ICU sedation, delirium & recovery
Reducing Physical Restraint in the ICU: Multicenter Phase II Randomized Trial of a Novel Device Versus Traditional Wrist Restraints
Primary resultResult — go to the resultRelative mean total activity count per session 0.93 95% CI 0.76–1.13Authors' 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 →