Predictors of mobility impairment after hospitalization in a reference hospital among individuals with infectious diseases

Authors

DOI:

https://doi.org/10.1590/1809-2950/20021528012021

Keywords:

Risks Factors, Mobility Limitations, Hospitalization, Infectious Diseases

Abstract

Infectious diseases may lead to motor and functional complications, impairing the quality of life of affected individuals. Moreover, hospitalization itself is considered an important cause of functional decline in patients. In these cases, physiotherapy aims to preserve and restore the integrity of organs and functions, promoting the maintenance of range of motion, the gain of muscle strength, the training of postural changes and gait, as well as the practice of aerobic exercises and the improvement of thoracic expandability in hospitalized individuals. This study aimed to describe the epidemiological profile of
patients at a reference hospital for infectious analysis of medical records of patients hospitalized in 2016 who required physiotherapy. Data consisted of socioeconomic and clinical variables, and the predictors of mobility impairment after hospitalization were determined by descriptive statistics and
binary logistic regression. Among the 638 electronic medical records of patients hospitalized from January to December 2016 who required physiotherapy, 66.6% were men with median age of 42 years and 50.8% were HIV-positive. We verified five risk factors for mobility impairment after hospitalization: age, number of previous hospitalizations, use of mechanical ventilation, HIV-infected patients, and presence of opportunistic infections. Our findings point to the importance of physiotherapy for improving functional mobility in hospitalized patients. diseases and identify predictors of mobility impairment after hospitalization This is a retrospective study based on the analysis of medical records of patients hospitalized in 2016 who required physiotherapy. Data consisted of socioeconomic and clinical variables, and the predictors of mobility impairment after hospitalization were determined by descriptive statistics and binary logistic regression. Among the 638 electronic medical records of patients hospitalized from January to December 2016 who required physiotherapy, 66.6% were men with median age of 42 years and 50.8% were HIV-positive. We verified five risk factors for mobility impairment after hospitalization: age, number of previous hospitalizations, use of mechanical ventilation, HIV-infected patients, and presence of opportunistic infections. Our findings point to the importance of physiotherapy for improving functional mobility in hospitalized patients.

Downloads

Download data is not yet available.

References

Pereira RA, Alves-Souza RA, Vale JS. O processo de transição epidemiológica no Brasil: Uma revisão de literatura. Rev Cient FAEMA. 2015;6(1):99-108. doi: 10.31072/rcf.v6i1.322

Prata PRA. Transição epidemiológica no Brasil. Cad Saude Publica. 1992;8(2):168-75. doi: 10.1590/S0102-311X1992000200008

Muñoz SS, Fernandes APM. As Doenças Infecciosas e Parasitárias e seus Condicionantes Ambientais [Internet]. São Paulo: Universidade de São Paulo; 2013 [cited 2020 May 10].

Available from: https://midia.atp.usp.br/plc/ju0004/impressos/ju0004_01.pdf

Brasil. Ministério da Saúde. Boletim Epidemiológico: HIV-AIDS [Internet]. Brasília; 2015 [cited 2020 May 10]. Available from: http://www.aids.gov.br/pt-br/pub/2015/

boletim-epidemiologico-hivaids-2015

Nobre AQT, Costa IS, Bernardes KO. A fisioterapia no contexto do HIV/AIDS. Fisioter Mov [Internet]. 2008 [cited 2020 May 10];21(4):11-8. Available from: https://periodicos.pucpr.br/index.php/fisio/article/view/19193/18519

Zisberg A, Shadmi E, Gur-Yaish N, Tonkikh O, Sinoff G. Hospital-associated functional decline: the role of hospitalization processes beyond individual risk factors. J Am Geriatr Soc.

;63:55-62. doi: 10.1111/jgs.13193

Menezes C, Oliveira VRC, Menezes RL. Repercussões da hospitalização na capacidade funcional de idosos. Movimenta [Internet]. 2010 [cited 2020 May 10];3(2):77-84. Available from:

https://www.revista.ueg.br/index.php/movimenta/article/view/7175

Bispo Júnior JP. Fisioterapia e saúde coletiva: desafios e novas responsabilidades profissionais. Cienc Saude Colet. 2010;15(1):1627-36. doi: 10.1590/S1413-81232010000700074

Callen BL, Mahoney JE, Wells TJ, Enole M, Hughes S. Admission and discharge mobility of frail hospitalized older adults. Medsurg Nursing [Internet]. 2004 [cited 2020 May 10];13(3):156-64.

Available from: https://pubmed.ncbi.nlm.nih.gov/15219163/

Gabriel R, Barbosa DA, Vianna LAC. Perfil epidemiológico dos clientes HIV/AIDS da unidade ambulatorial de hospital escola de grande porte – Município de São Paulo. Rev Lat Am Enfermagem. 2005;13(4):509-13. doi: 10.1590/S0104-11692005000400008

Ravetti CC, Pedroso ERP. Estudo das características epidemiológicas e clínicas de pacientes portadores do vírus da imunodeficiência humana em Pronto Atendimento do Hospital das Clínicas da Universidade Federal de Minas Gerais. Rev Soc Bras Med Trop. 2009;42(2):114-8. doi: 10.1590/S0037-86822009000200004

Ensrud KE, Lui L, Paudel ML, Schousboe JT, Kats AM, Cauley JA, et al. Effects of mobility and cognition on hospitalization and inpatient days in women in late life. J Gerontol A Biol Sci

Med Sci. 2017;72(1):82-8. doi: 10.1093/gerona/glw040

Jolley SE, Caldwell E, Hough CL. Factors Associated with receipt of physical therapy consultation in patients requiring prolonged mechanical ventilation. Dimens Crit Care Nurs. 2014;33(3):160-7. doi: 10.1097/DCC.0000000000000040

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.

;28(2):114-9. doi: 10.5935/0103-507X.20160025

Richert L, Brault M, Mercié P, Dauchy FA, Bruyand M, Greib C, et al. Decline in locomotor functions over time in HIV-infected patients. AIDS. 2014;28(10):1441-9. doi: 10.1097/

QAD.0000000000000246

Christo PP. Alterações cognitivas na infecção pelo HIV e AIDS. Rev Assoc Med Bras. 2010;56(2):242-7. doi: 10.1590/S0104-42302010000200027

Published

2023-02-23

Issue

Section

Original Research

How to Cite

Predictors of mobility impairment after hospitalization in a reference hospital among individuals with infectious diseases. (2023). Fisioterapia E Pesquisa, 28(1), 70-76. https://doi.org/10.1590/1809-2950/20021528012021