Impacto dos programas de mobilização progressiva precoce no doente crítico: revisão sistemática da literatura
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Unidades de Cuidados Intensivos
Estado crítico
Reabilitação
Deambulação Precoce
Melhoria de qualidade

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1.
Mendes R, Lopes P, Novo A, Nunes M, Castelo-Branco M. Impacto dos programas de mobilização progressiva precoce no doente crítico: revisão sistemática da literatura. Rev Port Enf Reab [Internet]. 30 de Junho de 2023 [citado 28 de Abril de 2024];6(1):e309. Disponível em: https://rper.aper.pt/index.php/rper/article/view/309

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Objetivo: Conhecer o efeito dos programas de mobilização progressiva precoce nos resultados do doente crítico.

Métodos: Revisão sistemática, com recurso às bases de dados MEDLINE, CINAHL, CENTRAL, PEDro, Clinical Trials.gov, WHO International Clinical Trials Registry Platform e EU Clinical Trials Register.

Resultados: Do total de 813 publicações identificadas, 18 cumpriam os critérios de inclusão e foram incluídas nesta revisão. Verificou-se que estes programas estão relacionados com: redução do tempo de ventilação, redução do tempo de internamento em cuidados intensivos, menor probabilidade de readmissão e maior funcionalidade à alta dos cuidados intensivos. Parece verificar-se uma tendência para redução das infeções e maior probabilidade de alta para o domicílio. Não foram encontrados desfechos negativos.

Conclusões: Os programas de mobilização progressiva precoce, além de seguros, parecem trazer benefícios importantes ao doente crítico, reforçando a importância de intervir nesta área.

https://doi.org/10.33194/rper.2023.309
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Referências

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