Detection of Risk Behaviors: Pilot Observational Study With Bedridden and Agitated Patients.

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Hospital, Clermont-Ferrand

About this trial

There is a risk of falls and injuries in bedridden hospitalized patients, increased in agitated or confused patients. In neurosurgery departments, brain damaged patients can present a loss of consciousness of risky behaviors and be in a state of agitation which frequently leads to their endangerment. The repercussions of this endangerment are multiple. For the patients, there may be a feeling of insecurity, with physical or chemical restraint solutions which deprive them of their freedom without a total guarantee of safety. For the caregivers, there is an emotional distress in front of this endangerment, and a professional guilt. Finally, there are economic repercussions due to the costs of complementary examinations and the lengthening of hospitalization.

The objective of the present study is to determine the nature and frequency of occurrence of risk behaviours, through the observation of bedridden and agitated hospitalized patients. These risk behaviours are defined as potentially dangerous and are warning signs for the caregiver. A better understanding of these behaviours could help to better anticipate falls and injuries and to implement preventive measures more quickly.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Hospitalized in the Neurosurgery Department of the Clermont-Ferrand University Hospital

Suffering from neurological and/or cognitive disorders leading to agitation and/or confusion

Affiliation to a social security system

Hospitalization in the department for at least 9 days

Disqualifiers

Acute or transient agitation phase of somatic origin (bladder globe, pain, ionic disorder...)

Patient under guardianship, curatorship or safeguard of justice

Pregnant and breastfeeding women

Refusal to participate

Trial population

Bedridden and agitated patients hospitalized in a neurosurgery department

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Number of risk behaviors observed per one-hour period

Each patient will be observed for 9 one-hour time slots, each distributed over a two-hour period between 6:00 am and midnight. The number of risk behaviors will be recorded for each one-hour observation period. Observation will be for one hour per day, with the order of the time slots randomly selected.

Time frame
day 1
2

Number of risk behaviors observed per one-hour period

Each patient will be observed for 9 one-hour time slots, each distributed over a two-hour period between 6:00 am and midnight. The number of risk behaviors will be recorded for each one-hour observation period. Observation will be for one hour per day, with the order of the time slots randomly selected.

Time frame
day 2
3

Number of risk behaviors observed per one-hour period

Each patient will be observed for 9 one-hour time slots, each distributed over a two-hour period between 6:00 am and midnight. The number of risk behaviors will be recorded for each one-hour observation period. Observation will be for one hour per day, with the order of the time slots randomly selected.

Time frame
day 3
4

Number of risk behaviors observed per one-hour period

Each patient will be observed for 9 one-hour time slots, each distributed over a two-hour period between 6:00 am and midnight. The number of risk behaviors will be recorded for each one-hour observation period. Observation will be for one hour per day, with the order of the time slots randomly selected.

Time frame
day 4

Secondary outcomes

Other outcomes

Sponsors and contacts

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