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Organization of rehabilitation care in Portuguese intensive care units

OBJECTIVE: To describe the different rehabilitation care models in practice in Portuguese adult intensive care units. METHODS: A simple observational (cross-sectional) study was conducted through an online survey sent to the head nurses or individuals responsible for the 58 adult intensive care unit...

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Autores principales: Mendes, Roberto Miguel Gonçalves, Nunes, Manuel Lourenço, Pinho, José António, Gonçalves, Ricardo Bruno Rodrigues
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira - AMIB 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885232/
https://www.ncbi.nlm.nih.gov/pubmed/29742218
http://dx.doi.org/10.5935/0103-507X.20180011
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author Mendes, Roberto Miguel Gonçalves
Nunes, Manuel Lourenço
Pinho, José António
Gonçalves, Ricardo Bruno Rodrigues
author_facet Mendes, Roberto Miguel Gonçalves
Nunes, Manuel Lourenço
Pinho, José António
Gonçalves, Ricardo Bruno Rodrigues
author_sort Mendes, Roberto Miguel Gonçalves
collection PubMed
description OBJECTIVE: To describe the different rehabilitation care models in practice in Portuguese adult intensive care units. METHODS: A simple observational (cross-sectional) study was conducted through an online survey sent to the head nurses or individuals responsible for the 58 adult intensive care units that are part of the database of the Sociedade Portuguesa de Cuidados Intensivos. RESULTS: We identified three models of organization of rehabilitation care: care provided by the staff of the intensive care unit (22.9%), care provided by specialized external teams (25.0%), and a mixture of the previous models, combining the two situations (52.1%). In the first model, the care was provided mainly by nurses with specialization in rehabilitation and, in the second model, the care was provided by physiotherapists. No significant differences were found between the models regarding the availability of care, in hours/day or days/week (p = 0.268 and 0.994, respectively), or results such as length of hospital stay in intensive care, ventilation time, or mortality rate in the unit (p = 0.418, 0.923, and 0.240, respectively). CONCLUSION: The organization of rehabilitation care in Portuguese intensive care units is unique and heterogeneous. Despite different care organization models, the availability of hours of care is similar, as are the overall results observed in patients.
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spelling pubmed-58852322018-04-09 Organization of rehabilitation care in Portuguese intensive care units Mendes, Roberto Miguel Gonçalves Nunes, Manuel Lourenço Pinho, José António Gonçalves, Ricardo Bruno Rodrigues Rev Bras Ter Intensiva Original Articles OBJECTIVE: To describe the different rehabilitation care models in practice in Portuguese adult intensive care units. METHODS: A simple observational (cross-sectional) study was conducted through an online survey sent to the head nurses or individuals responsible for the 58 adult intensive care units that are part of the database of the Sociedade Portuguesa de Cuidados Intensivos. RESULTS: We identified three models of organization of rehabilitation care: care provided by the staff of the intensive care unit (22.9%), care provided by specialized external teams (25.0%), and a mixture of the previous models, combining the two situations (52.1%). In the first model, the care was provided mainly by nurses with specialization in rehabilitation and, in the second model, the care was provided by physiotherapists. No significant differences were found between the models regarding the availability of care, in hours/day or days/week (p = 0.268 and 0.994, respectively), or results such as length of hospital stay in intensive care, ventilation time, or mortality rate in the unit (p = 0.418, 0.923, and 0.240, respectively). CONCLUSION: The organization of rehabilitation care in Portuguese intensive care units is unique and heterogeneous. Despite different care organization models, the availability of hours of care is similar, as are the overall results observed in patients. Associação de Medicina Intensiva Brasileira - AMIB 2018 /pmc/articles/PMC5885232/ /pubmed/29742218 http://dx.doi.org/10.5935/0103-507X.20180011 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Mendes, Roberto Miguel Gonçalves
Nunes, Manuel Lourenço
Pinho, José António
Gonçalves, Ricardo Bruno Rodrigues
Organization of rehabilitation care in Portuguese intensive care units
title Organization of rehabilitation care in Portuguese intensive care units
title_full Organization of rehabilitation care in Portuguese intensive care units
title_fullStr Organization of rehabilitation care in Portuguese intensive care units
title_full_unstemmed Organization of rehabilitation care in Portuguese intensive care units
title_short Organization of rehabilitation care in Portuguese intensive care units
title_sort organization of rehabilitation care in portuguese intensive care units
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885232/
https://www.ncbi.nlm.nih.gov/pubmed/29742218
http://dx.doi.org/10.5935/0103-507X.20180011
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