Fatores associados à maior mortalidade e tempo de internação prolongado em uma unidade de terapia intensiva de adultos

A total of 69 selected patients were admitted to the ICU and followed until extubation. With this information, it was possible to know the time that they remained in IMV and then how many days they stayed in the ICU until the time of discharge from the unit. Results: Most patients undergoing CS were male (56.5%); the mean age was 55.93±14.29 years; the most prevalent type of surgery was myocardial revascularization (71.0%); the average time of cardiopulmonary bypass (CPB) was 65.05±20.06 minutes; the average length of stay in ICU was 2.18±1.10 days; the IMV time was 7.32±2.66 hours. There was no statistical significance between these two last variables with p=0.43. Conclusion: It can be concluded that there was no correlation between the duration of mechanical ventilation and ICU length of stay in patients without immediate postoperative complications and who spent less than 12 hours of mechanical ventilation.

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“…O tempo de internamento foi bastante superior ao da presente pesquisa, que apresentou apenas 2,1 dias de média 18 .…”

Section: Discussionunclassified

Análise do tempo de ventilação mecânica e internamento em pacientes submetidos a cirurgia cardíaca

et al. 2017

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“…Dentre as variáveis demográficas encontradas neste estudo, observou-se predominância do sexo masculino, com grande parte dos pacientes inseridas nesse grupo, equivalendoaos dados deoutro estudo com pacientes internados em UTI, em que foi observado que 59,60% eram homens e 40,40% mulheres (14) . Em contrapartida, os resultados encontrados em outras pesquisas não demonstraram grandes disparidades referentes ao sexo, visto que 54,2% dos participantes eram do sexo feminino e 45,8% do sexo masculino (15) .…”

Section: Discussionunclassified

Clinical and demographic characteristics of patients on mechanical ventilation in the intensive careunit / Perfil clínico-epidemiológico de pacientes em ventilaçãomecânica internadosem unidade de terapia intensiva / Perfil clínico-epidemiológico de pac..

et al. 2016

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Objetivo: analisar o perfil clínico-epidemiológico dos pacientes em uso de ventilação mecânica internados em unidade de terapia intensiva.Métodos: estudo exploratório descritivo, com abordagem quantitativa, realizado em duas unidades de terapia intensiva, Fortaleza-Ceará, com 86 pacientes. Dados coletados a partir dos prontuários dos pacientes, de abril a julho de 2014,analisados por meio da estatística descritiva, expostos em figuras e tabelas.Estudo baseado na Resolução 466/12, aprovado com parecer no. 037/2011.Resultados: observou-se predominância do sexo masculino (62,8%) e média de idade de 54,27 anos. Quanto ao diagnóstico médico, o mais evidenciado foi a aids (32,55%), seguida das pneumopatias (18,63) e da insuficiência respiratória (11,62%). Em relação ao dispositivo utilizado para a conexão do paciente ao ventilador mecânico, 82,6% utilizou tubo orotraqueal. Mais da metade dos pacientes utilizou drogas vasoativas (54,65%), sendo a noradrenalina a mais usada. Referente ao uso de sedação e/ou analgesia, mais da metade utilizou as duas classes de drogas em conjunto. A avaliação neurológica dos pacientes foi realizada na maioria das vezes por meio da Escala de Ramsay, compontuação média de 5,16. Conclusões:o estudo possibilitou a caracterização dos pacientes em uso de ventilação mecânica, contribuindo para a qualificação da assistência. Descritores: Ventilação mecânica. Unidades de terapia intensiva.Enfermagem.

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“…6 The Intensive Care Unit (ICU) is the hospital facility responsible for the care of severe and/or risky patients who require constant medical care, support from a multiprofessional team and specialized equipment to maintain life. 2 In this unit, there is a high incidence of sedatives, neuromuscular blockers and support. Consequently, there are complications due to bed resting time and mechanical ventilation (MV), leading to immobility, physical deconditioning and muscular weakness.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of functionality and quality of life in critical patients: case series report

Wiethan¹,

Soares

Souza³

2017

Acta Fisiátrica

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Hospitalization in Intensive Care Unit (ICU) usually results in decreased functionality and quality of life. Risk long-term sequelae may result from factors related to disease, treatment performed and time staying in bed. Objective: To evaluate the functionality and quality of life of patients who received physiotherapy in the ICU and correlate these variables after 30 days of discharge. Methods: A case series report study was conducted with 15 patients. Evaluation of functionality by the Functional Independence Measure -FIM (before ICU, at immediate release and after 30 days), evaluation of quality of life by Short-Form (SF-36) Health Survey (after 30 days). Results: The mean age was 43.20 ± 16.92 years, predominant causes of hospitalization were neurological, mechanical ventilation time was 14 (9-14) days and ICU 15.80 ± 7.16 days and all had complications. Before the ICU the patients were with full or modified independence (FIM 1=126), after discharge there was a decline to modified dependence (FIM 2=48) and after 30 days there was improvement, but functionality continued as modified dependence (FIM 3=92). The functionality areas like self-care, mobility and locomotion had major changes after the ICU and a significant improvement at 30 days; sphincter control, communication and social cognition had minor changes after the ICU and after 30 days the values approached the previous ones. The quality of life was affected 30 days after discharge with reduction in scores for all areas, the most affected ones were functional capacity, limitation by physical aspects, pain and social aspects. There were positive correlations between the areas of sphincters control, mobility and mobility (functionality) and functional capacity (quality of life). Conclusion: ICU negatively affected the functionality, especially at immediate release. After 30 days, there was an improvement, in part, that can be attributed to physical therapy, because all patients received this treatment in the ICU and many continued it after discharge. However, some deficits still remained, also affecting their quality of life.

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Fatores associados à maior mortalidade e tempo de internação prolongado em uma unidade de terapia intensiva de adultos

Abstract: Factors associated with increased mortality and prolonged length of stay in an adult intensive care unit Fatores associados à maior mortalidade e tempo de internação prolongado em uma unidade de terapia intensiva de adultos

Cited by 57 publications

References 28 publications

Análise do tempo de ventilação mecânica e internamento em pacientes submetidos a cirurgia cardíaca

Análise do tempo de ventilação mecânica e internamento em pacientes submetidos a cirurgia cardíaca

Clinical and demographic characteristics of patients on mechanical ventilation in the intensive careunit / Perfil clínico-epidemiológico de pacientes em ventilaçãomecânica internadosem unidade de terapia intensiva / Perfil clínico-epidemiológico de pac..

Evaluation of functionality and quality of life in critical patients: case series report

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