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Rev Bras Ter Intensiva · Mar 2010
Retirada do leito após a descontinuação da ventilação mecânica: há repercussão na mortalidade e no tempo de permanência na unidade de terapia intensiva?
- Thiago Rios Soares, Kátia de Miranda Avena, Flávia Milholo Olivieri, Luciana Ferreira Feijó, Kristine Menezes Barberino Mendes, Sydney Agareno de Souza Filho, and André Mansur de Carvalho Guanaes Gomes.
- Hospital da Cidade - HC, Salvador, BA, Brasil.
- Rev Bras Ter Intensiva. 2010 Mar 1; 22 (1): 27-32.
ObjectiveTo describe the withdrawal of the bed frequency in mechanic ventilation patients and its impact on mortality and length of stay in the intensive care unit.MethodsThis was a retrospective cohort study in mechanical ventilation patients. Clinical and epidemiological variables, withdrawal of bed related motor therapy, intensive care unit length of stay and mortality were evaluated.ResultsWe studied 91 patients, mean age of 62.5± 18.8 years, predominantly female (52%) and mean intensive care unit length of stay of 07 days (95% CI, 8-13 days). Considering the withdrawal of the bed or not, no difference was observed between groups regarding length of stay in intensive care unit. Patients who were withdrawn of bed had a lower clinical severity. Their mortality rate was 29.7%. The not withdrawn of bed group had higher both actual and expected mortality.ConclusionsPatients withdrawn of bed following mechanical ventilation discontinuation showed lower mortality. It is suggested that early intensive care unit mobilization and withdrawal of bed should be stimulated.
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