Análisis de indicadores de funcionalidad y mecánica ventilatoria de pacientes hospitalizados en una Unidad de Cuidados Intensivos
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Resumo
Objetivo: Analisar os marcos de funcionalidade e dados de mecânica ventilatória de pacientes internados em uma Unidade de Terapia Intensiva (UTI). Métodos: Trata-se de um estudo observacional, prospectivo e quantitativo, com busca ativa nos prontuários de pacientes maiores de 18 anos e com mais de 24 horas de ventilação mecânica após admissão na UTI, para registro de dados demográficos, clínicos, epidemiológicos, de mecânica ventilatória e funcionalidade. Resultados: Foram incluídos 51 prontuários, com gravidade média de 68,9 ± 20,3 no SAPS 3. 49% realizaram a postura sentada à beira do leito, enquanto 4% evoluíram para a deambulação. Taxa de mortalidade de 72,5% e 84,3% dos pacientes permaneceram com Driving Pressure (DP) média abaixo de 15, além do coeficiente de correlação fraco para o tempo de VM (r 0,025; p > 0,05), para o tempo de internação (r 0,000; p > 0,05), para a gravidade (r 0,01; p > 0,05) e para o desfecho (r 0,265; p > 0,05), que está incluído na alta ou óbito na UTI. Conclusão: Os marcos da funcionalidade e da mecânica ventilatória não apresentaram associação estatisticamente significativa com a duração da VM, internação, gravidade e mortalidade dos pacientes.
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