Evidence map›Paper›PMID 21774823›Full record

Trial reportTrials2011

TREC-SAVE: a randomised trial comparing mechanical restraints with use of seclusion for aggressive or violent seriously mentally ill people: study protocol for a randomised controlled trial.

Gisele Huf, Evandro S F Coutinho, Marco A V Ferreira, Silvana Ferreira, Flavia Mello, Clive E Adams, TREC-SAVE Collaborative group

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 5 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Haloperidol plus promethazine for psychosis-induced aggression.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Seclusion and restraint for people with serious mental illnesses.The Cochrane database of systematic reviews · 2000
    Pooled it
  6. Ethical consideration on use of seclusion in mental health services.International journal of nursing sciences · 2020
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Gisele HufNational Institute of Quality Control in Health-Oswaldo Cruz Foundation, Rio de Janeiro, Brazil. gisele.huf@incqs.fiocruz.br
Evandro S F Coutinho
Marco A V Ferreira
Silvana Ferreira
Flavia Mello
Clive E Adams
TREC-SAVE Collaborative group
University of Nottingham · GBFundação Oswaldo Cruz · BRNational Institute of Quality · PEUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThousands of people whose aggression is thought due to serious mental illness are secluded or restrained every day. Without fair testing these techniques will continue to be used outside of a rigorous evidence base. With such coercive treatment this leaves all concerned vulnerable to abuse and criticism. This paper presents the protocol for a randomised trial comparing seclusion with restraints for people with serious mental illnesses. METHODS/

designSetting-General psychiatric wards of a large psychiatric hospital in Rio de Janeiro, Brazil. Participants-Anyone aggressive or violent suspected or known to have serious mental illness for whom restriction is felt to be indicated by nursing and medical staff, but also for whom they are unsure whether seclusion or restraint would be indicated. Interventions-The standard care of either strong cotton banding to edge of bed with medications as indicated and close observation or the other standard care of use of a minimally furnished seclusion room but with open but barred windows onto the nursing station. Outcomes-time to restrictions lifted, early change of treatment, additional episodes, adverse effects/events, satisfaction with care during episode. Duration-2 weeks. Identifier: ISRCTN 49454276 http://www.controlled-trials.com/ISRCTN49454276.

Indexed as

AggressionPatient IsolationResearch DesignRestraint, PhysicalBrazilHospitals, PsychiatricHumansMental DisordersPatient SatisfactionPilot ProjectsPsychiatric Status Rating ScalesStandard of CareSurveys and QuestionnairesTime FactorsTreatment OutcomeViolence

Identifiers

PMID21774823
PMCPMC3154155
OpenAlexW2114662886

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.