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What is the main cause of death from bed rail use?

According to the U.S. Food and Drug Administration (FDA), bed rail entrapment is the main cause of death from bed rail use, with reports citing entanglement, asphyxiation, and strangulation. This risk is particularly high for frail, elderly, or confused individuals who may become trapped in gaps between the mattress and the rail. Despite their intended use to prevent falls, bed rails can introduce significant hazards, leading to fatal accidents when not properly installed or monitored.