2015
DOI: 10.5935/0103-507x.20150028
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Functional evolution of critically ill patients undergoing an early rehabilitation protocol

Abstract: ObjectiveEvaluation of the functional outcomes of patients undergoing an early rehabilitation protocol for critically ill patients from admission to discharge from the intensive care unit.MethodsA retrospective cross-sectional study was conducted that included 463 adult patients with clinical and/or surgical diagnosis undergoing an early rehabilitation protocol. The overall muscle strength was evaluated at admission to the intensive care unit using the Medical Research Council scale. Patients were allocated to… Show more

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Cited by 18 publications
(18 citation statements)
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“…These results can be improved if we consider that early rehabilitation of the critically ill patients is safe and beneficial and that the systematization of care through protocols shows clear benefits. ( 9 , 16 - 18 )…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…These results can be improved if we consider that early rehabilitation of the critically ill patients is safe and beneficial and that the systematization of care through protocols shows clear benefits. ( 9 , 16 - 18 )…”
Section: Discussionmentioning
confidence: 99%
“…Although there are international recommendations on ICU rehabilitation ( 4 - 6 ) and more or less comprehensive early mobilization protocols are being disseminated, ( 7 - 9 ) the Portuguese reality is little known. Moreover, the Portuguese context, besides different hospital management models, has particularities in the organization of the rehabilitation care itself, with a multiplicity of scenarios, without knowing the work developed in each center or its results.…”
Section: Introductionmentioning
confidence: 99%
“…Early, gradual, and progressive mobilization of critically ill patients admitted to intensive care unit (ICU) has been used as a treatment strategy to avoid, minimize, or reverse the deleterious effects of prolonged immobility in bed 1 . For this purpose, several protocols with strict security criteria were designed and stratified into mobilization levels ranging from passive exercises to deambulation [2][3][4][5][6] .…”
Section: Introductionmentioning
confidence: 99%
“…For the execution of movements against gravity by a critically ill patient, involving axial load of the spine or long bones, such as in sitting position, standing position, and deambulation, the therapist should ensure various neurological, hemodynamic, ventilation, and oxygenation criteria, related to the diagnosis, the risk of complications, and the level of life support, among others [2][3][4][5][6][7][8] .…”
Section: Introductionmentioning
confidence: 99%
“…Os avanços tecnológicos e a evolução no cuidado ao paciente crítico nos últimos anos, têm contribuído significativamente para a redução da mortalidade e o aumento da sobrevida desses pacientes. 1,2 Entretanto, limitações físicas e psicológicas decorrentes do longo período de internação, são comumente observadas nessa população, tanto durante a hospitalização, quanto no período pós-alta. 3 A fraqueza muscular adquirida na Unidade de Terapia Intensiva (do inglês intensive care unit-acquired weakness -ICU-AW) é reconhecida como uma complicação frequente do paciente crítico e está associada a diversos fatores de risco: imobilidade no leito, uso de corticoides, uso de bloqueadores neuromusculares, hiperglicemia, sepse, disfunção múltipla de órgãos e síndrome da angústia respiratória aguda (SDRA).…”
Section: Introductionunclassified