Clinics and practice · 2021
Limited Mobility to the Bed Reduces the Chances of Discharge and Increases the Chances of Death in the ICU.
СтатьяНазвание и аннотация: Перевод в очереди
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Dos Santos Moraes Talita Leite, de Farias Joana Monteiro Fraga, Rezende Brunielly Santana, de Carvalho Fernanda Oliveira, Santiago Michael Silveira, Porto Erick Sobral, Doria Felipe Meireles, Santana Kleberton César Siqueira, Gomes Marcel Vieira, Leite Victor Siqueira, Madruga Reuthemann Esequias Teixeira Tenório Albuquerque, Dos Santos Maciel Leonardo Yung, Andrade Juliana Dantas, de Farias Neto Jader Pereira, Aidar Felipe J, da Silva Junior Walderi Monteiro
Аннотация
BACKGROUND: Progressive mobility in the ICU has been recommended; however, the definitions of low, moderate, and high mobility in the ICU still diverge between studies. Therefore, our objective was to classify the mobility of the sample from verticalization and active withdrawal from the bed, and from that, to analyze the chances of discharge, death, and readmission to the ICU.
MATERIALS AND METHODS: This is an observational and retrospective study that consults the medical records of individuals admitted to the ICU of the University Hospital of Sergipe (HU/SE) between August 2017 and August 2018. Mobility level was classified based on the Intensive Care Unit Mobility Scale (IMS).
RESULTS: A total of 121 individuals were included. The mean age was 61.45 ± 16.45, being 53.7% female. Of these, 28 (23.1%) had low mobility, 33 (27.3%) had moderate mobility, and 60 (49.6%) had high mobility. Individuals with low mobility were 45 times more likely to die (OR = 45.3; 95% CI = 3.23-636.3) and 88 times less likely to be discharged from the ICU (OR = 0.22; 95% CI = 0.002-0.30).
CONCLUSION: Those who evolved with low mobility had a higher chance of death and a lower chance of discharge from the ICU. Moderate and high mobility were not associated with the investigated outcomes.
MATERIALS AND METHODS: This is an observational and retrospective study that consults the medical records of individuals admitted to the ICU of the University Hospital of Sergipe (HU/SE) between August 2017 and August 2018. Mobility level was classified based on the Intensive Care Unit Mobility Scale (IMS).
RESULTS: A total of 121 individuals were included. The mean age was 61.45 ± 16.45, being 53.7% female. Of these, 28 (23.1%) had low mobility, 33 (27.3%) had moderate mobility, and 60 (49.6%) had high mobility. Individuals with low mobility were 45 times more likely to die (OR = 45.3; 95% CI = 3.23-636.3) and 88 times less likely to be discharged from the ICU (OR = 0.22; 95% CI = 0.002-0.30).
CONCLUSION: Those who evolved with low mobility had a higher chance of death and a lower chance of discharge from the ICU. Moderate and high mobility were not associated with the investigated outcomes.