FUNCTIONAL EVALUATION SCALES IN INTENSIVE CARE: LITERATURE REVIEW
DOI:
https://doi.org/10.13037/ras.vol16n56.5191Keywords:
early mobilization, scales, physiotherapy, intensive care unitsAbstract
Introduction: Identifying the level of critical patient functionality in an intensive care unit (ICU) is critical.In this context, specific functional evaluation instruments have been developed to guide interventionprotocols. Objective: To recognize and systematize the functional evaluation scales validated in the literaturefor use in intensive care. Methods: A literature review was conducted with Cochrane, PEDro andPubMed databases using the descriptors: “physical therapy”, “intensive care units”, “mobility status”, “outcomeassessment”, “early mobilization”, and “scales”. Results: Six studies were found that validated toolsto measure the functional status of ICU patients, such as ICU Mobility Scale, Functional Status Score,Perme Intensive Care Unit Mobility Score, Physical Function ICU Test, Chelsea Critical Care PhysicalAssesment Tool, Surgical intensive care unit Optimal Mobilization Score and the measure of functionalindependence, not validated for ICU, but applied in national studies. The most prevalent variable in thevalidated scales was the mobility domain. The scoring applied by the scales was variable, interconnectedto the type of functional activity evaluated. Most of the studies were developed in general clinical-surgicalICU. Conclusion: Currently there are six validated scales in the pertinent scientific literature to evaluatethe functionality of patients hospitalized in ICU.Downloads
References
Silva APP, Maynard K, Cruz MR. Efeitos da fisioterapia motora em pacientes críticos: revisão de literatura. Rev Bras Ter Intensiva. 2010;22(1)85-91.
França EET, Ferrari F, Fernandes P, Cavalcanti R, Duarte A, Martinez BP et al. Fisioterapia em pacientes críticos adultos: recomendações do departamento de fisioterapia da Associação Brasileira de Medicina Intensiva. Rev Bras Ter Intensiva. 2012; 24(1):6-22.
Korupolu R, Gifford JM, Needham DM. Early mobilization of critically ill patients: reducing neuromuscular complications after intensive care. Contemp Crit Care. 2009;6(9):1-11.
Denehy L, Berney S. Physiotherapy in the intensive care unit. Phys Ther Rev. 2006;11(1):49-56.
Lipshutz AKM & Grooper MA. Acquired neuromuscular weakness and early mobilization in the intensive care unit. Anesthesiology. 2013;118(1):202-15.
De Jonghe B, Sharshar T, Lefaucheur J, et al. Paresis acquired in the intensive care unit: a prospective multicenter study. JAMA.2002;288:2859-67.
Hermans G, Van den Berghe G. Clinical review: intensive care unit acquired weakness. Crit Care. 2015;19:274.
Hermans G, De Jonghe B, Bruyninckx F, Van den Berghe G. Clinical review: Critical illness polyneuropathy and myopathy. Crit Care. 2008;12(6):238.
Gosselink R, Bott J, Johnson M, Dean E, Nava S, Norrenberg M et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on physiotherapy for critically ill patients. Intensive Care Med. 2008;34(7):1188-99.
Li Z, Peng X, Zhu B, Zhang Y, Xi X. Active mobilization for mechanically ventilated patients: a systematic review. Arch Phys Med Rehabil. 2013;94(3):551-61.
Castro-Avila AC, Seron P, Fan E, Gaete M, Mickan S. Effect of early rehabilitation during intensive care unit stay on functional status: systematic review and meta-analysis. Plos One. 2015;10(7): e0130722. doi:10.1371/journal.pone.0130722.
Morris PE, Goad A, Thompson C, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med.2008;36(8):2238-43.
Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet. 2009;373:1874–82.
Adler J, Malone D. Early mobilization in the intensive care unit: a systematic review. Cardiopul Phys Ther Journal. 2012;23(1):5-13.
Gomes RHS & Santos RS. Avaliação da capacidade e comprometimento funcional em pacientes traqueostomizados de um hospital público de Curitiba. Rev CEFAC. 2016;18(1):120-8.
Stein FC, Barros RK, Feitosa FS, Toledo DO, Silva Junior JM, Ísola AM et al. Fatores prognósticos em pacientes idosos admitidos em unidade de terapia intensiva. Rev Bras Ter Intensiva. 2009;21(3):255-61.
Dantas CM, Silva PFS, Siqueira FHT, Pinto RMF, Matias S, Maciel C et al. Influência da mobilização precoce na força muscular periférica e respiratória em pacientes críticos. Rev Bras Ter Intensiva. 2012;24(2):173-8.
Martinez BP, Santos MR, Simões LP, Ramos IR, Oliveira CS, Forgiarini-Júnior LA et al. Segurança e reprodutibilidade do teste timed up and go em idosos hospitalizados. Rev Bras Med Esporte. 2016;22(5):408-11.
Rother ET. Revisão sistemática X revisão narrativa. Acta Paul Enferm. 2007; 20(2):V-VI.
Hodgson C, Needham D, Haines K, Bailey M, Ward A, Harrold M, et al. Feasibility and inter-rater reliability of the ICU Mobility Scale. Hear Lung. 2014;43(1):19-24. http://dx.doi.org/10.1016/j. hrtlng.2013.11.003
Perme C, Nawa RK, Winkelman C, Masud F. A tool to assess mobility status in critically ill patients: The Perme Intensive Care Unit Mobility Score. Methodist Debakey Cardiovasc J. 2014;10(1):41-9. http://dx.doi.org/10.14797/mdcj-10-1-41
Denehy L, de Morton NA, Skinner EH, Edbrooke L, Haines K, Warrillow S, et al. A physical function test for use in the intensive care unit: validity, responsiveness, and predictive utility of the physical function ICU test (scored). Phys Ther. 2013;9312:1638–45.
Corner EJ, Wood H, Englebretsen C, Thomas A, Grant RL, Nikoletou D, et al. The Chelsea critical care physical assessment tool (CPAx): validation of na innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study. Physiotherapy. 2013;99:33–41.
Thrush A, Rozek M, Dekerlegand J. The clinical utility of the functional status score for the intensive care unit (FSS-ICU) at a long-term acute care hospital: a prospective cohort study. Phys Ther. 2012;92:1536–45.
Kasotakis G, Schmidt U, Perry D, Grosse-Sundrup M, Benjamin J, Ryan C, et al. The surgical intensive care unit optimal mobility score predicts mortality and length of stay. Crit Care Med. 2012;40(4):1122–8.
Jesus FS, Paim DM, Brito JO, Barros IA, Nogueira TB, Martinez BP, et al. Declínio da mobilidade dos pacientes internados em unidade de terapia intensiva. Rev Bras Ter Intensiva. 2016;28(2):114-9.
Kawaguchi YMF, Nawa RK, Figueiredo TB, Martins L, Pires-Neto RC. Perme Intensive Care Unit Mobility Score e ICU Mobility Scale: tradução e adaptação cultural para a língua portuguesa falada no Brasil. J Bras Pneumol. 2016;42(6):429-34.
Nordon-Craft A, Schenkman M, Edbrooke L, Malone DJ, Moss M, Denehy L. The physical function intensive care test: implementation in survivors of critical illness. Phys Ther. 2014;94:1–9.
Berney S, Haines K, Skinner EH, Denehy L. Safety and feasibility of na exercise prescription approach to rehabilitation across the continuum of care for survivors of critical illness. Phys Ther. 2012;92:1524–35.
Parry SM, Berney S, Granger CL, Dunlop DL, Murphy L, El-Ansary D et al. A new two-tier strength assessment approach to the diagnosis of weakness in intensive care: an observational study. Crit Care. 2015;19:52. DOI 10.1186/s13054-015-0780-5
Zanni JM, Korupolu R, Fan E, Pradhan P, Janjua K, Palmer JB, et al. Rehabilitation therapy and outcomes in acute respiratory failure: na observational pilot project. J Crit Care. 2010;25:254–62.
Meyer MJ, Stanislaus AB, Lee J, Waak K, Ryan C, Saxena R et al. Surgical Intensive Care Unit Optimal Mobilisation Score (SOMS) trial: a protocol for an international, multicentre, randomised controlled trial focused on goal-directed early mobilisation of surgical ICU patients. BMJ Open. 2013;3:e003262. doi:10.1136/bmjopen-2013-003262.
Curzel J, Forgiarini-Júnior LA, Rieder MM. Avaliação da independência funcional após alta da unidade de terapia intensiva. Rev Bras Ter Intensiva. 2013;25(2):93-8.
Downloads
Published
Issue
Section
License
Policy Proposal for Journals offering Free Delayed Access
Authors who publish in this magazine agree to the following terms:
- Authors maintain the copyright and grant the journal the right to the first publication, with the work simultaneously licensed under a Creative Commons Attribution License after publication, allowing the sharing of the work with recognition of the authorship of the work and initial publication in this journal.
- Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this magazine (eg, publishing in institutional repository or as a book chapter), with the acknowledgment of the authorship and initial publication in this journal.
- Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase impact and citation of the published work (See The Effect of Open Access).
