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

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 func...

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Main Authors: Taciana Guterres de Carvalho, Andréa Lucia Gonçalves Silva, Maria Luiza Santos, Janaína Schäfer, Laura Severo Cunha, Laura Jurema Santos
Format: Article
Language:Portuguese
Published: Universidade de Santa Cruz do Sul 2013-07-01
Series:Revista de Epidemiologia e Controle de Infecção
Online Access:https://online.unisc.br/seer/index.php/epidemiologia/article/view/3327
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author Taciana Guterres de Carvalho
Andréa Lucia Gonçalves Silva
Maria Luiza Santos
Janaína Schäfer
Laura Severo Cunha
Laura Jurema Santos
author_facet Taciana Guterres de Carvalho
Andréa Lucia Gonçalves Silva
Maria Luiza Santos
Janaína Schäfer
Laura Severo Cunha
Laura Jurema Santos
author_sort Taciana Guterres de Carvalho
collection DOAJ
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.
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spelling doaj.art-115c4a1ea7e945eea7e9788388bf61cb2022-12-22T02:03:49ZporUniversidade de Santa Cruz do SulRevista de Epidemiologia e Controle de Infecção2238-33602013-07-0133828610.17058/reci.v3i3.33272119Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot studyTaciana Guterres de CarvalhoAndréa Lucia Gonçalves SilvaMaria Luiza SantosJanaína SchäferLaura Severo CunhaLaura Jurema SantosBackgound 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.https://online.unisc.br/seer/index.php/epidemiologia/article/view/3327
spellingShingle Taciana Guterres de Carvalho
Andréa Lucia Gonçalves Silva
Maria Luiza Santos
Janaína Schäfer
Laura Severo Cunha
Laura Jurema Santos
Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study
Revista de Epidemiologia e Controle de Infecção
title 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_short 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
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/3327
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