crictical care
Conditions
Interventions
Control group: 67 individuals in Intensive Care received habitual physiotherapy by the physioterapist from hospital. Experimental group: 67 individuals Intensive Care, received, in addition to habitua
Procedure/surgery
Other
E02.779.483
E02.779.483.750
E02.779.483.500
F01.145.632
Sponsors
Universidade Federal de Minas Gerais
Hospital Risoleta Tolentino Neves
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with at least 24 hours of admission to the Intensive Care Unit, with or without sedation; older than 18 years old; both genders; presenting significant hemodynamic stability considered as the absence of hypotension or vasopressóricas need for drugs at lower doses less than 1mcg/hora/kg noradrenaline; absence of neuromuscular, oncological, neurological diseases or traumotortopédicas including amputation) prior or recent surgeries; have normal functional ambulation, use of assistive device accepting gait; accepted to participate in the certificate states the responsibility for the patient when they had not been enough awareness for decision making.
Exclusion criteria
Exclusion criteria: Hospitalization prior period with less than thirty days prior to the date of admission to HRTN; Patients transferred from other hospitals to CTI CTI's HRTN; Patient aware that refused to participate in any of the two groups after randomization; Refusal of the patient to participate in this study after recovering state of consciousness suited to making decisions when your entry is made by authorization of family and / or guardian; Patients who require cardiopulmonary resuscitation during the ICU stay; Patients who had a change in diagnosis as stroke as a cause of ICU stay current.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency rate of patients who left the bed during ICU admission through direct registration if the patient left the bed during ICU admission; ;The patients in the intervention group (97%) left the bed in comparison to the control group (3%) during the ICU | — |
Secondary
| Measure | Time frame |
|---|---|
| What is the first day of leaving the bed during ICU stay by direct registration from the first day out of the bed after ICU admission; value in reais per value/hours of ICU stay per individual through consultation with the hospital financial sector; length of stay in the ICU and nursery by recording length of ICU and hospital stay until ICU and hospital discharge; comparing the mortality rate on discharge from the ICU and hospital by recording the condition whether alive or dead; time of use of mechanical ventilation during ICU admission through the registry of days of need for invasive ventilatory assistance;;mean time of leaving the bed for the treatment group was 3.48 days by direct recording of the first day of transfer to armchair; reduction of the mechanical ventilation time of the patients in the intervention group through the recording of 5.36 days for the patients in the intervention group compared to 7.66 days for the patients in the control group; total costs of R $ 14,746.28 of hospitalization in the ICU of patients in the intervention group compared to R $ 21,148.62 of cost for patients in the control group; there was no difference in the mortality rate between the groups with p-0.506 through statistical analysis; reduction in ICU stay with a record of 264.76 hours for patients in the intervention group and 379.71 hours for patients in the control group; | — |
Countries
Brazil
Contacts
Public ContactRodrigo Maia Moreira
Universidade Federal de Minas Gerais
Outcome results
None listed