0293/2019 - Análise do estado funcional e força muscular de adultos e idosos em Unidade de Terapia Intensiva: Coorte prospectiva. Analysis of the functional status of adults and elderly in Intensive Care Unit (ICU): Prospective coorte.
Avaliar e correlacionar o estado funcional (EF) e a força muscular (FM) em adultos jovens, adultos e idosos em Unidade de Terapia Intensiva (UTI). Coorte prospectiva com 48 pacientes avaliando EF por meio do Functional Status Score for the Intensive Care Unit (FSS-ICU) e FM pelo Medical Research Council Sum-Score (MRC-SS) e força de preensão palmar (FPP), no despertar e na alta da UTI. Dados analisados pelos testes Kruskall-Wallis, Qui-quadrado, Wilcoxon e Correlação de Sperman. Na comparação do despertar em relação a alta, o EF e o MRC-SS foram maiores na alta em todos os grupos, com menor ganho nos idosos. A FPP aumentou bilateralmente na alta, exceto no grupo de adultos, pois apresentavam valores maiores no despertar. Na comparação dos grupos, o FSS-ICU foi maior nos adultos no despertar e alta, e a FPP-D menor nos idosos. O EF apresentou forte associação com a FM em adultos jovens e adultos. O EF e a força muscular apresentam progressiva melhora durante a permanência na UTI. Os idosos apresentam menor ganho do estado funcional, além de apresentarem menor força muscular desde o despertar. Estas variáveis apresentam importante associação apenas nos adultos jovens e adultos, considerando a natureza multifatorial do processo de adoecimento e incapacidade nos idosos.
Palavras-chave:
Avaliação em Saúde, Unidade de Terapia Intensiva, Funcionalidade, Força Muscular, Idoso.
Abstract:
To evaluate and correlate functional status (FS) and muscle strength (MS) in young-adults, adults, and elderly patients in an intensive care unit (ICU). A prospective cohort with 48 patients evaluated FS within the Functional Status Score for the Intensive Care Unit (FSS-ICU) and MS through the Medical Research Council Sum-Score (MRC-SS) and handgrip muscle strength (HMS) at awakening and ICU discharge. Data were analyzed by Kruskal-Wallis, Chi-square, Wilcoxon, and Spearman correlation tests. During awakening and discharge periods comparison, FS and MRC-SS were higher at discharge in all groups, with a lower increment in the aging group. HMS increased bilaterally at discharge, except in the adult group, which showed higher values on the awake period. During the group comparison, FSS-ICU was higher in adults on awakening and discharge, and the HMS-R (right side) was lower in the elderly group. Elderly patients had a lower increment in the FS and reduced MS in both periods. FS exhibited a strong association with the MS in young-adults and adult’s groups. Both FS and MS manifested a gradual increase during the ICU stay. The elderly has less gain in functional status, and have lower muscle strength since awakening. These associations were shown in young adults and adult’s groups, which restate the multifactorial factors associated with the disability and illness conditions in olde
Keywords:
Health Assessment, Intensive Care Unit, Functionality, Muscular Strength, Elderly.
Analysis of the functional status of adults and elderly in Intensive Care Unit (ICU): Prospective coorte.
Resumo (abstract):
To evaluate and correlate functional status (FS) and muscle strength (MS) in young-adults, adults, and elderly patients in an intensive care unit (ICU). A prospective cohort with 48 patients evaluated FS within the Functional Status Score for the Intensive Care Unit (FSS-ICU) and MS through the Medical Research Council Sum-Score (MRC-SS) and handgrip muscle strength (HMS) at awakening and ICU discharge. Data were analyzed by Kruskal-Wallis, Chi-square, Wilcoxon, and Spearman correlation tests. During awakening and discharge periods comparison, FS and MRC-SS were higher at discharge in all groups, with a lower increment in the aging group. HMS increased bilaterally at discharge, except in the adult group, which showed higher values on the awake period. During the group comparison, FSS-ICU was higher in adults on awakening and discharge, and the HMS-R (right side) was lower in the elderly group. Elderly patients had a lower increment in the FS and reduced MS in both periods. FS exhibited a strong association with the MS in young-adults and adult’s groups. Both FS and MS manifested a gradual increase during the ICU stay. The elderly has less gain in functional status, and have lower muscle strength since awakening. These associations were shown in young adults and adult’s groups, which restate the multifactorial factors associated with the disability and illness conditions in olde
Palavras-chave (keywords):
Health Assessment, Intensive Care Unit, Functionality, Muscular Strength, Elderly.
Martins, G.S, Toledo, S.V, de Leon Andrade, J.M, Nakano, E.Y, Valduga, R, Paz, L.P.S, Jr, G.C, Cipriano, G.F.B. Análise do estado funcional e força muscular de adultos e idosos em Unidade de Terapia Intensiva: Coorte prospectiva.. Cien Saude Colet [periódico na internet] (2019/out). [Citado em 02/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analise-do-estado-funcional-e-forca-muscular-de-adultos-e-idosos-em-unidade-de-terapia-intensiva-coorte-prospectiva/17367?id=17367
