cardiac and vascular surgeries
Conditions
Interventions
All of 60 participants will be followed from admission to discharge, using a control form. Participants will be assessed in 5 moments: preoperative (T1), during SICU stay (T2), at SICU discharge (T3),
quality of life, through the Short Form 36
and level of physical activity, through the Baecke questionnaire. At T2, randomization into two groups, control or intervention, will be done. Also will be recorded the severity status using APACHE II
Other
A07.015.461.165
Sponsors
Hospital Universitário da Universidade Federal do Maranhão
Hospital Universitário da Universidade Federal do Maranhão
Eligibility
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Adults patients admitted to the ICU after cardiac surgery (myocardial revascularization, valve replacement / repair, correction of thoracic aortic diseases and combined procedures) or vascular surgery (revascularization of upper / lower limbs and correction of abdominal aortic diseases), from January 2020 to June 2021, with modified Barthel index for walking ? 4 will be included
Exclusion criteria
Exclusion criteria: Cardiorespiratory arrest Brain injury, with motor response <5 (Glasgow coma scale) Recent acute myocardial infarction Unstable fractures Pregnancy Medical guidelines for maintaining absolute rest due to patient severity Unable to understand verbal commands Mechanical ventilation time for more than 24 hours Enrollment in another clinical study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease at least 20% of the time elapsed, measured in hours, to achieve the following mobilization milestones: edge of bed sitting, bedside sitting, orthostatism and walking. | — |
Secondary
| Measure | Time frame |
|---|---|
| Maintaining of peripheral muscle strength, assessed by handgrip dynamometry, comparing to preoperative period ;Lower frequency o ICU acquired weakness, using as criteria values under 11kgF, in men, and 7 kgF in women, during evaluation by handgrip dynamometry. ;Highest ICU Mobility Scale score at ICU discharge of at least 1,4 points ;Decrease in 1-2 days of ICU and hospital lenght of stay ;Better quality of life in 20% after 3 months of hospital discharge measured by SF-36 questionnaire | — |
Countries
Brazil
Contacts
Public ContactMayara Gabrielle Borges
Hospital Universitário da Universidade Federal do Maranhão
Outcome results
None listed