Abstract

SOARES, Thiago Rios et al. Retirada do leito após a descontinuação da ventilação mecânica: há repercussão na mortalidade e no tempo de permanência na unidade de terapia intensiva?Withdrawal of bed following mechanic ventilation discontinuation: are there reflexes on mortality and intensive care unit length of stay?. Rev. bras. ter. intensiva [online]. 2010, vol.22, n.1, pp. 27-32. ISSN 0103-507X.  http://dx.doi.org/10.1590/S0103-507X2010000100006.

OBJECTIVE: To 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. METHODS: This 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. RESULTS: We 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 Patients who were withdrawn of bed had a lower clinical severity.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 The not withdrawn of bed group had higher both actual and expected mortality. CONCLUSIONS: Patients withdrawn of bed following mechanical ventilation discontinuation showed lower mortality.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.

Keywords : Respiration artificial; Early ambulation; Mortality; Physical therapy modalities.