دورية أكاديمية
أعرض في EDS

Early mobilization practice in a single Brazilian intensive care unit.

التفاصيل البيبلوغرافية
العنوان: Early mobilization practice in a single Brazilian intensive care unit.
المؤلفون: Pires-Neto RC; Department of Pathology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil. Electronic address: ruy@usp.br., Lima NP; Physiotherapy Service, Instituto Central do Hospital das Clínicas da Faculdade de Medicina de São Paulo, São Paulo, SP, Brazil., Cardim GM; Physiotherapy Service, Instituto Central do Hospital das Clínicas da Faculdade de Medicina de São Paulo, São Paulo, SP, Brazil., Park M; Intensive Care Unit, Clinical Emergency Department, Instituto Central do Hospital das Clínicas da Faculdade de Medicina de São Paulo, São Paulo, SP, Brazil., Denehy L; Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Parkville, Melbourne, Australia.
المصدر: Journal of critical care [J Crit Care] 2015 Oct; Vol. 30 (5), pp. 896-900. Date of Electronic Publication: 2015 May 19.
نوع المنشور: Journal Article; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 8610642 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-8615 (Electronic) Linking ISSN: 08839441 NLM ISO Abbreviation: J Crit Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia Pa : W.B. Saunders
Original Publication: Orlando, FL : Grune & Stratton, c1986-
مواضيع طبية MeSH: Critical Illness/*rehabilitation , Early Ambulation/*methods, Brazil ; Exercise Therapy/methods ; Feasibility Studies ; Female ; Humans ; Intensive Care Units ; Length of Stay ; Male ; Middle Aged ; Physical Therapy Modalities ; Respiration, Artificial/mortality ; Retrospective Studies ; Tracheostomy/methods
مستخلص: Objectives: To characterize the provision of early mobilization therapy in critically ill patients in a Brazilian medical intensive care unit (ICU) and to investigate the relationship between physical activity level and clinical outcomes.
Methods: Intensive care unit and physiotherapy data were collected retrospectively from 275 consecutive patients. Here we report on the subset of patients (n = 120) who were mechanically ventilated during their ICU stay (age, 49 ± 18 years; Simplified Acute Physiology Score 3, 45 [25]).
Results: Median (interquartile range) time of mechanical ventilation and ICU length of stay were 3 (4) and 8 (10) days, respectively. Intensive care unit and 1-year mortality were 31% and 50%, respectively. During the ICU stay, these patients all received respiratory physiotherapy and 90% (n = 108) received mobilization therapy. When intubated and ventilated, mobilization therapy was performed in 76% (n = 92) of the patients with no adverse events. The most common activity was in-bed exercises (55%), and the number of out-of-bed activities (sitting out of bed, standing, or walking) was small (29%) and more prevalent in patients with tracheostomy than with an endotracheal tube (27% × 2%, respectively).
Conclusion: In our Brazilian ICU, mobilization therapy in critically ill patients was safe and feasible; however, similar to other countries, in-bed exercises were the most prevalent activity. During mechanical ventilation, only a small percentage of activities involved standing or mobilizing away from the bed.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Early mobilization; Intensive care unit; Mechanical ventilation; Physiotherapy
تواريخ الأحداث: Date Created: 20150622 Date Completed: 20161031 Latest Revision: 20220331
رمز التحديث: 20240628
DOI: 10.1016/j.jcrc.2015.05.004
PMID: 26093803
قاعدة البيانات: MEDLINE
الوصف
تدمد:1557-8615
DOI:10.1016/j.jcrc.2015.05.004