Impact of mechanical ventilation time on functional capacity and muscular strength of patients under intensive care
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
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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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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1799138749658955776 |