Mobility decline in patients hospitalized in an intensive care unit

Abstract

ObjectiveTo evaluate the variation in mobility during hospitalization in an intensive care unit and its association with hospital mortality.MethodsThis prospective study was conducted in an intensive care unit. The inclusion criteria included patients admitted with an independence score of ≥ 4 for both bed-chair transfer and locomotion, with the score based on the Functional Independence Measure. Patients with cardiac arrest and/or those who died during hospitalization were excluded. To measure the loss of mobility, the value obtained at discharge was calculated and subtracted from the value obtained on admission, which was then divided by the admission score and recorded as a percentage.ResultsThe comparison of these two variables indicated that the loss of mobility during hospitalization was 14.3% (p < 0.001). Loss of mobility was greater in patients hospitalized for more than 48 hours in the intensive care unit (p < 0.02) and in patients who used vasopressor drugs (p = 0.041). However, the comparison between subjects aged 60 years or older and those younger than 60 years indicated no significant differences in the loss of mobility (p = 0.332), reason for hospitalization (p = 0.265), SAPS 3 score (p = 0.224), use of mechanical ventilation (p = 0.117), or hospital mortality (p = 0.063).ConclusionThere was loss of mobility during hospitalization in the intensive care unit. This loss was greater in patients who were hospitalized for more than 48 hours and in those who used vasopressors; however, the causal and prognostic factors associated with this decline need to be elucidated.

Incidence of pressure injury in an oncological intensive care unit

“…It is known that prolonged administration of vasoactive drugs-in addition to requiring extended bed rest-causes significant, and occasionally excessive, peripheral vasoconstriction (20) . Moreover, the administration of sedative drugs impairs sensory perception and bed mobility (21) , making the patient more vulnerable to PIs. This is likely why a higher cumulative incidence of PI was observed, with statistically significant differences, among patients who received these drugs during their ICU admission.…”

Mobilidade Funcional De Pacientes Críticos Em Terapia Intensiva: Um Estudo Piloto

“…Jesus et al 24 avaliaram a variação da mobilidade, por meio de dois domínios da medida de independência funcional (MIF), durante a internação em UTI e sua associação com mortalidade hospitalar em 70 pacientes. Os autores verificaram que houve declínio da mobilidade durante a internação na UTI nessa amostra; resultados contraditórios aos demonstrados no presente estudo.…”

“…Os autores verificaram que houve declínio da mobilidade durante a internação na UTI nessa amostra; resultados contraditórios aos demonstrados no presente estudo. Contudo, importante ressalva reside no fato de ter sido utilizado outro instrumento de avaliação da mobilidade funcional, além dos critérios de inclusão e exclusão adotados pelos autores 24 .…”

Correlação entre funcionalidade e função pulmonar em pacientes internados em Unidades de Terapia Intensiva

“…Correlação entre FSS-ICU -CVL e IMS -CVL de pacientes internados em UTIs adulto. Salvador -Bahia -2018 Já Borges 23 e Jesus24 observaram uma redução dos domínios funcionalidade e mobilidade, respectivamente, em populações predominantemente cirúrgicas. Quanto ao tempo de permanência na unidade, Jesus 24 e Martinez 2 identificaram maior declínio de mobilidade a partir de 48 horas de internação.…”