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Updated: Aug 9, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Reassessing hourly neurochecks.

Jamie Nicole LaBuzetta¹, Biren B Kamdar², Atul Malhotra²

¹Department of Neurosciences, Division of Neurocritical Care, UC San Diego Health, United States.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia

|February 23, 2023

Summary

This summary is machine-generated.

Frequent neurological examinations after brain injury may disrupt sleep and worsen outcomes. More research is needed to balance the benefits of neurochecks against their potential harms, optimizing patient care.

Keywords:

ICU Neuroassessment Neurocheck Neurocritical care Neurological examination Sleep disruption

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Area of Science:

Neuroscience
Critical Care Medicine
Neurology

Background:

Neurological examinations (neurochecks) are standard post-acute brain injury.
These assessments aim to prevent secondary injury, particularly in conditions like intracranial hemorrhage.
Concerns exist that frequent neurochecks disrupt patient sleep, potentially causing harm.

Purpose of the Study:

To evaluate the practice of frequent neurological examinations in acute brain injury.
To investigate the impact of neurochecks on sleep and potential secondary injury.
To identify the need for optimizing neurocheck frequency and duration.

Main Methods:

Review of current care protocols and guidelines involving neurological examinations.
Analysis of existing data (or lack thereof) on neurological decline patterns.
Assessment of potential short- and long-term consequences of neurochecks.

Main Results:

Data are insufficient to characterize neurological decline patterns post-brain injury.
Consequences of frequent and prolonged neurochecks, including sleep disruption and neuropsychological sequelae, are not well-defined.
Current neurocheck practices lack rigorous evaluation regarding benefits and risks.

Conclusions:

A critical need exists to evaluate neurocheck practices in acute brain injury.
Optimizing neurocheck frequency and duration is essential for patient recovery.
Further research should focus on the risks and benefits of neurochecks to improve patient outcomes.