THE IMPORTANCE OF EARLY MOBILIZATION IN REDUCING COSTS AND IMPROVING THE QUALITY OF INTENSIVE CARE UNITS

Authors

  • Geovane Rossone Reis Centro Universitário UnirG
  • Anny Pires de Freitas Rossone Centro Universitário UnirG
  • Thamyris Pereira Gloria Santos Hospital Regional de Gurupi – Gurupi (TO)
  • Rosângela de Souza Nevez Centro Universitário UnirG

DOI:

https://doi.org/10.13037/ras.vol16n56.4922

Keywords:

Early mobilization, physiotherapy, intensive care unit

Abstract

Introduction: The costs associated with the high rate of patient retention in ICU beds became one of the major public health problems, and interventions with early mobilization can cause an important reduction of these costs, from programs aimed at reducing the muscle strength loss and prolonged mechanical ventilation. Muscle decline due to the length of stay leads to functional dependence and to a greater need for care after discharge; it may even cause disability retirement. Objective: To evaluate and describe the scale economies from the Physiotherapy service based on early mobilization in intensive care units, as well as to cite improvements in quality indicators. Methods: Bibliographical and exploratory research in the electronic databases Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), Virtual Health Library (VHL), and WHO Library Database (WHOLIS), through articles published between 2000 and 2014. Discussion: Most of the papers describes the high costs related to excessive use of drugs and medical gases in intensive and extensive therapy and the benefit of early mobilization with regarding the reduction of the length of stay and functional decline, which also decreases the rate of dependency and disability after discharge. Conclusions: Physiotherapy is considered inseparable of the intensive care unit and, when effectively performed through patient mobilization, it decreases hospital costs and helps reducing the length of stay, generating greater supply of vacant beds for the population and diminishing the deleterious effects of prolonged immobility.

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Author Biographies

Geovane Rossone Reis, Centro Universitário UnirG

Fisioterapeuta pela UBM-RJ em 2002, mestrado em gestão de políticas públicas pela UFT, especialização em ventilação mecânica pela PUC-GO, docente do Centro Universitário UnirG-TO, fisioterapeuta da UTI do hospital regional de Gurupi-TO

Anny Pires de Freitas Rossone, Centro Universitário UnirG

Fisioterapeuta, especialista em saúde pública (IEP-TO) , docente do Centro Universitário UnirG-TO

Thamyris Pereira Gloria Santos, Hospital Regional de Gurupi – Gurupi (TO)

Fisioterapeuta, especialista em terapia intensiva (UnirG-TO)

Rosângela de Souza Nevez, Centro Universitário UnirG

Fisioterapeuta (UnirG-TO)

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Published

2018-07-18

Issue

Vol. 16 No. 56 (2018): Revista de Atenção à Saúde

Section

ARTIGOS DE REVISÃO

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