Physical rehabilitation in Brazilian pediatric intensive care units: a multicenter point prevalence study.

Autor:	Redivo J; Department of Anesthesiology and Critical Care Medicine, Charlotte R. Bloomberg Children's Center, Johns Hopkins University School of Medicine - Baltimore, United States., Kannan H; Department of Anesthesiology and Critical Care Medicine, Charlotte R. Bloomberg Children's Center, Johns Hopkins University School of Medicine - Baltimore, United States., Souza AAF; Department of Pediatrics, Hospital Infantil Sabará - São Paulo (SP), Brazil., Colleti Junior J; Department of Pediatrics, Hospital Israelita Albert Einstein - São Paulo (SP), Brazil., Kudchadkar SR; Department of Pediatrics, Johns Hopkins University School of Medicine - Baltimore, United States., Horigoshi NK; Hospital Infantil Sabará, São Paulo, SP Brazil., Costa GA; Hospital Sírio- Libanês, São Paulo, SP Brazil., Castilho TRR; Hospital Anália Franco Rede D'Or São Luiz Brazil.; Hospital Beneficência Portuguesa, São Paulo, SP Brazil., Peron PPD; Instituto de Criança, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP Brazil., Scaranto WP; Hospital Municipal Carmino Caricchio, Tatuapé, São Paulo, SP Brazil., Medeiros DNM; Hospital Municipal Dr. Moyses Deutch, M'Boi Mirim, São Paulo, SP Brazil., Matsumoto T; Hospital Municipal Infantil Menino Jesus, São Paulo, SP Brazil., Almeida CG; Hospital Assunção Rede D'Or São Luiz, São Bernardo do Campo, SP Brazil., Oliveira FRC; Grupo de Apoio ao Adolescente e à Criança com Câncer, Instituto de Oncologia Pediátrica, São Paulo, SP Brazil., Brandão MB; Universidade de Campinas, Campinas, SP Brazil., Lima-Setta F; Instituto Fernandes Figueira, FIOCRUZ, Rio de Janeiro, RJ Brazil., Prata-Barbosa A; Hospital Copa D'Or, Rio de Janeiro, RJ, Brasil.; Hospital Quinta D'Or, Rio de Janeiro, RJ, Brasil.; Hospital Caxias D'Or, Rio de Janeiro, RJ, Brasil.; Hospital Rios D'Or, Rio de Janeiro, RJ, Brasil.; Hospital Oeste D'Or, Rio de Janeiro, RJ, Brasil.; Hospital Real D'Or, Rio de Janeiro, RJ, Brasil., Xavier GN; Instituto de Cardiologia do Distrito Federal, Brasília, DF, Brasil., Andrade LB; Hospital Esperança, Recife, PE, Brasil., Aguiar AU; Hospital de Base do Distrito Federal, Brasília, DF Brazil., Coutinho MPG; Hospital Otávio de Freitas, Recife, PE, Brasil., Castro REV; Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ Brazil., Landy GA; Instituto de Tratamento do Câncer Infantil - São Paulo, SP Brazil., Balaniuc SLB; Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS Brazil., Yamaguchi RS; Hospital da Luz, São Paulo, SP Brazil.
Jazyk:	English; Portuguese
Zdroj:	Critical care science [Crit Care Sci] 2023 Dec 22; Vol. 35 (3), pp. 290-301. Date of Electronic Publication: 2023 Dec 22 (Print Publication: 2023).
DOI:	10.5935/2965-2774.20230388-en
Abstrakt:	Objective: To determine the prevalence and factors associated with the physical rehabilitation of critically ill children in Brazilian pediatric intensive care units. Methods: A 2-day, cross-sectional, multicenter point prevalence study comprising 27 pediatric intensive care units (out of 738) was conducted in Brazil in April and June 2019. This Brazilian study was part of a large multinational study called Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU). The primary outcome was the prevalence of mobility provided by physical therapy or occupational therapy. Clinical data on patient mobility, potential mobility safety events, and mobilization barriers were prospectively collected in patients admitted for ≥ 72 hours. Results: Children under the age of 3 years comprised 68% of the patient population. The prevalence of therapist-provided mobility was 74%, or 277 out of the 375 patient-days. Out-of-bed mobility was most positively associated with family presence (adjusted odds ratios 3.31;95%CI 1.70 - 6.43) and most negatively associated with arterial lines (adjusted odds ratios 0.16; 95%CI 0.05 - 0.57). Barriers to mobilization were reported on 27% of patient-days, the most common being lack of physician order (n = 18). Potential safety events occurred in 3% of all mobilization events. Conclusion: Therapist-provided mobility in Brazilian pediatric intensive care units is frequent. Family presence was high and positively associated with out-of-bed mobility. The presence of physiotherapists 24 hours a day in Brazilian pediatric intensive care units may have a substantial impact on the mobilization of critically ill children.
Databáze:	MEDLINE
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