You searched for:"Luiz Alberto Forgiarini Junior"
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Original Article
Brazilian version of the Critical Care Functional Rehabilitation Outcome Measure: translation, cross-cultural adaptation and evaluation of clinimetric properties
Rev Bras Ter Intensiva. 2022;34(2):272-278
Abstract
Original ArticleBrazilian version of the Critical Care Functional Rehabilitation Outcome Measure: translation, cross-cultural adaptation and evaluation of clinimetric properties
Rev Bras Ter Intensiva. 2022;34(2):272-278
DOI 10.5935/0103-507X.20220025-en
Views4ABSTRACT
Objective:
To translate, crossculturally adapt and evaluate the clinimetric properties of the Critical Care Functional Rehabilitation Outcome Measure for evaluating the functionality of patients admitted to intensive care units in Brazil.
Methods:
The process of translation and cross-cultural adaptation involved the following steps: initial translation, synthesis, back-translation, expert committee review and pretesting. The intra- and interrater reliability and agreement were analyzed between two physical therapists who evaluated the same group of patients (n = 35). The evaluations were performed by each therapist independently and blinded to the score assigned by the other professional. The qualitative analysis was performed by the review committee, and the experts adapted and synthesized the Portuguese translation of the Critical Care Functional Rehabilitation Outcome Measure.
Results:
There was agreement between the initial Brazilian translations of the Critical Care Functional Rehabilitation Outcome Measure scale. The conceptual, idiomatic, semantic and experimental equivalences between the original and translated versions were assessed, resulting in the final Brazilian version of the scale, called the Medida de Resultado da Reabilitação Funcional em Cuidados Intensivos. The evaluation of the clinimetric properties showed evidence of a high degree of agreement and reliability, as all had an intraclass correlation coefficient above 0.75. The overall intraclass correlation coefficient was 0.89.
Conclusion:
The translated version of the Critical Care Functional Rehabilitation Outcome Measure scale for assessing the functionality of patients admitted to an intensive care unit can be used reliably in Brazil following translation and cross-cultural adaptation to Brazilian Portuguese and presents evidence of excellent interrater reliability.
Keywords:Critical illnessExercise therapyHealth careInpatientsIntensive care unitsMobility limitationOutcome assessmentPhysical therapy modalitiesRecovery of functionSurveys and questionnairesSee more -
Letters to the Editor
To: Comparison of bronchial hygiene techniques in mechanically ventilated patients: a randomized clinical trial
Rev Bras Ter Intensiva. 2019;31(4):594-595
Abstract
Letters to the EditorTo: Comparison of bronchial hygiene techniques in mechanically ventilated patients: a randomized clinical trial
Rev Bras Ter Intensiva. 2019;31(4):594-595
DOI 10.5935/0103-507X.20190080
Views0To the Editor In this issue of Revista Brasileira de Terapia Intensiva , Naue et al.() present an interesting study. We would like to congratulate the authors for their relevant contribution to the scientific literature on the subject, but we need clarification on the study design and reporting.[…]See more -
Original Articles
The Perme scale score as a predictor of functional status and complications after discharge from the intensive care unit in patients undergoing liver transplantation
Rev Bras Ter Intensiva. 2019;31(1):57-62
Abstract
Original ArticlesThe Perme scale score as a predictor of functional status and complications after discharge from the intensive care unit in patients undergoing liver transplantation
Rev Bras Ter Intensiva. 2019;31(1):57-62
DOI 10.5935/0103-507X.20190016
Views1ABSTRACT
Objective:
To assess the Perme mobility scale score as a predictor of functional status and complications in the postoperative period in patients undergoing liver transplantation.
Methods:
The sample consisted of 30 patients who underwent liver transplantation. The patients were evaluated at two time points to determine their perception of pain, degree of dyspnea, peripheral muscle strength, and functional status according to the Perme scale. The collected data were analyzed by descriptive and inferential statistics. To compare the means between the evaluations, Student’s t test for paired samples was applied. In case of asymmetry, the Wilcoxon test was used. In the evaluation of the association between the quantitative variables, the Pearson or Spearman correlation tests were applied.
Results:
A total of 30 individuals who underwent liver transplantation were included. The patients were predominantly male, and the mean age was 58.4 ± 9.9 years. The most prevalent underlying pathology was cirrhosis C virus (23.3%). Significant associations of the time on mechanical ventilation with the Perme scale score at discharge from the intensive care unit (r = -0.374; p = 0.042) and the number of physical therapy treatments (r = -0.578; p = 0.001) were recorded. When comparing the results of the initial evaluation and the evaluation at hospital discharge, there was a significant improvement in functional status (p < 0.001).
Conclusion:
Functional mobility, peripheral muscle strength, pain perception, and dyspnea are significantly improved at hospital discharge compared with those at inpatient unit admission.
Keywords:DyspneaLiver transplantationMobility limitationMuscle strengthPain measurementPostoperative complicationsSee more -
Original Article
Lung hyperinflation by mechanical ventilation versus isolated tracheal aspiration in the bronchial hygiene of patients undergoing mechanical ventilation
Rev Bras Ter Intensiva. 2016;28(1):27-32
Abstract
Original ArticleLung hyperinflation by mechanical ventilation versus isolated tracheal aspiration in the bronchial hygiene of patients undergoing mechanical ventilation
Rev Bras Ter Intensiva. 2016;28(1):27-32
DOI 10.5935/0103-507X.20160010
Views0See moreABSTRACT
Objective:
To determine the efficacy of lung hyperinflation maneuvers via a mechanical ventilator compared to isolated tracheal aspiration for removing secretions, normalizing hemodynamics and improving lung mechanics in patients on mechanical ventilation.
Methods:
This was a randomized crossover clinical trial including patients admitted to the intensive care unit and on mechanical ventilation for more than 48 hours. Patients were randomized to receive either isolated tracheal aspiration (Control Group) or lung hyperinflation by mechanical ventilator (MVH Group). Hemodynamic and mechanical respiratory parameters were measured along with the amount of aspirated secretions.
Results:
A total of 50 patients were included. The mean age of the patients was 44.7 ± 21.6 years, and 31 were male. Compared to the Control Group, the MVH Group showed greater aspirated secretion amount (3.9g versus 6.4g, p = 0.0001), variation in mean dynamic compliance (-1.3 ± 2.3 versus -2.9 ± 2.3; p = 0.008), and expired tidal volume (-0.7 ± 0.0 versus -54.1 ± 38.8, p = 0.0001) as well as a significant decrease in peak inspiratory pressure (0.2 ± 0.1 versus 2.5 ± 0.1; p = 0.001).
Conclusion:
In the studied sample, the MVH technique led to a greater amount of aspirated secretions, significant increases in dynamic compliance and expired tidal volume and a significant reduction in peak inspiratory pressure.
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AUTHORS’ RESPONSE
Rev Bras Ter Intensiva. 2015;27(3):293-295
Abstract
AUTHORS’ RESPONSE
Rev Bras Ter Intensiva. 2015;27(3):293-295
DOI 10.5935/0103-507X.20150049
Views0Thank you for your compliments and the opportunity to discuss not only the practices of early mobilization and out-of-bed extubation but also the incorporation of these practices into the care of critically ill patients in our country.First, we note that the benefits of early mobilization (the mobilization of patients who have received mechanical ventilation for […]See more -
Original Article
Influence of different degrees of head elevation on respiratory mechanics in mechanically ventilated patients
Rev Bras Ter Intensiva. 2015;27(4):347-352
Abstract
Original ArticleInfluence of different degrees of head elevation on respiratory mechanics in mechanically ventilated patients
Rev Bras Ter Intensiva. 2015;27(4):347-352
DOI 10.5935/0103-507X.20150059
Views0See moreRESUMO
Objective:
The positioning of a patient in bed may directly affect their respiratory mechanics. The objective of this study was to evaluate the respiratory mechanics of mechanically ventilated patients positioned with different head angles hospitalized in an intensive care unit.
Methods:
This was a prospective physiological study in which static and dynamic compliance, resistive airway pressure, and peripheral oxygen saturation were measured with the head at four different positions (0° = P1, 30° = P2, 45° = P3, and 60° = P4). Repeated-measures analysis of variance (ANOVA) with a Bonferroni post-test and Friedman analysis were used to compare the values obtained at the different positions.
Results:
A comparison of the 35 evaluated patients revealed that the resistive airway pressure values in the 0° position were higher than those obtained when patients were positioned at greater angles. The elastic pressure analysis revealed that the 60° position produced the highest value relative to the other positions. Regarding static compliance, a reduction in values was observed from the 0° position to the 60° position. The dynamic compliance analysis revealed that the 30° angle produced the greatest value compared to the other positions. The peripheral oxygen saturation showed little variation, with the highest value obtained at the 0° position.
Conclusion:
The highest dynamic compliance value was observed at the 30° position, and the highest oxygenation value was observed at the 0° position.
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Original Articles – Clinical Research
Evaluation of functional independence after discharge from the intensive care unit
Rev Bras Ter Intensiva. 2013;25(2):93-98
Abstract
Original Articles – Clinical ResearchEvaluation of functional independence after discharge from the intensive care unit
Rev Bras Ter Intensiva. 2013;25(2):93-98
DOI 10.5935/0103-507X.20130019
Views1See moreOBJECTIVE: 1) To evaluate the functional independence measures immediately after discharge from an intensive care unit and to compare these values with the FIMs 30 days after that period. 2) To evaluate the possible associated risk factors. METHODS: The present investigation was a prospective cohort study that included individuals who were discharged from the intensive care unit and underwent physiotherapy in the unit. Functional independence was evaluated using the functional independence measure immediately upon discharge from the intensive care unit and 30 days thereafter via a phone call. The patients were admitted to the Hospital Santa Clara intensive care unit during the period from May 2011 to August 2011. RESULTS: During the predetermined period of data collection, 44 patients met the criteria for inclusion in the study. The mean age of the patients was 55.4±10.5 years. Twenty-seven of the subjects were female, and 15 patients were admitted due to pulmonary disease. The patients exhibited an functional independence measure of 84.1±24.2. When this measure was compared to the measure at 30 days after discharge, there was improvement across the functional independence variables except for that concerned with sphincter control. There were no significant differences when comparing the gender, age, clinical diagnosis, length of stay in the intensive care unit, duration of mechanical ventilation, and the presence of sepsis during this period. CONCLUSION: Functional independence, as evaluated by the functional independence measure scale, was improved at 30 days after discharge from the intensive care unit, but it was not possible to define the potentially related factors.
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KEY WORDS
Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis