Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay, pulmonary infection rate and mortality in ICU patients

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dc.contributor.author Castro, Antônio Adolfo Mattos de [UNIFESP]
dc.contributor.author Calil, Suleima Ramos
dc.contributor.author Freitas, Susi Andrea
dc.contributor.author Oliveira, Alexandre B.
dc.contributor.author Porto, Elias Ferreira [UNIFESP]
dc.date.accessioned 2016-01-24T14:30:49Z
dc.date.available 2016-01-24T14:30:49Z
dc.date.issued 2013-01-01
dc.identifier http://dx.doi.org/10.1016/j.rmed.2012.09.016
dc.identifier.citation Respiratory Medicine. London: W B Saunders Co Ltd, v. 107, n. 1, p. 68-74, 2013.
dc.identifier.issn 0954-6111
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/35655
dc.description.abstract Introduction: Although physiotherapy is an integral part of the multiprofessional team in most ICUs there is only limited evidence concerning the effectiveness of its procedures. the objectives of this study were to verify if physiotherapy care provided within 24 h/day for hospitalized patients in the ICU reduce the length of stay, mechanical ventilation support, pulmonary infection and mortality compared to a physiotherapy care provided within 6 h/day.Methods: A cohort study was designed to assess differences between one hospital where patients were given physiotherapy care for 24 h/day and another hospital with only 6 h/day. We considered the following as outcome measurements: clinical diagnosis, medication in use, presence of associated diseases, APACHE II and SOFA scores, ICU and mechanical ventilation length of stay, development of pulmonary infections and survival.Results: One hundred and forty-six patients were enrolled. Patients admitted in the service A presented a lower length of stay in mechanical ventilation (p < 0.0001), ICU stay (p = 0.0003), respiratory infections (p = 0.0043) than patients admitted in service B. No difference was found for APACHE II score (p = 0.8) and SOFA scores (p = 0.2) between groups. the mortality risk was OR 1.3 (1.01-2.33) (p = 0.04) for patients in the service B.Conclusion: the presence of a physiotherapist in the intensive care unit contributes decisively to the early recovery of the patient, reducing mechanical ventilation support need, number of hospitalization days, incidence of respiratory infection and risk of mortality. (c) 2012 Elsevier B.V. All rights reserved. en
dc.format.extent 68-74
dc.language.iso eng
dc.publisher W B Saunders Co Ltd
dc.relation.ispartof Respiratory Medicine
dc.rights Acesso aberto
dc.subject Chest physiotherapy en
dc.subject Hospital stay en
dc.subject Weaning en
dc.subject Pulmonary infection en
dc.subject Mortality en
dc.subject Intensive care unit patients en
dc.title Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay, pulmonary infection rate and mortality in ICU patients en
dc.type Artigo
dc.contributor.institution Adventist Univ Unasp
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Universidade de São Paulo (USP)
dc.contributor.institution Fed Univ Pampa Unipampa
dc.description.affiliation Adventist Univ Unasp, Phys Therapy Dept, São Paulo, Brazil
dc.description.affiliation Fed Univ São Paulo Unifesp, São Paulo, Brazil
dc.description.affiliation São Paulo Med Sch, Inst Heart, São Paulo, Brazil
dc.description.affiliation Fed Univ Pampa Unipampa, Rio de Janeiro, Brazil
dc.description.affiliationUnifesp Fed Univ São Paulo Unifesp, São Paulo, Brazil
dc.identifier.file WOS000314135600008.pdf
dc.identifier.doi 10.1016/j.rmed.2012.09.016
dc.description.source Web of Science
dc.identifier.wos WOS:000314135600008



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