Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study

Detalhes bibliográficos
Autor(a) principal: de Carvalho, Taciana Guterres
Data de Publicação: 2013
Outros Autores: Silva, Andréa Lucia Gonçalves, Santos, Maria Luiza, Schäfer, Janaína, Cunha, Laura Severo, Santos, Laura Jurema
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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spelling 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
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info:eu-repo/semantics/publishedVersion
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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
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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
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reponame_str Revista de Epidemiologia e Controle de Infecção
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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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