Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District

Detalhes bibliográficos
Autor(a) principal: Martins, Gabriela de Sousa
Data de Publicação: 2022
Outros Autores: de Alencar, Raquel Costa, Holanda, Katryne, Valduga , Renato
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Fisioterapia em Movimento
Texto Completo: https://periodicos.pucpr.br/fisio/article/view/29487
Resumo: Introduction: The emergency room (ER) is the main entry door for the care of critically ill patients. The inclusion of physiotherapists in these sectors is being consolidated in Brazil. Objective: To characterize the physiotherapeutic approach and the clinical-functional profile of patients in the ER surgical unit of a tertiary hospital. Methods: This was a retrospective cross-sectional study conducted from August to December of 2020. Clinical and functional data, and the main physiotherapeutic procedures performed, were collected. Analyses were conducted by means of the Friedman and Pearson Correlation tests, using SPSS software v.23. Results: The sample included 98 patients, 68% male, mean age of 52 ± 19 years. The most common (64%) physiotherapeutic diagnosis was central nervous system (CNS) deficiency with mechanical ventilation (MV) dependence. The mean time of MV use was 4 ± 5 days. Association (p < 0.05) between MV time and admission in the emergency department (r = 0.972) and between MV time and age (r = 0.330) was identified. The most used physiotherapeutic actions were: suction (69%), lung re-expansion therapy (51%), and bed kinesiotherapy (37%). Conclusion: Adult men with CNS-related disabilities were the principal patient profile. The physiotherapeutic action in the surgical emergency unit was diverse, with application of motor and respiratory techniques, and the predominant activity was the management and maintenance of MV.
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spelling Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal DistrictAbordagem fisioterapêutica e perfil dos pacientes assistidos na unidade cirúrgica do pronto-socorro de um hospital terciário do Distrito FederalIntroduction: The emergency room (ER) is the main entry door for the care of critically ill patients. The inclusion of physiotherapists in these sectors is being consolidated in Brazil. Objective: To characterize the physiotherapeutic approach and the clinical-functional profile of patients in the ER surgical unit of a tertiary hospital. Methods: This was a retrospective cross-sectional study conducted from August to December of 2020. Clinical and functional data, and the main physiotherapeutic procedures performed, were collected. Analyses were conducted by means of the Friedman and Pearson Correlation tests, using SPSS software v.23. Results: The sample included 98 patients, 68% male, mean age of 52 ± 19 years. The most common (64%) physiotherapeutic diagnosis was central nervous system (CNS) deficiency with mechanical ventilation (MV) dependence. The mean time of MV use was 4 ± 5 days. Association (p < 0.05) between MV time and admission in the emergency department (r = 0.972) and between MV time and age (r = 0.330) was identified. The most used physiotherapeutic actions were: suction (69%), lung re-expansion therapy (51%), and bed kinesiotherapy (37%). Conclusion: Adult men with CNS-related disabilities were the principal patient profile. The physiotherapeutic action in the surgical emergency unit was diverse, with application of motor and respiratory techniques, and the predominant activity was the management and maintenance of MV.Introdução: O pronto-socorro (PS) tornou-se a principal porta para o início da assistência a pacientes graves. A inserção do fisioterapeuta nesses setores está em processo de consolidação no Brasil. Objetivo: Caracterizar a abordagem fisioterapêutica e o perfil clínico-funcional dos pacientes na unidade cirúrgica PS de um hospital terciário. Métodos: Trata-se de um estudo transversal retrospectivo realizado no período de agosto a dezembro de 2020. Coletaram-se dados clínicos, funcionais e as principais condutas fisioterapêuticas utilizadas. As análises foram conduzidas por meio dos testes de Friedman e Correlação de Pearson, utilizando o software Statistical Package for the Social Sciences v.23. Resultados: Ao todo, a amostra foi de 98 pacientes, dos quais 68% eram homens, com idade média de 52 ± 19 anos. O principal (64%) diagnóstico fisioterapêutico foi deficiência do sistema nervoso central (SNC) com dependência de ventilação mecânica (VM). O tempo médio de uso de VM foi de 4 ± 5 dias. Houve associação (p < 0,05) entre tempo de VM e internação no PS (r = 0,972) e entre tempo de VM e idade (r = 0,330). As condutas fisioterapêuticas mais utilizadas foram a aspiração (69%), terapia de reexpansão pulmonar (51%) e cinesioterapia no leito (37%). Conclusão: Os homens em faixa etária adulta e com deficiências relacionadas ao SNC constituíram o principal perfil dos usuários. A atuação fisioterapêutica na unidade de emergência cirúrgica foi ampla, com emprego de técnicas motoras e respiratórias, das quais a atuação predominante ocorreu no manejo e condução da VM.Editora PUCPRESS2022-07-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2948710.1590/fm.2022.35136 Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 35 (2022): n. cont.Fisioterapia em Movimento; v. 35 (2022): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/29487/25758https://periodicos.pucpr.br/fisio/article/view/29487/25759Martins, Gabriela de Sousa de Alencar, Raquel Costa Holanda, Katryne Valduga , Renatoinfo:eu-repo/semantics/openAccess2022-10-07T13:31:55Zoai:ojs.periodicos.pucpr.br:article/29487Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-10-07T13:31:55Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false
dc.title.none.fl_str_mv Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
Abordagem fisioterapêutica e perfil dos pacientes assistidos na unidade cirúrgica do pronto-socorro de um hospital terciário do Distrito Federal
title Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
spellingShingle Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
Martins, Gabriela de Sousa
title_short Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
title_full Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
title_fullStr Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
title_full_unstemmed Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
title_sort Physiotherapeutic approach and profile of patients follow in the surgical unit of the emergency department a public hospital in the Federal District
author Martins, Gabriela de Sousa
author_facet Martins, Gabriela de Sousa
de Alencar, Raquel Costa
Holanda, Katryne
Valduga , Renato
author_role author
author2 de Alencar, Raquel Costa
Holanda, Katryne
Valduga , Renato
author2_role author
author
author
dc.contributor.author.fl_str_mv Martins, Gabriela de Sousa
de Alencar, Raquel Costa
Holanda, Katryne
Valduga , Renato
description Introduction: The emergency room (ER) is the main entry door for the care of critically ill patients. The inclusion of physiotherapists in these sectors is being consolidated in Brazil. Objective: To characterize the physiotherapeutic approach and the clinical-functional profile of patients in the ER surgical unit of a tertiary hospital. Methods: This was a retrospective cross-sectional study conducted from August to December of 2020. Clinical and functional data, and the main physiotherapeutic procedures performed, were collected. Analyses were conducted by means of the Friedman and Pearson Correlation tests, using SPSS software v.23. Results: The sample included 98 patients, 68% male, mean age of 52 ± 19 years. The most common (64%) physiotherapeutic diagnosis was central nervous system (CNS) deficiency with mechanical ventilation (MV) dependence. The mean time of MV use was 4 ± 5 days. Association (p < 0.05) between MV time and admission in the emergency department (r = 0.972) and between MV time and age (r = 0.330) was identified. The most used physiotherapeutic actions were: suction (69%), lung re-expansion therapy (51%), and bed kinesiotherapy (37%). Conclusion: Adult men with CNS-related disabilities were the principal patient profile. The physiotherapeutic action in the surgical emergency unit was diverse, with application of motor and respiratory techniques, and the predominant activity was the management and maintenance of MV.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-08
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dc.identifier.uri.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/29487
10.1590/fm.2022.35136
url https://periodicos.pucpr.br/fisio/article/view/29487
identifier_str_mv 10.1590/fm.2022.35136
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/29487/25758
https://periodicos.pucpr.br/fisio/article/view/29487/25759
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dc.publisher.none.fl_str_mv Editora PUCPRESS
publisher.none.fl_str_mv Editora PUCPRESS
dc.source.none.fl_str_mv Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 35 (2022): n. cont.
Fisioterapia em Movimento; v. 35 (2022): n. cont.
1980-5918
reponame:Fisioterapia em Movimento
instname:Pontifícia Universidade Católica do Paraná (PUC-PR)
instacron:PUC_PR
instname_str Pontifícia Universidade Católica do Paraná (PUC-PR)
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reponame_str Fisioterapia em Movimento
collection Fisioterapia em Movimento
repository.name.fl_str_mv Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)
repository.mail.fl_str_mv rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br
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