Early mobilization practice in a single Brazilian intensive care unit

Autor(es)

Pires-Neto, Ruy Camargo ^[1] ; Lima, Natalia Pontes ^[2] ; Cardim, Gregorio Marques ^[2] ; Park, Marcelo ^[3] ; Denehy, Linda ^[4]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo FMUSP, Fac Med, Dept Patol, BR-01246903 Sao Paulo, SP - Brazil

^[2] Fac Med Sao Paulo, Hosp Clin, Inst Cent, Physiotherapy Serv, Sao Paulo, SP - Brazil

^[3] Fac Med Sao Paulo, Hosp Clin, Inst Cent, Intens Care Unit, Clin Emergency Dept, Sao Paulo, SP - Brazil

^[4] Univ Melbourne, Sch Hlth Sci, Dept Physiotherapy, Parkville, Vic 3052 - Australia

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF CRITICAL CARE; v. 30, n. 5, p. 896-900, OCT 2015.
• Citações Web of Science: 4

Resumo

Objectives: To characterize the provision of early mobilization therapy in critically ill patients in a Brazilian medical intensive care unit (ICU) and to investigate the relationship between physical activity level and clinical outcomes. Methods: Intensive care unit and physiotherapy data were collected retrospectively from 275 consecutive patients. Here we report on the subset of patients (n = 120) who were mechanically ventilated during their ICU stay (age, 49 +/- 18 years; Simplified Acute Physiology Score 3, 45 {[}25]). Results: Median (interquartile range) time of mechanical ventilation and ICU length of stay were 3 (4) and 8 (10) days, respectively. Intensive care unit and 1-year mortality were 31% and 50%, respectively. During the ICU stay, these patients all received respiratory physiotherapy and 90% (n = 108) received mobilization therapy. When intubated and ventilated, mobilization therapy was performed in 76% (n = 92) of the patients with no adverse events. The most common activity was in-bed exercises (55%), and the number of out-of-bed activities (sitting out of bed, standing, or walking) was small (29%) and more prevalent in patients with tracheostomy than with an endotracheal tube (27% x 2%, respectively). Conclusion: In our Brazilian ICU, mobilization therapy in critically ill patients was safe and feasible; however, similar to other countries, in-bed exercises were the most prevalent activity. During mechanical ventilation, only a small percentage of activities involved standing or mobilizing away from the bed. (C) 2015 Elsevier Inc. All rights reserved. (AU)

• Processo FAPESP: 14/12266-8 - European Respiratory Society Annual Congress 2014
• Beneficiário: Ruy de Camargo Pires Neto
• Linha de fomento: Auxílio à Pesquisa - Reunião - Exterior