Características dos pacientes sob ass istência fisioterapêutica na UTI de um hospital universitário : estudo epidemiológico transversal

Abstract

Introduction: Prolonged ICU stay can affect the health condition of the increase in complications and possible mortality, featuring the intensive care unit (ICU) as complex treatment unit. Objective: The aim of this study was to describe the clinical profile of patients treated by physical therapy at an ICU of a University Hospital. Trough of the correlations between the main clinical conditions of admission, length of stay in IMV, the main clinical complications and hospitalization endpoints, of patients divided by gend er and age. Methods: Data were collected from the physical therapist records of patients admitted in the ICU from October 2013 to October 2014. Statistical analysis was performed using the Statistical Package for Social Sciences software program - SPSS for Windows (version 20, Chicago, USA). Results: 171 patients were engaged in the study, 90 (52.6%) males and 81 (47.3%) females. The most frequent diagnoses were cardiorespiratory diseases followed by sepsis / septic shock and postoperative period. 39 patien ts required more than 15 days in IMV and the frequency of its use increased according to the group age. There was a strong association (R = 0.62; p = 0.05) between age and period of IMV. Mortality rate was 38.9% for males and 45.7% for females. Conclusion : It was evident that cardiorespiratory and liver diseases were the main causes of admission in the ICU, and patients who required IMV spent more than 15 days there, furthermore o a significant mortality rate has been demonstrated. These results may be att ributed to the institutional context.