ICU sedation, delirium & recovery

Reducing Physical Restraint in the ICU: Multicenter Phase II Randomized Trial of a Novel Device Versus Traditional Wrist Restraints

Crit Care MedPublished Randomised controlled trial

Primary resultResult — go to the resultRelative mean total activity count per session 0.93 95% CI 0.76–1.13

Authors' conclusion

No differences in upper extremity activity, delirium, sedation, or agitation were demonstrated between the novel device and traditional wrist restraints.

Study context

Population
Verbally responsive ICU patients with a provider order for wrist restraints and expected stay ≥2 days, 4 US academic medical centerscrossover
Participants
54 patients
Comparison
Novel device vs traditional wrist restraints
Primary endpoint
Upper extremity activity (wrist actigraphy), mean activity count per 4-hour session
Methodological detailswithin-patient crossover, phase II, multicentre
  • Within-patient crossover
  • Phase II
  • Multicentre

Primary result

As reported in the abstract

Relative mean total activity count per session

0.93

95% CI 0.76–1.13

P = 0.45

Secondary outcomes

High satisfaction (QUEST survey)

Surveys completed Patient/family 25 · Clinicians 79

High satisfaction (QUEST survey) — Qualitative analyses: positive themes
4
High satisfaction (QUEST survey) — Qualitative analyses: constructive themes
6

Sedation/agitation, delirium status and severity

No statistically significant differences

Safety

Potential safety events with novel device
2% · 2 events

Original publication

Reducing Physical Restraint in the ICU: Multicenter Phase II Randomized Trial of a Novel Device Versus Traditional Wrist Restraints. Crit Care Med. Published 28 May 2026. doi:10.1097/ccm.0000000000007172

Composed by AI from the published abstract and checked against it. How Briefs are made →

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