Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Epidemiologia e Controle de Infecção |
Texto Completo: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/3327 |
Resumo: | Backgound and Objectives: The incidence of complications arising from the deleterious effects of immobility in the intensive care unit contributes to functional decline, increased length of hospital stay and reduced functionality. Physical therapy is able to promote recovery and preservation of functionality, which can minimize these complications - through early mobilization. To evaluate the functionality and independence of patients who underwent a early bed output in the Intensive Care Unit. Methods: A randomized controlled clinical trial was conducted with patients admitted to the Intensive Care Unit (ICU) of the Santa Cruz Hospital and having a physiotherapy prescription. The patients were divided into conventional therapy group- control group and intervention group, who performed the protocol of early mobilization, promoting the bed output. The functionality was measured three times (retroactive to hospitalization, at discharge from the ICU and on hospital discharge) through the instrument Functional Independence Measure (FIM). Results: Preliminary data indicates that the intervention group (n = 4) presented lower loss of functionality after discharge from the ICU, with a deficit of 19%, having recovered until the hospital discharge 97% of the prehospitalization measure. The control group (n = 5) showed higher loss in the ICU of 47.6%, and was discharged from hospital with only 72% of their basal rate. Conclusion: There was a lower loss rate and better recovery of functionality in the studied population when those were submitted to a systematized and early protocol of mobilization as well as shorter hospital stay. |
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Revista de Epidemiologia e Controle de Infecção |
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Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot studyRelação entre saída precoce do leito na unidade de terapia intensiva.Backgound and Objectives: The incidence of complications arising from the deleterious effects of immobility in the intensive care unit contributes to functional decline, increased length of hospital stay and reduced functionality. Physical therapy is able to promote recovery and preservation of functionality, which can minimize these complications - through early mobilization. To evaluate the functionality and independence of patients who underwent a early bed output in the Intensive Care Unit. Methods: A randomized controlled clinical trial was conducted with patients admitted to the Intensive Care Unit (ICU) of the Santa Cruz Hospital and having a physiotherapy prescription. The patients were divided into conventional therapy group- control group and intervention group, who performed the protocol of early mobilization, promoting the bed output. The functionality was measured three times (retroactive to hospitalization, at discharge from the ICU and on hospital discharge) through the instrument Functional Independence Measure (FIM). Results: Preliminary data indicates that the intervention group (n = 4) presented lower loss of functionality after discharge from the ICU, with a deficit of 19%, having recovered until the hospital discharge 97% of the prehospitalization measure. The control group (n = 5) showed higher loss in the ICU of 47.6%, and was discharged from hospital with only 72% of their basal rate. Conclusion: There was a lower loss rate and better recovery of functionality in the studied population when those were submitted to a systematized and early protocol of mobilization as well as shorter hospital stay.Justificativa e Objetivos: A incidência de complicações decorrentes dos efeitos deletérios da imobilidade na unidade de terapia intensiva contribui para o declínio funcional, aumento do tempo de internação e redução da funcionalidade. A fisioterapia é capaz de promover a recuperação e preservação da funcionalidade, podendo minimizar estas complicações – através da mobilização precoce. Objetivos: Avaliar a funcionalidade e independência de pacientes que realizaram a saída do leito precocemente na Unidade de Terapia Intensiva. Métodos: Ensaio clínico controlado e randomizado, realizado com pacientes internados na Unidade de Terapia Intensiva (UTI) do Hospital Santa Cruz com prescrição médica de fisioterapia. Os pacientes foram divididos em grupo de fisioterapia convencional – grupo controle e o grupo intervenção, que realizou o protocolo de mobilização precoce, promovendo a saída do leito. A funcionalidade foi medida em três tempos (retroativo a internação, na alta da UTI e na alta hospitalar) através do instrumento Functional Independence Measure (FIM). Resultados: Dados preliminares mostram que o grupo intervenção (n=4) apresentou menor perda da funcionalidade após a alta da UTI, com déficit de 19%, tendo recuperado até a alta hospitalar 97% da medida pré-hospitalização, enquanto o grupo controle (n=5) apresentou maior perda na UTI com 47,6%, e tendo alta hospitalar com apenas 72% do seu índice basal. Conclusão: Houve menor perda e melhor recuperação da taxa de funcionalidade na amostra estudada quando submetida a um protocolo de mobilização precoce e sistematizado, bem como menor tempo de internação.Unisc2013-07-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/332710.17058/reci.v3i3.3327Revista de Epidemiologia e Controle de Infecção; Vol. 3 No. 3 (2013); 82-86Revista de Epidemiologia e Controle de Infecção; v. 3 n. 3 (2013); 82-862238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/3327/3166de Carvalho, Taciana GuterresSilva, Andréa Lucia GonçalvesSantos, Maria LuizaSchäfer, JanaínaCunha, Laura SeveroSantos, Laura Juremainfo:eu-repo/semantics/openAccess2019-01-21T12:57:59Zoai:ojs.online.unisc.br:article/3327Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-21T12:57:59Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study Relação entre saída precoce do leito na unidade de terapia intensiva. |
title |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study |
spellingShingle |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study de Carvalho, Taciana Guterres |
title_short |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study |
title_full |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study |
title_fullStr |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study |
title_full_unstemmed |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study |
title_sort |
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study |
author |
de Carvalho, Taciana Guterres |
author_facet |
de Carvalho, Taciana Guterres Silva, Andréa Lucia Gonçalves Santos, Maria Luiza Schäfer, Janaína Cunha, Laura Severo Santos, Laura Jurema |
author_role |
author |
author2 |
Silva, Andréa Lucia Gonçalves Santos, Maria Luiza Schäfer, Janaína Cunha, Laura Severo Santos, Laura Jurema |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
de Carvalho, Taciana Guterres Silva, Andréa Lucia Gonçalves Santos, Maria Luiza Schäfer, Janaína Cunha, Laura Severo Santos, Laura Jurema |
description |
Backgound and Objectives: The incidence of complications arising from the deleterious effects of immobility in the intensive care unit contributes to functional decline, increased length of hospital stay and reduced functionality. Physical therapy is able to promote recovery and preservation of functionality, which can minimize these complications - through early mobilization. To evaluate the functionality and independence of patients who underwent a early bed output in the Intensive Care Unit. Methods: A randomized controlled clinical trial was conducted with patients admitted to the Intensive Care Unit (ICU) of the Santa Cruz Hospital and having a physiotherapy prescription. The patients were divided into conventional therapy group- control group and intervention group, who performed the protocol of early mobilization, promoting the bed output. The functionality was measured three times (retroactive to hospitalization, at discharge from the ICU and on hospital discharge) through the instrument Functional Independence Measure (FIM). Results: Preliminary data indicates that the intervention group (n = 4) presented lower loss of functionality after discharge from the ICU, with a deficit of 19%, having recovered until the hospital discharge 97% of the prehospitalization measure. The control group (n = 5) showed higher loss in the ICU of 47.6%, and was discharged from hospital with only 72% of their basal rate. Conclusion: There was a lower loss rate and better recovery of functionality in the studied population when those were submitted to a systematized and early protocol of mobilization as well as shorter hospital stay. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-07-04 |
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://online.unisc.br/seer/index.php/epidemiologia/article/view/3327 10.17058/reci.v3i3.3327 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/3327 |
identifier_str_mv |
10.17058/reci.v3i3.3327 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/3327/3166 |
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 |
Unisc |
publisher.none.fl_str_mv |
Unisc |
dc.source.none.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção; Vol. 3 No. 3 (2013); 82-86 Revista de Epidemiologia e Controle de Infecção; v. 3 n. 3 (2013); 82-86 2238-3360 reponame:Revista de Epidemiologia e Controle de Infecção instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
collection |
Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1800218809607389184 |