O impacto de um protocolo de mobilização precoce, viável e de baixo custo em pacientes críticos: comparação com a fisioterapia convencional
DOI:
https://doi.org/10.1590/Palavras-chave:
Mobilização Precoce, Custo, Fisioterapia, Tecnologia de Baixo Custo, Unidade de Terapia IntensivaResumo
Neste estudo foi analisado o resultado da
aplicação de um protocolo de mobilização precoce,
fazendo uso de intervenções de baixo custo, com o
mínimo de equipamentos necessários em uma unidade
de terapia intensiva. Trata-se de um ensaio clínico,
controlado e randomizado, realizado em parceria com
o Laboratório de Avaliação e Pesquisa do Desempenho
Cardiorrespiratório do Departamento de Fisioterapia da
Universidade Federal de Minas Gerais e com a Unidade
de Terapia Intensiva (UTI) do Hospital Risoleta Tolentino
Neves, em Belo Horizonte, Brasil, no período de cinco
meses. Os pacientes foram distribuídos de forma aleatória
em dois grupos (tratamento [GT] n=67 e controle [CG]
n=67). O desfecho primário foram os dias de saída do
leito, enquanto os desfechos secundários foram: tempo
de internação na UTI, tempo de internação hospitalar,
custos de internação, tempo em Ventilação Mecânica
Invasiva (VMI), mortalidade na UTI e mortalidade
hospitalar. As características dos grupos foram similares
na avaliação inicial. Verificou-se que 61 pacientes (97%) do
GT foram retirados do leito, em comparação com apenas
dois pacientes (3%) do GC. O protocolo de mobilização
proposto reduziu os custos de internação em 30,27%,
diferença aproximada de R$7 mil por paciente. A média
de tempo de estadia na UTI do GT foi menor do que a
do GC. Não houve diferença estatisticamente significativa
quanto às horas de permanência em UTI, tempo de
permanência hospitalar e tempo de VMI. A aplicação do
protocolo de mobilização precoce de baixo custo e com
o mínimo de equipamentos foi segura e eficaz para os
pacientes, promovendo a saída precoce do leito.
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Copyright (c) 2025 Rodrigo César Maia Moreira, Rodrigo Marques Tonella, Lucinara Martins Silva Tallarico, Taís Mendes de Camargo, Liliane Patrícia Souza Mendes, Mariana Hoffman Barbosa, Maria Clara Xavier Salles, Marcelo Velloso
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.
