EVALUATION AND ANALYSIS OF MOBILITY LEVELS, FUNCTIONAL OUTCOMES AND LENGTH OF HOSPITALIZATION IN PATIENTS ADMITTED TO INTENSIVE CARE UNITS (ICU)

• DOI: https://doi.org/10.22533/at.ed.1594752412085

• Palavras-chave: Intensive care units; Functionality Scale; Acquired muscle weakness.

• Keywords: Intensive care units; Functionality Scale; Acquired muscle weakness.

• Abstract:

  INTRODUCTION: Mortality in Intensive Care Units (ICUs) can be associated with several factors such as increased time of mechanical ventilation and hospitalization, failure in the extubation process, high risk of infections and acquired muscle weakness. These factors are relevant in this context, as they lead to loss of functionality. GOALS: To assess the importance of early mobilization and use of metrics, and to analyze clinical and functional outcomes related to the most common physiotherapeutic interventions used in ICUs. METHODS: This systematic review was registered on September 30, 2022 in the International Prospective Register of Systematic Reviews, under number CRD42022361431, conducted in accordance with the Cochrane guidelines for systematic reviews and reported in accordance with the Preferred Reporting Items Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. The assessment of the risk of bias in the included studies was performed by the RoB 1.0 tool in all its domains in duplicate by the reviewers, in addition to the statistical analysis demonstrated by Forrest-plot graphs. RESULTS: Fifty patients were included and counted among the different studies of this review. In the analysis of the risk of bias, all were assessed as low risk of bias in all categories. Regarding the forest plots with meta-analysis representations, we observed that there was no statistically significant difference in relation to the time of mechanical ventilation and other conventional interventions or with electrostimulation in the outcome of acquired muscle weakness. CONCLUSION: We can infer that the studies present good methodological quality. Regarding the different physiotherapeutic interventions used to improve functional capacity, we did not observe any significance in the analyses. In order to obtain greater definition and methodological quality, it is necessary to standardize the evaluations through functional metrics in patients admitted to Intensive Care Units.