Prolonged Hourly Neurologic Examinations are Associated with Increased Delirium and No Discernible Benefit in Mild/Moderate Geriatric Traumatic Brain Injury.
Ricardo Alejandro Fonseca RuizMelissa CanasLeonardo DiazJose Alejandro AldanaHussain AfzalAlejandro De Filippis FalconDrew Del ToroAaron DayJennifer McCarthyKristin StansfieldGrant V BochicchioGrace NiziolekLindsay M KrankerMatthew R RosengartMark HoofnagleJennifer LeonardPublished in: The journal of trauma and acute care surgery (2024)
Geriatric patients with mild/moderate TBI exposed to Q1-NE for periods longer than 24 h had nearly a 3-fold increase in ICU-Delirium rate. One out of five patients exposed to prolonged Q1-NE is harmed by the development of delirium. No patients were found to directly benefit as a result of more frequent neurological examinations.