Is there a difference in early mobilization between mechanically ventilated clinical and surgical patients in ICU?
DOI:
https://doi.org/10.1590/1809-2950/13965623022016Abstract
The objective of this study was to conduct a survey of the practices related to the mobilization of patients admitted to a general ICU, comparing them by type of intervention (clinical or surgical). This is a retrospective study of medical records of patients admitted to the Intensive Care Unit of Hospital Ministro Costa Cavalcanti in the city of Foz do Iguaçu, state of Paraná, Brazil, of which the following information were obtained: time to sit out of the hospital bed for the first time, to perform active exercises, to wean mechanical ventilation, of ICU hospitalization; diagnosis; sex; and age. We included 105 patients in the research, being 44 (41.9%) surgical, and 61 (58.1%) males, with an average age of 61.1±18.5 for clinical patients and 60.4±14.9 for surgical patients. We observed statistical difference concerning time to sit out of the bed (3±4 days for clinical patients and 3.1±4.5 for surgical patients) (p=0.02). We did not observe any differences regarding active exercises when comparing clinical and surgical patients.Downloads
References
Needham DM, Korupolu R, Zanni JM, Pradhan P, Colantuoni E,
Palmer JB, et al. Early physical medicine and rehabilitation for
patients with acute respiratory failure: a quality improvement
project. Arch Phys Med Rehabil. 2010;91(4):536-42.
Bailey PP, Miller RR 3º, Clemmer TP. Culture of early
mobility in mechanically ventilated patients. Crit Care Med.
;37(Supl 10):S429-35.
Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik
AJ, Esbrook CL, et al. Early physical and occupational therapy
in mechanically ventilated, critically ill patients: a randomised
controlled trial. Lancet. 2009;373(9678):1874-82
Hodgson C, Needham D, Haines K, Bailey M, Ward A, Harrold
M, et al. Feasibility and inter-rater reliability of the ICU
Mobility Scale. Heart Lung. 2014;43(1):19-24.
Nydahl P, Ruhl AP, Bartoszek G, Dubb R, Filipovic S, Flohr HJ,
et al. Early mobilization of mechanically ventilated patients:
a 1-day point-prevalence study in Germany. Crit Care Med.
;42(5):1178-86.
Jolley SE, Dale CR, Hough CL. Hospital-level factors
associated with report of physical activity in patients on
mechanical ventilation across Washington State. Ann Am
Thorac Soc. 2015;12(2):209-15.
Jolley SE, Caldwell E, Hough CL. Factors associated with
receipt of physical therapy consultation in patients requiring
prolonged mechanical ventilation. Dimens Crit Care Nurs.
;33(3):160-7.
Ntoumenopoulos G. Rehabilitation during mechanical
ventilation: review of the recent literature. Intensive Crit Care
Nurs. 2015;31(3):125-32.
Fan E. Critical illness neuromyopathy and the role of physical
therapy and rehabilitation in critically ill patients. Respir Care.
;57(6):933-46.
Mah JW, Staff I, Fichandler D, Butler KL. Resource-efficient
mobilization programs in the intensive care unit: who stands
to win? Am J Surg. 2013;206(4):488-93.
Balas MC, Vasilevskis EE, Olsen KM, Schmid KK, Shostrom
V, Cohen MZ, et al. Effectiveness and safety of the
awakening and breathing coordination, delirium monitoring/
management, and early exercise/mobility bundle. Crit Care
Med. 2014;42(5):1024-36.
Pohlman MC, Schweickert WD, Pohlman AS, Nigos C, Pawlik
AJ, Esbrook CL, et al. Feasibility of physical and occupational
therapy beginning from initiation of mechanical ventilation.
Crit Care Med. 2010;38(11):2089-94.
Toufen Junior C Franca SA, Okamoto VN, Salge JM, Carvalho
CR. Infection as an independent risk factor for mortality in
the surgical intensive care unit. Clinics. 2013;68(8):1103-8.
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Fisioterapia e Pesquisa
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.