Risk-Taking Behaviors of Adult Bedridden Patients in Neurosurgery: What Could/Should We Do?

bedridden monitoring neurosurgery risk risk-taking behaviors

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2021
Historique:
received: 15 03 2021
accepted: 08 06 2021
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 28 8 2021
Statut: epublish

Résumé

Risk-taking behaviors of adult bedridden patients in neurosurgery are frequent, however little analyzed. We aimed to estimate from the literature and our clinical experience the incidence of the different clinical pictures. Risk-taking behaviors seem to be more frequent than reported. They are often minor, but they can lead to death, irrespective of the prescription of physical or chemical constraints. We also aimed to contextualize the risks, and to describe the means reducing the consequences for the patients. Two main conditions were identified, the loss of awareness of risk-taking behaviors by the patient, and uncontrolled body motions. Besides, current experience feedback analyses and new non-exclusive technological solutions could limit the complications, while improving prevention with wearable systems, neighborhood sensors, or room monitoring and service robots. Further research is mandatory to develop efficient and reliable systems avoiding complications and saving lives. Ethical and legal issues must also be accounted for, notably concerning the privacy of patients and caregivers.

Identifiants

pubmed: 34447760
doi: 10.3389/fmed.2021.676538
pmc: PMC8382714
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

676538

Informations de copyright

Copyright © 2021 Lemaire, Chaix, Sontheimer, Coste, Cousseau, Dubois, San Juan, Massa, Raynaud, Usclade, Pontier, El Ouadih, Abdelouahab, Maggiani and Berry.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Jean-Jacques Lemaire (JJ)

Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France.
Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Rémi Chaix (R)

Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France.
Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Anna Sontheimer (A)

Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France.
Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Jérôme Coste (J)

Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France.
Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Marie-Anne Cousseau (MA)

Direction de la Recherche et de l'innovation, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Charlène Dubois (C)

Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Mélanie San Juan (M)

Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Christelle Massa (C)

Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Sandrine Raynaud (S)

Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Alexandra Usclade (A)

Direction de la Recherche et de l'innovation, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Bénédicte Pontier (B)

Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France.
Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Youssef El Ouadih (Y)

Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France.
Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Kamel Abdelouahab (K)

Sma-RTy SAS, Aubière, France.

Luca Maggiani (L)

Sma-RTy SAS, Aubière, France.

François Berry (F)

Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France.

Classifications MeSH