2022, Number 1
Effect of early rehabilitation in patients with acquired weakness in the Intensive Care Unit
Full text
10.35366/104474
Language: Spanish
References: 12
Page: 39-44
PDF size: 196.04 Kb.
ABSTRACT
Introduction: Weakness acquired in the ICU (ICU-AW) is a syndrome of diffuse and symmetrical muscle weakness for which no cause other than critical illness can be found. Objective: To determine the effect of a rehabilitation strategy in patients with weakness acquired in the ICU (ICU-AW), in the Specialty Hospital Num. 2, in Obregon Sonora City. Material and methods: A quasi-experimental, analytical, prospective, longitudinal study was carried out at the UMAE Hospital of specialties Num. 2, in Ciudad Obregon, Sonora. A rehabilitation strategy was applied, on a weekly basis in sessions, designed to prevent sequelae due to weakness acquired at the ICU (ICU-AW was evaluated based on the MRC scale and the SPSS statistical package program was used, the Wilcoxon test was used to determine the difference in means, results before and after rehabilitation. Results: From the total of patients admitted to the ICU in the study period, we obtained that 22 (12%) presented acquired weakness, for which an initial CRM was calculated with scores of 0 in 42.10% and the highest of 34 (10.5%) and after rehabilitation, a CRM > 46 points was obtained in 78.5% of all patients. Wilcoxon test was used for the mean difference, before and after early rehabilitation, with a p = 0.001. Conclusion: The most important finding in the study is the positive impact of early rehabilitation on patients, achieving a score > 46 points on the MRC scale upon discharge from the ICU, the loss of strength is associated with the days of deep sedation and increased the number if days of mechanical ventilation.REFERENCES
Díaz BLP, Dargains N, Urrutia IJG, Bratos A, Percaz MM, Bueno AC, et al. Debilidad adquirida en la unidad de cuidados intensivos. Incidencia, factores de riesgo y su asociación con la debilidad inspiratoria. Estudio de cohorte observacional. Rev Bras Ter Intensiva. 2017;29(4):466-475. Disponible en: http://www.scielo.br/pdf/rbti/v29n4/0103-507X-rbti-20170063.pdf
Calixto Mejía AA, Mendoza Martínez NG. Movilización temprana como prevención y tratamiento para la debilidad adquirida en la unidad de cuidados intensivos en pacientes en ventilación mecánica. Experiencia en un Hospital de Segundo Nivel. European Scientific Journal. 2018;14:1857-7881. Disponible en: https://pdfs.semanticscholar.org/627e/dc31d69dbbe347118f1064d1f34830bb5047.pdf