. Reports to the Food and Drug Administration (FDA) of hospital bed side-rail entrapment have increased. In this paper entrapment cases are reviewed and the population potentially at risk identified.

Methods: FDA's database was searched for events involving hospital beds from January 1985 to August 1995 and entrapment cases were identified.

Results: Of 111 entrapments, 65% were associated with death and 23% with injury.

Conclusions: Advanced age, female sex, low body weight, and cognitive impairment may be associated with increased risk. Preventive measures are detailed.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Asphyxia / epidemiology
  • Asphyxia / etiology*
  • Asphyxia / mortality*
  • Beds / adverse effects*
  • Child
  • Child, Preschool
  • Databases, Factual
  • Equipment Design
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Risk Factors
  • United States / epidemiology
  • United States Food and Drug Administration
  • Wounds and Injuries / epidemiology
  • Wounds and Injuries / etiology*
  • Wounds and Injuries / mortality