Changes in functional mobility of patients with solid tumors after discharge from intensive care unit
DOI:
https://doi.org/10.1590/1809-2950/e22009623ptKeywords:
Intensive Care Unit, Mobility Limitation, CancerAbstract
This study aimed to analyze changes in the
level of functional mobility (FM) between patients with
solid tumors discharged from intensive care units (ICU)
and hospital discharge and the possible factors associated
with FM recovery. This is a retrospective cohort study based
on the analysis of medical records of patients with solid
tumors who were discharged from an oncology ICU from
January 1, 2018 to February 28, 2020. The primary outcome
was the change in FM after ICU discharge, considering the
difference between the final score at ICU discharge and
the final score at hospital discharge, estimated by the ICU
Mobility Scale (IMS). The association between continuous
variables and outcomes was performed by univariate linear
regression analysis. In total, 65 patients with a median
age of 61.4 years (interquartile range – IQR 54–69) were
included. The mean length of hospital stay after discharge
from the ICU was 19.0 days (±24.04). The mean IMS score at
ICU discharge was 2.62 (±2.56) and the mean IMS score at
hospital discharge was 6.08 (±3.26). Patients who underwent
surgery to treat the primary tumor had a score 1.89 higher
compared to those who did not undergo surgery (p=0.048).
Therefore, we observed improvement in FM in patients with
solid tumors between ICU discharge and hospital discharge,
and patients who underwent surgery showed better FM.
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Copyright (c) 2023 Carolina da Silva Tavares Costa, Camila Martins de Bessa, Ana Cristina Machado Leão Gutierrez, Tiago Eduardo dos Santos, Anke Bergmann, Gustavo Telles da Silva
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