Physiotherapy and length of stay in the Intensive Care Unit

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.35921

Keywords:

Length of stay; Intensive Care Unit; Hospital physiotherapy service.

Abstract

Introduction: The prolonged hospitalization process in the intensive care unit (ICU) is one of the determining factors for the increase in comorbidities in critically ill patients. In this context, the intensive care physical therapist is one of the professionals responsible for acting in a complex way in managing the functioning of the respiratory system with the optimization of ventilatory and motor function, in order to promote better health conditions for early discharge. Objective: to describe the sociodemographic and clinical profile of patients admitted to an intensive care unit (ICU), and to analyze the association of physical therapy with the length of stay in that unit. Methods: This is a cross-sectional and analytical study, with 18 patients of both sexes admitted to Intensive Care Units in the city of Jequié-BA. A questionnaire divided into two blocks was used: sociodemographic variables and clinical conditions. Relative and absolute frequencies were calculated, and the associative analysis was verified using the Fisher's Exact Test. Results: There was a prevalence of female patients, aged 60 years or older, with elementary education and without a partner. The main cause of hospitalization was neurological diseases, followed by cardiovascular diseases. The length of stay and the amount of physical therapy treatment was less than or equal to nine. And there was an association between physical therapy visits and length of hospital stay. Conclusion: it is concluded that, among ICU patients, the majority are women, with advanced age, with low level of education and living without a spouse. In addition, in was observed that neurological diseases are responsible for the largest number of hospitalizations, and that these hospitalized patients had, for the most part, a hospital stay of less than or equal to nine days, as well as nine or less physical therapy visits. In addition, there was significant relationship between the amount of physical therapy attendance and the number of days hospitalized in the ICU.

References

Battaglini, D., Caiffa, S., Gasti, G., Ciaravolo, E., Robba, C., Herrmann, J. & Ball, L. (2021). An Experimental Pre-Post Study on the Efficacy of Respiratory Physiotherapy in Severe Critically III COVID-19 Patients. Journal of Clinical Medicine, 10(10), 2139. https://doi.org/10.3390/jcm10102139.

Carvalho, M. T. X., Ludke, E., Cardoso, D. M., Paiva, D. N., Soares, J. C., & Albuquerque, I. M. de. (2019). Efeitos do exercício passivo precoce em cicloergômetro na espessura muscular do quadríceps femoral de pacientes críticos: estudo-piloto randomizado controlado. Fisioterapia E Pesquisa, 26(3), 227–234. https://doi.org/10.1590/1809-2950/17025126032019.

Castro, M. L. M. de, Almeida, F. das A. de C., Amorim, E. H., Carvalh, A. I. L. C. de, Costa, C. C. da, Cruz, R. A. de O., Castro, M. L. M. de, Almeida, F. das A. de C., Amorim, E. H., Carvalh, A. I. L. C. de, Costa, C. C. da, & Cruz, R. A. de O. (2021). Perfil de pacientes de uma unidade de terapia intensiva de adultos de um município paraibano. Enfermería Actual de Costa Rica, 40. https://doi.org/10.15517/revenf.v0i40.42910.

Cavalcanti, A. do N., Pinto, K. D. C., & Maia, E. M. C. (2019). Perfil de Pacientes Adultos em Unidades de Terapia Intensiva do Nordeste Brasileiro. Revista Portal: Saúde E Sociedade, 04(02). https://doi.org/10.28998/2525-4200.2019v4n2.1113-1125.

Furtado, M. V. da C., Costa, A. C. F. da, Silva, J. C., Amaral, C. A. do, Nascimento, P. G. D. do, Marques, L. M., Prazeres, J. S. dos, & Moraes, R. M. de. (2020). Atuação da fisioterapia na UTI / Physiotherapy performance at UTI. Brazilian Journal of Health Review, 3(6), 16335–16349. https://doi.org/10.34119/bjhrv3n6-056.

Damaceno G. S., Sacon, G. R. T., & Rodrigues, G. M. M. (2021). Efeitos da fisioterapia motora no paciente com fraqueza muscular adquirida na Unidade de Terapia Intensiva. Rev Bras Interdiscip Saúde - ReBIS, 3(3), 74-9.

Gruther,W., Pieber, K., Steiner, I., Hein, C., Hiesmayr, J. M., & Paternostro-Sluga, T. (2017) Can Early Rehabilitation on the General Ward After an Intensive Care Unit Stay Reduce Hospital Length of Stay in Survivors of Critical Illness? American Journal of Physical Medicine & Rehabilitation, 96(9). doi: 10.1097/PHM.0000000000000718.

Johnson, J. K., Lohse, B., Bento, H. A., Noren, C. S., Marcus, R. L., & Tonna, J. E. (2019). Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing. Archives of Physical Medicine and Rehabilitation, 100(2), 270-277.e1. https://doi.org/10.1016/j.apmr.2018.07.437.

Leal, M. A., & Freitas-Vilela, A. A. de. (2021). Costs of healthcare-associated infections in an Intensive Care Unit. Revista Brasileira de Enfermagem, 74(1). https://doi.org/10.1590/0034-7167-2020-0275.

Machado, A. dos S., Pires-Neto, R. C., Carvalho, M. T. X., Soares, J. C., Cardoso, D. M., & Albuquerque, I. M. de. (2017). Effects that passive cycling exercise have on muscle strength, duration of mechanical ventilation, and length of hospital stay in critically ill patients: a randomized clinical trial. Jornal Brasileiro de Pneumologia, 43(2), 134–139. https://doi.org/10.1590/s1806-37562016000000170.

Mondadori, A. G., Zeni, E. de M., Oliveira, A. de, Silva, C. C. da, Wolf, V. L. W., & Taglietti, M. (2016). Humanização da fisioterapia em Unidade de Terapia Intensiva Adulto: estudo transversal. Fisioterapia E Pesquisa, 23, 294–300. https://doi.org/10.1590/1809-2950/16003123032016.

Patsaki, I., Gerovasili, V., Sidiras, G., Karatzanos, E., Mitsiou, G., Papadopoulos, E., Christakou, A., Routsi, C., Kotanidou, A., & Nanas, S. (2017). Effect of neuromuscular stimulation and individualized rehabilitation on muscle strength in Intensive Care Unit survivors: A randomized trial. Journal of Critical Care, 40, 76–82. https://doi.org/10.1016/j.jcrc.2017.03.014.

Pereira, A. S. (2018). Metodologia da pesquisa científica. Santa Maria, RS: UFSM.

Pires-Neto, R. C., Pereira, A. L., Parente, C., Sant’Anna, G. N. de, Esposito, D. D., Kimura, A., Fu, C., & Tanaka, C. (2013). Caracterização do uso do cicloergômetro para auxiliar no atendimento fisioterapêutico em pacientes críticos. Revista Brasileira de Terapia Intensiva, 25, 39–43. https://doi.org/10.1590/S0103-507X2013000100008.

Reis, S. F., Silva, H. P. L., Araújo, M. C. de, & Santos, A. D. (2021). Perfil dos pacientes submetidos à fisioterapia em uma Unidade de Terapia Intensiva do Extremo Sul da Bahia, Brasil. ASSOBRAFIR Ciência, 12, e41995. https://doi.org/10.47066/2177-9333.ac.2020.0027.

Rotta, B. P., Silva, J. M. da, Fu, C., Goulardins, J. B., Pires-Neto, R. de C., & Tanaka, C. (2018). Relationship between availability of physiotherapy services and ICU costs. Jornal Brasileiro de Pneumologia, 44(3), 184–189. https://doi.org/10.1590/s1806-37562017000000196.

Santos, G. O., Queiroz, R. S. de, Jesus, C. S. de, Carneiro, J. A. O., Faria, L. M. de A., Fernandes, M. H., & Matos, J. M. T. (2019). Pacientes internados em unidade de terapia intensiva que não adotam postura antigravitacional apresentam maiores chances de óbito. Fisioterapia E Pesquisa, 26(3), 235–240. https://doi.org/10.1590/1809-2950/17027526032019.

Santos, D. C. L. dos, Silva, M. M. da, Moreira, M. C., Zepeda, K. G. M., & Gaspar, R. B. (2017). Planejamento da assistência ao paciente em cuidados paliativos na terapia intensiva oncológica. Acta Paulista de Enfermagem, 30(3), 295–300. https://doi.org/10.1590/1982-0194201700045.

Silva, C. M. da S. e, Andrade, A. D. N., Nepomuceno, B., Xavier, D. S., Lima, E., Gonzalez, I., Santos, J. L., Esquivel, M. S., Novais, M. C. M., Magalhães, P., Almeida, R. da Silva., Gomes, V. A., Carvalho, V. O., Lima Filho, W. C, . Moura Filho, O. F. de., & Gomes Neto, M. (2020). Evidence-based Physiotherapy and Functionality in Adult and Pediatric patients with COVID-19. Journal of Human Growth and Development, 30(1), 148–155. https://doi.org/10.7322/jhgd.v30.10086.

Silva, I. M. da, Silva, M. T. B. F. da, Santos, R. G. Dos.; & Ferreira, R. K. G. (2021). Trabalho da Equipe Multiprofissional no contexto da COVID-19: Diversos olhares, um só objetivo. Research, Society and Development, 10(3), e53210313439–e53210313439. https://doi.org/10.33448/rsd-v10i3.13439.

Souza, T. S. de, Aleluia, Í. R. S., Pinto, E. B., Pinto Junior, E. P., Pedreira, R. B. S., Fraga-Maia, H., & Pinto, J. M. (2022). Organização e oferta da assistência fisioterapêutica em resposta à pandemia da COVID-19 no Brasil. Ciência & Saúde Coletiva, 27(6), 2133–2142. https://doi.org/10.1590/1413-81232022276.00752022.

Vieira, A. M., Parente, E. A., Oliveira, L. S., Queiroz, A. L., Bezerra I. S. A. M., & Rocha H.A.L. Características de óbitos dos pacientes internados em uma unidade de terapia intensiva de hospital terciário. (2019). Journal of Health & Biological Sciences. 7(1), 26-31. https://doi:10.12662/2317-3076jhbs.v6i4.1999.p26-31.2019.

Published

20/10/2022

How to Cite

SANTOS, A. A. de J. .; SANTANA , P. dos S. .; GOES, K. O. .; SOUSA, N. A. de; FERREIRA, P. d’Almeida .; SANTOS, J. X. dos; SANTOS, G. P. dos; FERNANDES, G. S. F. de B. Physiotherapy and length of stay in the Intensive Care Unit. Research, Society and Development, [S. l.], v. 11, n. 14, p. e80111435921, 2022. DOI: 10.33448/rsd-v11i14.35921. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35921. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences