Abstract
Following acute brain injury, frequent neurological examinations (“neurochecks”) are
commonly prescribed and form the cornerstone of many care protocols and guidelines
(e.g., for intracranial hemorrhage). While these assessments are intended to identify
and mitigate secondary injury, they may unintentionally contribute to additional injury
related to neurocheck-associated sleep disruption. Data are lacking to define patterns
of neurological decline following acute brain injury, as are data to define the short-
and long-term consequences (e.g., neuropsychological sequelae) of frequent and prolonged
neurochecks. A critical need exists for rigorous evaluation of neurocheck practices,
perceptions, benefits and risks, along with interventions to optimize neurocheck frequency
and duration.
Keywords
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Article info
Publication history
Accepted:
February 15,
2023
Received:
August 20,
2022
Identification
Copyright
© 2023 Elsevier Ltd. All rights reserved.
