Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU

Contextualization: Patients hospitalized in an Intensive Care Unit (ICU) may present functional independence, prolonging hospitalization. Objective: To evaluate the functional independence of patients with cardiovascular diseases during ICU stay until hospital discharge. Methods: A prospective cohor...

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Principais autores: Jurema dos Santos, Laura, da Silva Ferreira, Samanta, Correa Coronel , Christin
Formato: Online
Idioma:eng
Publicado em: UFRN
Endereço do item:https://periodicos.ufrn.br/revistadefisioterapia/article/view/10375
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spelling oai:periodicos.ufrn.br:article-103752020-11-11T22:03:06Z Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU English Jurema dos Santos, Laura da Silva Ferreira, Samanta Correa Coronel , Christin Contextualization: Patients hospitalized in an Intensive Care Unit (ICU) may present functional independence, prolonging hospitalization. Objective: To evaluate the functional independence of patients with cardiovascular diseases during ICU stay until hospital discharge. Methods: A prospective cohort study that included subjects of both genders ? 18 years, hospitalized for more than 24 hours in the ICU. The functional independence of the individuals was evaluated through the Functional Independence Measure (FIM) scale in three moments (ICU admission, ICU discharge and hospital discharge). Variance Analysis (ANOVA) was used for repeated measures with the post hoc comparisons performed by the Bonferroni test. The Spearman correlation coefficient was used for the statistical relationships considering a significance level of 5%. Results: The mean age was 64.26 ± 12.58 years, of which 25 (59.5%) were male, with a predominance of acute myocardial infarction patients (57.1%). There was a reduction in functionality across all evaluated domains of the scale. The mean score upon admission was 119.40 ± 11.37 points, at ICU discharge was 106.36 ± 16.36 points, and at hospital discharge, it was 112.12 ± 15.19 points (p<0.001).  The greatest functional loss was in the self-care domain in relation to the other domains in all ICU admission, ICU discharge and hospital discharge (p=0.003). There was an inverse and moderate correlation observed between the three moments of FIM evaluation with the length of ICU stay (r=-0.532, p<0.001) and in the hospital (r=-0.506, p<0.001). Conclusion: The ICU hospitalization process led to reduced functionality of the patients according to the FIM scale. UFRN 2019-12-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo avaliado pelos Pares application/pdf https://periodicos.ufrn.br/revistadefisioterapia/article/view/10375 Journal of Respiratory and CardioVascular Physical Therapy; Vol. 7 No. 2 (2018); 13-22 Revista de Fisioterapia Respiratória e CardioVascular; v. 7 n. 2 (2018); 13-22 2238-4677 eng https://periodicos.ufrn.br/revistadefisioterapia/article/view/10375/12336 Copyright (c) 2019 Revista de Fisioterapia Respiratória e CardioVascular
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language eng
format Online
author Jurema dos Santos, Laura
da Silva Ferreira, Samanta
Correa Coronel , Christin
spellingShingle Jurema dos Santos, Laura
da Silva Ferreira, Samanta
Correa Coronel , Christin
Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU
author_facet Jurema dos Santos, Laura
da Silva Ferreira, Samanta
Correa Coronel , Christin
author_sort Jurema dos Santos, Laura
title Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU
title_short Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU
title_full Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU
title_fullStr Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU
title_full_unstemmed Functional Status Of Patients With Cardiovascular Disease In Cardiology ICU
title_sort functional status of patients with cardiovascular disease in cardiology icu
description Contextualization: Patients hospitalized in an Intensive Care Unit (ICU) may present functional independence, prolonging hospitalization. Objective: To evaluate the functional independence of patients with cardiovascular diseases during ICU stay until hospital discharge. Methods: A prospective cohort study that included subjects of both genders ? 18 years, hospitalized for more than 24 hours in the ICU. The functional independence of the individuals was evaluated through the Functional Independence Measure (FIM) scale in three moments (ICU admission, ICU discharge and hospital discharge). Variance Analysis (ANOVA) was used for repeated measures with the post hoc comparisons performed by the Bonferroni test. The Spearman correlation coefficient was used for the statistical relationships considering a significance level of 5%. Results: The mean age was 64.26 ± 12.58 years, of which 25 (59.5%) were male, with a predominance of acute myocardial infarction patients (57.1%). There was a reduction in functionality across all evaluated domains of the scale. The mean score upon admission was 119.40 ± 11.37 points, at ICU discharge was 106.36 ± 16.36 points, and at hospital discharge, it was 112.12 ± 15.19 points (p<0.001).  The greatest functional loss was in the self-care domain in relation to the other domains in all ICU admission, ICU discharge and hospital discharge (p=0.003). There was an inverse and moderate correlation observed between the three moments of FIM evaluation with the length of ICU stay (r=-0.532, p<0.001) and in the hospital (r=-0.506, p<0.001). Conclusion: The ICU hospitalization process led to reduced functionality of the patients according to the FIM scale.
publisher UFRN
publishDate 2019
url https://periodicos.ufrn.br/revistadefisioterapia/article/view/10375
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