Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care

Detalhes bibliográficos
Autor(a) principal: Canelhas, Monique
Data de Publicação: 2022
Outros Autores: Sibinelli , Melissa, Figueiredo, Luciana Castilho de, Martins, Luiz Cláudio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Fisioterapia em Movimento
Texto Completo: https://periodicos.pucpr.br/fisio/article/view/29431
Resumo: Introduction: A prolonged assisted ventilation (AV) period might induce complications. Objective: To compare functional capacities and muscle strength of patients under AV. Methods: This is a prospective cohort observational study. The patients selected were under mechanical ventilation in any given moment, and they were evaluated only at the time of discharge from the intensive care unit (ICU). The convenience sample of 103 was selected and divided into a group with up to six days of AV (G6) and another with seven days or more of AV (G7). The protocol proposed was: application of the Medical Research Council (MRC) scale, dynamometry, Barthel index, ability to ambulate at ICU discharge. A call was made to the patients six and 12 months after hospital discharge for the application of the Barthel index. Results: We verified that G6 patients obtained better muscular strength measured through right 14 (8–30) and left 18 (8–26) dynamometry and MRC scale 48 (44–56). Only seven (14%) patients from the G7 group were able to ambulate. G7 patients showed greater functional loss at hospital discharge 32 (15–60). After one year of hospital discharge, both groups had recovered their functional capacity 100 (100–100). Conclusion: When evaluating the process of AV, it is possible to conclude that the longer the ventilator is used, the greater the loss of strength and functionality. In addition, there is a significant recovery of functionality after one year of hospital discharge.
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spelling Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive careImpacto do tempo de ventilação mecânica na capacidade funcional e força muscular de pacientes em terapia intensivaIntroduction: A prolonged assisted ventilation (AV) period might induce complications. Objective: To compare functional capacities and muscle strength of patients under AV. Methods: This is a prospective cohort observational study. The patients selected were under mechanical ventilation in any given moment, and they were evaluated only at the time of discharge from the intensive care unit (ICU). The convenience sample of 103 was selected and divided into a group with up to six days of AV (G6) and another with seven days or more of AV (G7). The protocol proposed was: application of the Medical Research Council (MRC) scale, dynamometry, Barthel index, ability to ambulate at ICU discharge. A call was made to the patients six and 12 months after hospital discharge for the application of the Barthel index. Results: We verified that G6 patients obtained better muscular strength measured through right 14 (8–30) and left 18 (8–26) dynamometry and MRC scale 48 (44–56). Only seven (14%) patients from the G7 group were able to ambulate. G7 patients showed greater functional loss at hospital discharge 32 (15–60). After one year of hospital discharge, both groups had recovered their functional capacity 100 (100–100). Conclusion: When evaluating the process of AV, it is possible to conclude that the longer the ventilator is used, the greater the loss of strength and functionality. In addition, there is a significant recovery of functionality after one year of hospital discharge.Introdução: Um período prolongado de ventilação assistida (VA) pode induzir complicações. Objetivo: Comparar as capacidades funcionais e a força muscular de pacientes sob VA. Métodos: Trata-se de um estudo observacional de coorte prospectivo. Os pacientes selecionados encontravam-se em ventilação mecânica em qualquer momento, sendo avaliados apenas no momento da alta da unidade de terapia intensiva (UTI). A amostra de conveniência de 103 foi selecionada e dividida em um grupo com até seis dias de VA (G6) e outro com sete dias ou mais de VA (G7). O protocolo proposto foi: aplicação da escala MRC, dinamometria, índice de Barthel, capacidade de deambulação na alta da UTI. Foi feito um chamado aos pacientes seis e 12 meses após a alta hospitalar para aplicação do índice de Barthel. Resultados: Verificamos que os pacientes do G6 obtiveram melhor força muscular medida através da dinamometria direita 14 (8–30) e esquerda 18 (8–26) e escala do MRC 48 (44–56). Apenas sete (14%) pacientes do grupo G7 conseguiram deambular. Os pacientes do G7 apresentaram maior perda funcional na alta hospitalar 32 (15–60). Após um ano da alta hospitalar, ambos os grupos recuperaram sua capacidade funcional 100 (100–100). Conclusão: Ao avaliar o processo de AV, é possível concluir que quanto maior o tempo de uso do ventilador, maior a perda de força e funcionalidade. Além disso, há uma recuperação significativa da funcionalidade após um ano da alta hospitalar.Editora PUCPRESS2022-06-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2943110.1590/fm.2022.35125Fisioterapia 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_PRenghttps://periodicos.pucpr.br/fisio/article/view/29431/25624Canelhas, Monique Sibinelli , Melissa Figueiredo, Luciana Castilho de Martins, Luiz Cláudio info:eu-repo/semantics/openAccess2022-10-07T13:31:55Zoai:ojs.periodicos.pucpr.br:article/29431Revistahttps://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 Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
Impacto do tempo de ventilação mecânica na capacidade funcional e força muscular de pacientes em terapia intensiva
title Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
spellingShingle Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
Canelhas, Monique
title_short Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
title_full Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
title_fullStr Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
title_full_unstemmed Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
title_sort Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
author Canelhas, Monique
author_facet Canelhas, Monique
Sibinelli , Melissa
Figueiredo, Luciana Castilho de
Martins, Luiz Cláudio
author_role author
author2 Sibinelli , Melissa
Figueiredo, Luciana Castilho de
Martins, Luiz Cláudio
author2_role author
author
author
dc.contributor.author.fl_str_mv Canelhas, Monique
Sibinelli , Melissa
Figueiredo, Luciana Castilho de
Martins, Luiz Cláudio
description Introduction: A prolonged assisted ventilation (AV) period might induce complications. Objective: To compare functional capacities and muscle strength of patients under AV. Methods: This is a prospective cohort observational study. The patients selected were under mechanical ventilation in any given moment, and they were evaluated only at the time of discharge from the intensive care unit (ICU). The convenience sample of 103 was selected and divided into a group with up to six days of AV (G6) and another with seven days or more of AV (G7). The protocol proposed was: application of the Medical Research Council (MRC) scale, dynamometry, Barthel index, ability to ambulate at ICU discharge. A call was made to the patients six and 12 months after hospital discharge for the application of the Barthel index. Results: We verified that G6 patients obtained better muscular strength measured through right 14 (8–30) and left 18 (8–26) dynamometry and MRC scale 48 (44–56). Only seven (14%) patients from the G7 group were able to ambulate. G7 patients showed greater functional loss at hospital discharge 32 (15–60). After one year of hospital discharge, both groups had recovered their functional capacity 100 (100–100). Conclusion: When evaluating the process of AV, it is possible to conclude that the longer the ventilator is used, the greater the loss of strength and functionality. In addition, there is a significant recovery of functionality after one year of hospital discharge.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-15
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/29431
10.1590/fm.2022.35125
url https://periodicos.pucpr.br/fisio/article/view/29431
identifier_str_mv 10.1590/fm.2022.35125
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/29431/25624
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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)
instacron_str PUC_PR
institution PUC_PR
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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