Correlation Between Status and Functional Mobility in Intensive Care Unit

Abstract Generalized muscle weakness when related to the critical patient is an important and common complication in patients admitted to the intensive care unit (ICU). It is known that inactivity can lead to secondary dysfunctions and the main system is the osteomyelitis that may undergo muscle strength decrease by up to 30% in 7 days, and 20% in each additional week. The objective of the study was to correlate the functional status at admission with functional mobility at ICU discharge. It is an exploratory, longitudinal study developed in a school hospital. Patients underwent evaluation through functional independence measure (FIM) at admission. Afterwards, an early evolutionary mobilization protocol was applied, divided into three phases. At the time of discharge, the patients were reassessed by the functional mobility scale in the ICU (FMS). There was a significant (p=0.0001) correlation (r=0.5) between the admission FIM and the FMS at the time of ICU discharge from the critical patients included. There was a significant correlation (p<0.0001) positive (r=0.5) in the female patients and positive and weak (r=0.4) in the male patients. There was a correlation between the functional status at admission and the level of mobility at discharge in patients admitted to the ICU, i.e. , the higher the functionality before admission, the greater the functional mobility at discharge.   Keywords: Mobility Limitation. Intensive Care Units. Physical Therapy Specialty   Resumo A fraqueza muscular generalizada quando relacionada ao doente critico e uma complicacao importante e comum em pacientes internados em unidade de terapia intensiva (UTI). Sabe-se que a inatividade pode acarretar disfuncoes secundarias e o principal sistema acometido e o osteomioarticular que pode sofrer diminuicao da forca muscular em ate 30% em 7 dias, e 20% a cada semana adicional. O objetivo do estudo foi correlacionar o status funcional na admissao com a mobilidade funcional na alta de pacientes na UTI. Trata-se de um estudo do tipo exploratorio, longitudinal, desenvolvido em um hospital-escola. Os pacientes foram submetidos a avaliacao por meio da medida de independencia funcional (MIF) na admissao. Apos, foi aplicado um protocolo de mobilizacao precoce evolutivo dividido em tres fases. No momento da alta, os pacientes foram submetidos a uma nova avaliacao pela escala de mobilidade funcional em UTI (EMF). Verificou-se correlacao significativa (p<0,0001) positiva (r=0,5) entre a MIF de admissao e a EMF no momento da alta da UTI dos pacientes criticos incluidos. Houve correlacao significativa (p<0,0001) positiva (r=0,5) nas pacientes do sexo feminino e positiva e fraca (r=0,4) nos pacientes do sexo masculino. Houve correlacao entre o statusfuncional na admissao com o nivel de mobilidade na alta de pacientes internados em UTI, isto e quanto maior a funcionalidade antes da internacao, maior a mobilidade funcional na alta. Palavras-chave: Limitacao de Mobilidade. Unidades de Terapia Intensiva. Fisioterapia