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

• Main Authors: Jean-Jacques Lemaire, Rémi Chaix, Anna Sontheimer, Jérôme Coste, Marie-Anne Cousseau, Charlène Dubois, Mélanie San Juan, Christelle Massa, Sandrine Raynaud, Alexandra Usclade, Bénédicte Pontier, Youssef El Ouadih, Kamel Abdelouahab, Luca Maggiani, François Berry
• Format: Article
• Language: English
• Published: Frontiers Media S.A. 2021-08-01
• Series: Frontiers in Medicine
• Subjects: risk-taking behaviors; monitoring; bedridden; neurosurgery; risk
• Online Access: https://www.frontiersin.org/articles/10.3389/fmed.2021.676538/full

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.