Trial of Safety Nets In Hospitalized Patients

Condition(s) targeted: Delirium; Agitated Behavior; Alcohol Withdrawl; Acute Confusional State; Acute Psychosis

Intervention: SOMA safe enclosure (Device)

Phase: Phase 3

Status: Completed

Sponsored by: Griffin Hospital

Official(s) and/or principal investigator(s):
haq nawaz, MD, Principal Investigator, Affiliation: Griffin Hospital

This study compared standard hospital restraints to a newer safety net restraint system to compare them for acceptability, tolerance, duration of restrain, length of stay in the hospital, and satisfaction of MD, nurse, and relatives of patients.

Official title: A Randomized Clinical Trial to Compare The Use Of Safety Net Enclosures With Standard Restraints in Agitated Hospitalized Patients

Study design: Supportive Care, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome:

Perception of the Nurse

perception of physician

perception of family member

agitated behavior scale

alcohol withdrawal assessment scale

Secondary outcome:

total duration of restraint use

length of hospital stay

total sedative medication dose used

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

1. age more than 18

2. hospitalized

3. acute confusion or agitation

Exclusion Criteria:

1. Patients who require acute respiratory or cardiac support such as patients requiring ventilator support or patients in cardiac or septic shock

2. Patients who have a documented history of claustrophobia

3. Patients or family members who refuse to consent for safety net treatment under any circumstances. Failure to obtain consent due to absence of or inability to reach a family member or to give consent to participate in the study

4. Failure to obtain consent due to absence of or inability to reach a family member within reasonable time or to give consent to participate in the study.

5. Acutely ill patients requiring intravenous vasopressors, intubation or ventilatory support

6. Other conditions deemed terminal within 24 hours as determined by the patient's attending physician

7. Patients who stay less than 24 hours in the hospital

8. If patient is already on restrains for more than 48 hours preceding enrollment.

9. If two or more limbs are already on restraint to protect IV lines.

10. Extreme degree of agitation requiring continuous IV sedation or anesthesia. Such patients may pose a danger to staff or themselves if their restraints were to be discontinued in order to put them on study restraints.

11. When the intent of single wrist restraint is only to hold the IV line and patient is not agitated or in delirium.

Griffin Hospital, Derby, Connecticut 06418, United States

Starting date: April 2003
Ending date: February 2005
Last updated: December 7, 2006