Google Scholar | Citations: 16429| h-index: 32 | i10-index: 482
Effect of acute trauma on strength and functionality of patients admitted to emergency department
PDF (Portuguese (Brazil))

Keywords

Trauma centers
Muscle strength dynamometer
Motor activity

How to Cite

Effect of acute trauma on strength and functionality of patients admitted to emergency department. (2024). Electronic Journal Collection Health, 24(9), e16210. https://doi.org/10.25248/reas.e16210.2024

Copyright © | All rights reserved.

The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.

Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.

Total reproduction
It is expressly prohibited and must be authorized by the journal.

Abstract

Objective: To compare the behavior of PPF, functionality and outline the profile of victims of acute trauma. Methods: Participants included underwent two assessments, one lasting 24 hours and the other lasting seven. Strength was measured using the Saehan hydraulic dynamometer and functionality using the ICU Mobility Scale. The clinical profile was recorded in the MV PEP Soul® electronic medical record. Results: The average age totaled 43.3 + 15.3 years. Males predominated in admissions with 72.7%. The 24-hour FFP resulted in an average of 36.8 + 12.8 kg/f and in seven days 37.4 + 13.1 kg/f (p= 0.333). The functionality resulted in: A (previous IMS) median 10, B (24 hours) median 8 and C (seven days) median 9. The comparison between moments A x B (p=0.001), A x C (p= 0.001) and B x C (p=0.011), had a significant difference. Conclusion: The most recurrent trauma was a fall from a height and the most common diagnosis was limb injuries. The trauma and seven days of hospitalization did not affect HGS, unlike functionality which was reduced upon admission, however patients partially recovered functionality after seven days of hospitalization, however they did not return to the values ​​before hospitalization.

PDF (Portuguese (Brazil))

References

ALMEIDA L, et al. Instrumentos de avaliação para o diagnóstico da fraqueza muscular adquirida na unidade de terapia intensiva: revisão narrativa. Research, Society anda Development, 2021, 10: 12010817077.

AQUIM E, et al. Diretrizes Brasileiras de Mobilização precoce em Unidade de Terapia Intensiva. Revista Brasileira de Terapia Intensiva, 2019; 31: 434-443.

ASTH. Clinical assessment recommendations grip strength. 1992. Disponível em: asht.org/practice/clinical-assessment-recommendations. Acessado: 14 de setembro 2023.

BARR RG, et al. Eight-year outcome of implementation of abuse head trauma prevention. Child abuse e neglect, 2018; 84: 106-114.

BELÉM RC e NOGUEIRA NBR.Trauma grave: do hospital do distrito federal. Biblioteca do IGESDF – Hospital de base, 2019; 1: 1-217.

CHIANG LL, et al. Effects of physical training on functional status in patients with prolonged mechanical ventilation. Physical therapy, 2006; 86: 1271-1281.

CHOI Y, et al. Epidemiology and clinical characteristcs of trauma in older patients transferred from long-term care hospitals to emergency departments: A nationwide retrospective study in South Korea, 2023; 115: 105212.

DITSHUIZEN JC, et al. Comparing health status after major trauma across different levels of trauma care. Injury, 2023; 54: 871-879.

ERCOLE ZE, et al. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of eletrical stimulation, 2003; 124: 292-296.

FELICIANO V, et al. A influência da mobilização precoce no tempo de internamento na Unidade de Terapia Intensiva, 2019; 3: 31-42.

FERNANDEZ M, et al. Edipemiología del trauma grave en España. Registro de trauma en UCI (RETRAUCI). Medicina Intensiva, 2016; 327-347.

FONTONELA PC, et al. Mobilização precoce em pacientes ventilados mecanicamente: estudo de ponto prevalência de um dia em unidades de terapia intensiva do sul do Brasil. Revista Brasileira de Terapia Intensiva-RBTI, 2016; 1: S1-S41.

GOSSELINK R, et al. Physiotherapy for adult patients with critical illness: recommendations of the Europen Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically ill Patients. Intensive care medicine, 2008; 34: 1188-1199.

GRIFFITHS RS e JONES C. Recovery from intensive care. BMJ, 1999; 319: 427-429.

HADDON JRW. Advances in the epidemiology of injuries as a basis for public policy. Public health reports. 1980; 95: 411-421.

HODGSON C, et al. Feasibility and inter-rater reliability of the ICU Mobility Scale. Heart e Lung, 2014; 43: 19-24.

HUANG CH, et al. Hospitalization-associated muscle weakness and functional outcomes among oldest old patients: A hospital-besed cohort study. Experimental Gerontology, 2021; 150: 111353.

IBIAPINO M, et al. Serviço de atendimento móvel de urgência: epidemiologia do trauma no atendimento pré-hospitalar. Revista da Faculdade de Ciências Médicas de Sorocaba. 2017; 72-75.

IMUAMURA JH. Epidemiologia dos Traumas em Países Desenvolvidos e em Desenvolvimento. SP. Dissertação (Mestrado em Ciências) – Faculdade de Medicina da Universidade de São Paulo, São Paulo, 2012; 97.

JOLLEY SE, et al. ICU-Acquired weakness. Chest, 2016; 150: 1129-1140.

KAYAMBU G, et al. Physical Theray for the critically ill in the ICU A Systemactic Review and Meta-Analysys. Critical Care Medicine. 2013; 41: 1543-1554.

LENTSCK MH, et al. Trauma Panorama epidemiológico de dezoito anos de internações por trauma no Brasil. Revista de Saúde Pública, 2019; 53-83.

LAURENT H, et al. Systematic review of early exercise in intensive care: A qualitative approach. Anaesthesia Critical Care e Pain Medicine. 2016; 35: 133-149.

MAFI P, et al. A systematic revier of dynamometry and its role in hand trauma assessment. The open orthopaedics jornal. 2012; 6: 95-102.

MATOS M, et al. Physical activity and exercise on diabetic foot related outcomes: A systematiew review. Diabetes Research and Clinical Practice. 2018; 139: 81-90.

MASCARENHAS M e BARROS M. Evolução das internações hospitalares por causas externas no sistema público de saúde – Brasil, 2002 a 2011*. Epidemiologia e Serviços de Saúde. 2015; 19-29.

NASCIMENTO MF, et al. Valores de referência de força de preensão manual em ambos gêneros e diferentes grupos etários: Um estudo de revisão. Lecturas: Educatión Física y Deportes, 2010; 15: 151.

OMS. ORGANIZAÇÃO MUNDIAL DA SAÚDE. Global Status Report On Road Safety 2018. [2018]. Disponpivel em: www.who.int/publications-detail-redirect/9789241565684. Acessado em: 28 de novembro de 2023.

REBECCA YDU, et al. Primary prevention of Road traffic accident-related traumatic brain injueries in younger populations: a systematic review of helmet legislatin. Journal of Neurosurgery: Pediatrics, 2020; 4: 361-274.

RIBEIRO MM, et al. Physical exercise in pregnacy: benefits, risks and prescription. Journal of perinatal medicine, 2022; 50: 4-17.

ROBERSON AR, et al. Influence of muscle strength on early mobility in critically ill adult patients: Systematic literature review, 2018; 47: 1-9.

SANTOS LF, et al. Estudo epidemiológico do trauma ortopédico em um serviço público de emergência. Cadernos Saúde Coletiva, 2016; 24: 397-403.

SILVA DA. O uso de escalas de funcionalidade em terapia intensiva e barreiras para sua utilização. Brazilian Journal of Development. 2021; 2101-2113.

SOUZA GL e REIS RM. Revisão sistemática de ensaios clínicos randomizados para reabilitação funcional do traumatismo cranioencefálico. Revista Neurociências. 2023; 31: 1-20.

STILLER K. Physiotherapy intensive care: an updated systematic review. Chest. 2013; 3: 825-847.

SCOTT K, et al. Diasease-Induced skeletal muscle atrophy and fatigue. Journal medicine e science in sports e exercise, 2016, 11: 2307-2319.

SCHULUSSEL MM, et al. Reference values of handgrip dynamometry of helthy adults: A population-based study. Clinical Nutrition, 2008; 27: 601-607.

VRIES NM, et al. Effects of physical exercise therapy on mobility, phisical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobiliy, physical disabily and/or multi-morbidity: A meta-analysis. Ageing Research Reviews, 2012; 11: 136-149.

WOLFGANG G, et al. Muscle wasting intensive care patients: ultrasound observation of the m. quadríceps femoris muscle layer. Journal of rehabitation medicine, 2008; 40: 185-189.

ZHANG L, et al. Early mobilization of critically ill patients in the intensive care unit: A systematic review and meta-analysis. PloS one, 2019; 14: 0223185.