Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Conjunto de dados |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://doi.org/10.1007/s10554-021-02402-0 https://repositorio.ufscar.br/handle/ufscar/15583 |
Resumo: | Sepsis is a serious organ dysfunction leading to endothelial damage in critical patients. Physiologically, there is an augment of vascular diameter in response to increased vascular blood flow and shear stress stimulus. However, the pattern of vascular response in face of passive mobilization (PM), an early mobilization physical strategy, has not yet been explored in patients with sepsis. To explore patterns of vascular response to PM and associations with clinical and cardiovascular profile in patients with sepsis. Cross-sectional, single-arm study. Thirty-two patients diagnosed with sepsis were enrolled. Vascular response was assessed by flow-mediated dilation (FMD) using brachial artery ultrasound, before and after PM. The PM (to assess the response pattern) and SR (shear rate) were also calculated. PM protocol consisted of knees, hips, wrists, elbows, shoulders, dorsiflexion/plantar flexion movements 3 × 10 repetitions each (15 min). Arterial stiffness was assessed by Sphygmocor®, by analyzing the morphology and pulse wave velocity. Cardiac autonomic modulation (CAM) was assessed by analyzing heart rate variability indexes (mean HR, RMSSD, LF, HF, ApEn, SampEn, DFA). Different vascular responses were observed after PM: (1) increased vascular diameter (responders) (n = 13, %FMD = 11.89 ± 5.64) and (2) reduced vascular diameter (non-responders) (n = 19, %FMD= -7.42 ± 6.44). Responders presented a higher non-linear DFA2 index (p = 0.02). There was a positive association between FMD and DFA (r = 0.529; p = 0.03); FMD and SampEn (r = 0.633; p < 0.01). A negative association was identified between FMD and LF (Hz) (r= -0.680; p < 0.01) and IL-6 (r= -0.469; p = 0.037) and SR and CRP (r= -0.427; p = 0.03). |
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Kawakami, Débora Mayumi de OliveiraBonjorno Junior, José CarlosDestro, Tamara Rodrigues da SilvaBiazon, Thaís Marina Pires de CamposGarcia, Naiara MolinaBonjorno, Flávia Cristina Rossi CarusoSilva, Audrey BorghiMendes, Renata Gonçalveshttp://lattes.cnpq.br/9692224107315722http://lattes.cnpq.br/4305632485050289http://lattes.cnpq.br/8012515468767804http://lattes.cnpq.br/3277909577762827http://lattes.cnpq.br/8558756190725831http://lattes.cnpq.br/7119400854907214http://lattes.cnpq.br/4855616925791895http://lattes.cnpq.br/96345909222420528021033a-79de-436b-9cc5-730a99aa8d6d3b30eeb3-70e4-46f9-8e52-fed10b9aa0efd42e8b3f-0341-41b8-a979-737274a165402642f0db-9681-4e9c-b66c-080447236473c75ee23a-dc15-4eac-8e04-5aa9b8051a6b55c1f52c-4361-4840-b984-3babd0799edf223468fb-3ac6-44de-8f8a-d0ff9e395bd0da66150a-7d7a-490b-8123-0ee997a3c4332022-02-10T09:57:19Z2022-02-10T09:57:19Z2021-09-18https://doi.org/10.1007/s10554-021-02402-0KAWAKAMI, Débora Mayumi de Oliveira; BONJORNO JUNIOR, José Carlos; DESTRO, Tamara Rodrigues da Silva; BIAZON, Thaís Marina Pires de Campos; GARCIA, Naiara Molina; BONJORNO, Flávia Cristina Rossi Caruso; SILVA, Audrey Borghi; MENDES, Renata Gonçalves. Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study. Repositório Institucional da UFSCar, 2021. Dataset. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15583.https://repositorio.ufscar.br/handle/ufscar/15583Sepsis is a serious organ dysfunction leading to endothelial damage in critical patients. Physiologically, there is an augment of vascular diameter in response to increased vascular blood flow and shear stress stimulus. However, the pattern of vascular response in face of passive mobilization (PM), an early mobilization physical strategy, has not yet been explored in patients with sepsis. To explore patterns of vascular response to PM and associations with clinical and cardiovascular profile in patients with sepsis. Cross-sectional, single-arm study. Thirty-two patients diagnosed with sepsis were enrolled. Vascular response was assessed by flow-mediated dilation (FMD) using brachial artery ultrasound, before and after PM. The PM (to assess the response pattern) and SR (shear rate) were also calculated. PM protocol consisted of knees, hips, wrists, elbows, shoulders, dorsiflexion/plantar flexion movements 3 × 10 repetitions each (15 min). Arterial stiffness was assessed by Sphygmocor®, by analyzing the morphology and pulse wave velocity. Cardiac autonomic modulation (CAM) was assessed by analyzing heart rate variability indexes (mean HR, RMSSD, LF, HF, ApEn, SampEn, DFA). Different vascular responses were observed after PM: (1) increased vascular diameter (responders) (n = 13, %FMD = 11.89 ± 5.64) and (2) reduced vascular diameter (non-responders) (n = 19, %FMD= -7.42 ± 6.44). Responders presented a higher non-linear DFA2 index (p = 0.02). There was a positive association between FMD and DFA (r = 0.529; p = 0.03); FMD and SampEn (r = 0.633; p < 0.01). A negative association was identified between FMD and LF (Hz) (r= -0.680; p < 0.01) and IL-6 (r= -0.469; p = 0.037) and SR and CRP (r= -0.427; p = 0.03).Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Processo nº 2015/26501–1, Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Código de Financiamento 001 - CAPESProcesso nº 428073/2016-6 - Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)engUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarDepartamento de Fisioterapia - DFisiohttps://pubmed.ncbi.nlm.nih.gov/34535852/https://repositorio.ufscar.br/handle/ufscar/14137600600600600600600600600Attribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessEndotheliumExerciseFlow-mediated dilatation analysisInpatientCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALPatterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/datasetreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALplanilha_artigo_Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study.xlsxplanilha_artigo_Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study.xlsxDados do artigo cientifico publicadoapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet27988https://repositorio.ufscar.br/bitstream/ufscar/15583/1/planilha_artigo_Patterns%20of%20vascular%20response%20immediately%20after%20passive%20mobilization%20in%20patients%20with%20sepsis%20an%20observational%20transversal%20study.xlsx608eb071a2505832ec8c32d8432d1eefMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/15583/2/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD52ufscar/155832023-09-18 18:32:24.547oai:repositorio.ufscar.br:ufscar/15583Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:24Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.eng.fl_str_mv |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study |
title |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study |
spellingShingle |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study Kawakami, Débora Mayumi de Oliveira Endothelium Exercise Flow-mediated dilatation analysis Inpatient CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study |
title_full |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study |
title_fullStr |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study |
title_full_unstemmed |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study |
title_sort |
Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study |
author |
Kawakami, Débora Mayumi de Oliveira |
author_facet |
Kawakami, Débora Mayumi de Oliveira Bonjorno Junior, José Carlos Destro, Tamara Rodrigues da Silva Biazon, Thaís Marina Pires de Campos Garcia, Naiara Molina Bonjorno, Flávia Cristina Rossi Caruso Silva, Audrey Borghi Mendes, Renata Gonçalves |
author_role |
author |
author2 |
Bonjorno Junior, José Carlos Destro, Tamara Rodrigues da Silva Biazon, Thaís Marina Pires de Campos Garcia, Naiara Molina Bonjorno, Flávia Cristina Rossi Caruso Silva, Audrey Borghi Mendes, Renata Gonçalves |
author2_role |
author author author author author author author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/9692224107315722 http://lattes.cnpq.br/4305632485050289 http://lattes.cnpq.br/8012515468767804 http://lattes.cnpq.br/3277909577762827 http://lattes.cnpq.br/8558756190725831 http://lattes.cnpq.br/7119400854907214 http://lattes.cnpq.br/4855616925791895 http://lattes.cnpq.br/9634590922242052 |
dc.contributor.author.fl_str_mv |
Kawakami, Débora Mayumi de Oliveira Bonjorno Junior, José Carlos Destro, Tamara Rodrigues da Silva Biazon, Thaís Marina Pires de Campos Garcia, Naiara Molina Bonjorno, Flávia Cristina Rossi Caruso Silva, Audrey Borghi Mendes, Renata Gonçalves |
dc.contributor.authorID.fl_str_mv |
8021033a-79de-436b-9cc5-730a99aa8d6d 3b30eeb3-70e4-46f9-8e52-fed10b9aa0ef d42e8b3f-0341-41b8-a979-737274a16540 2642f0db-9681-4e9c-b66c-080447236473 c75ee23a-dc15-4eac-8e04-5aa9b8051a6b 55c1f52c-4361-4840-b984-3babd0799edf 223468fb-3ac6-44de-8f8a-d0ff9e395bd0 da66150a-7d7a-490b-8123-0ee997a3c433 |
dc.subject.eng.fl_str_mv |
Endothelium Exercise Flow-mediated dilatation analysis Inpatient |
topic |
Endothelium Exercise Flow-mediated dilatation analysis Inpatient CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Sepsis is a serious organ dysfunction leading to endothelial damage in critical patients. Physiologically, there is an augment of vascular diameter in response to increased vascular blood flow and shear stress stimulus. However, the pattern of vascular response in face of passive mobilization (PM), an early mobilization physical strategy, has not yet been explored in patients with sepsis. To explore patterns of vascular response to PM and associations with clinical and cardiovascular profile in patients with sepsis. Cross-sectional, single-arm study. Thirty-two patients diagnosed with sepsis were enrolled. Vascular response was assessed by flow-mediated dilation (FMD) using brachial artery ultrasound, before and after PM. The PM (to assess the response pattern) and SR (shear rate) were also calculated. PM protocol consisted of knees, hips, wrists, elbows, shoulders, dorsiflexion/plantar flexion movements 3 × 10 repetitions each (15 min). Arterial stiffness was assessed by Sphygmocor®, by analyzing the morphology and pulse wave velocity. Cardiac autonomic modulation (CAM) was assessed by analyzing heart rate variability indexes (mean HR, RMSSD, LF, HF, ApEn, SampEn, DFA). Different vascular responses were observed after PM: (1) increased vascular diameter (responders) (n = 13, %FMD = 11.89 ± 5.64) and (2) reduced vascular diameter (non-responders) (n = 19, %FMD= -7.42 ± 6.44). Responders presented a higher non-linear DFA2 index (p = 0.02). There was a positive association between FMD and DFA (r = 0.529; p = 0.03); FMD and SampEn (r = 0.633; p < 0.01). A negative association was identified between FMD and LF (Hz) (r= -0.680; p < 0.01) and IL-6 (r= -0.469; p = 0.037) and SR and CRP (r= -0.427; p = 0.03). |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-09-18 |
dc.date.accessioned.fl_str_mv |
2022-02-10T09:57:19Z |
dc.date.available.fl_str_mv |
2022-02-10T09:57:19Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/dataset |
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dataset |
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publishedVersion |
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https://doi.org/10.1007/s10554-021-02402-0 |
dc.identifier.citation.fl_str_mv |
KAWAKAMI, Débora Mayumi de Oliveira; BONJORNO JUNIOR, José Carlos; DESTRO, Tamara Rodrigues da Silva; BIAZON, Thaís Marina Pires de Campos; GARCIA, Naiara Molina; BONJORNO, Flávia Cristina Rossi Caruso; SILVA, Audrey Borghi; MENDES, Renata Gonçalves. Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study. Repositório Institucional da UFSCar, 2021. Dataset. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15583. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/15583 |
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https://doi.org/10.1007/s10554-021-02402-0 https://repositorio.ufscar.br/handle/ufscar/15583 |
identifier_str_mv |
KAWAKAMI, Débora Mayumi de Oliveira; BONJORNO JUNIOR, José Carlos; DESTRO, Tamara Rodrigues da Silva; BIAZON, Thaís Marina Pires de Campos; GARCIA, Naiara Molina; BONJORNO, Flávia Cristina Rossi Caruso; SILVA, Audrey Borghi; MENDES, Renata Gonçalves. Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study. Repositório Institucional da UFSCar, 2021. Dataset. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15583. |
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eng |
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600 600 600 600 600 600 600 600 |
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Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
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Universidade Federal de São Carlos Câmpus São Carlos |
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Programa de Pós-Graduação em Fisioterapia - PPGFt |
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UFSCar |
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Departamento de Fisioterapia - DFisio |
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Universidade Federal de São Carlos Câmpus São Carlos |
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