New tool aims to reduce physical restraints in ICUs
NCT ID NCT04957238
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This trial tests a decision-making tool designed to help ICU staff decide when to use physical restraints. The tool uses objective measures of a patient's mental state and equipment needs, along with family involvement. The goal is to reduce the use of restraints and related incidents, while maintaining patient safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ARBORea decision-making tool
- What this could lead to
- If effective, this tool could reduce the use of physical restraints in ICUs, improving patient safety and comfort.
- What could go wrong
- The tool may not change practice as expected, or could lead to unintended incidents if restraints are withheld inappropriately.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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4,000 people
The number who actually took part.
- Started
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May 2022
- Finished
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Feb 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient, male or female, over 18 years of age, hospitalized in ICU for at least 48 hours. * Consent to participate in the patient's study or authorization to carry out the research collected from the designated trustworthy person (failing this, a family member, or failing this, a close and stable relation with the person concerned) according to the modalities described in Title II of the book of the First Public Health Code. If no relative is present, the patient may be included on the advice of the investigator (article L. 1111-6). A consent form for continuation of the study and use of the data will then be signed by the patient if and when the patient is again conscious and lucid, or if the patient is unable to express consent, authorization to continue the research will be obtained from the designated trusted person. * Patient covered by a social security system. Exclusion Criteria: * Predictable and uninterrupted maintenance of deep sedation throughout the duration of the stay, due to the seriousness of the lesions, from the moment the patient is admitted to the intensive care unit. * Lack of predictable remission of a severe coma present on admission to intensive care. * Refusal to participate by the patient, or by the trusted person contacted by default. * Patient with DNR (do not resuscitate) orders. * Patient under legal protection. * Patient already included in the protocol during another stay in resuscitation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Assistance Publique-Hôpitaux de Marseille - La Timone
Marseille, France
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CH Henri Mondor
Aurillac, France
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CH de Saint Malo
St-Malo, France
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Centre Hospitalier Moulins-Yzeure
Moulins, France
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Centre Hospitalier Universitaire - Hospices Civils de Lyon - Hôpital Edouard Herriot
Lyon, France
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Centre Hospitalier Universitaire de Clermont-Ferrand
Clermont-Ferrand, France
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Centre Hospitalier Universitaire de Dijon
Dijon, France
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Centre Hospitalier Universitaire de Montpellier
Montpellier, France
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Centre Hospitalier Universitaire de Nice
Nice, France
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Centre Hospitalier Universitaire de Saint-Etienne
Saint-Etienne, France
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Centre Hospitalier Universitaire de Strasbourg - Réa Chirurgicale
Strasbourg, France
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Centre Hospitalier Universitaire de Strasbourg -MIR
Strasbourg, France
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Centre Hospitalier d'Avignon
Avignon, France
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Centre Hospitalier de Salon-de-Provence
Salon-de-Provence, France
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Centre Hospitalier de Vichy
Vichy, France
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Centre Hospitalier du Puy en Velay
Le Puy-en-Velay, France
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Centre de Lutte Contre le Cancer Jean-Perrin
Clermont-Ferrand, France
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Hôpital Nord Franche-Comté
Belfort, France
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Hôpital de la Pitié Salpétrière
Paris, France
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