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

Frontiers in Medicine

Alexandra Usclade¹  Marie-Anne Cousseau¹  François Berry²  Bénédicte Pontier³  Rémi Chaix³  Jean-Jacques Lemaire³  Anna Sontheimer³  Jérôme Coste³  Mélanie San Juan³  Sandrine Raynaud³  Christelle Massa³  Youssef El Ouadih³  Charlène Dubois³  Kamel Abdelouahab⁴  Luca Maggiani⁴ 

[1]Direction de la Recherche et de l'innovation, CHU Clermont-Ferrand, Clermont-Ferrand, France

[2]Institut Pascal, Université Clermont Auvergne, CNRS, INP Clermont-Auvergne, Clermont-Ferrand, France

[3]Service de neurochirurgie, CHU Clermont-Ferrand, Clermont-Ferrand, France

[4]Sma-RTy SAS, Aubière, France

关键词: risk-taking behaviors;    monitoring;    bedridden;    neurosurgery;    risk;   

DOI  :  10.3389/fmed.2021.676538

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown