RETRACT THE ARTICLE. BAD PRACTICES, Terapia rehabilitadora en unidades de cuidados intensivos. Revision sistemática (Rehabilitation therapy in intensive care units. Systematic review)
RETRACT THE ARTICLE. BAD PRACTICES,
DOI:
https://doi.org/10.47197/retos.v46.94086Palabras clave:
“Unidades de Cuidados Intensivos”, “Fisioterapia”, “Rehabilitación”, “Sedación Profunda”, “Cuidados Críticos”, “Enfermedad Crítica”Resumen
El aumento de las tasas de supervivencia en unidades de cuidados intensivos (UCI) ha conllevado el incremento de pacientes que sufre el denominado síndrome de debilidad adquirida en UCI. Para el cual no ha tratamiento específico actualmente. Este síndrome provoca múltiples secuelas clínicas y repercute en la esfera bio-psico-social del paciente. En su etiología figuran alteraciones fisiopatológicas diversas, así como numerosos factores de riesgo. Entre los factores de riesgo, uno de los más importantes es la inmovilización prolongada. Por lo que la rehabilitación temprana en UCI se alza como arma fundamental para combatir este síndrome. La identificación precoz es fundamental para iniciar la terapia lo antes posible, evitando así incrementar la duración esta patología. Numerosos estudios han intentado demostrar la evidencia de aplicar estrategias rehabilitadoras precoces, y son los que aquí se manifiestan.
Abstract: The increase in survival rates in intensive care units (ICU) has led to an increase in patients suffering from the so-called ICU-acquired frailty syndrome. For which there is currently no specific treatment. This syndrome causes multiple clinical sequelae and affects the bio-psycho-social sphere of the patient. Its etiology includes various pathophysiological alterations, as well as numerous risk factors. Among the risk factors, one of the most important is prolonged immobilization. Therefore, early rehabilitation in the ICU stands as a fundamental tool to combat this syndrome. Early identification is essential to start therapy as soon as possible, thus avoiding increasing the duration of this pathology. Numerous studies have tried to demonstrate the evidence of applying early rehabilitative strategies, and they are the ones that are manifested here.
Citas
Anekwe, D. E., Biswas, S., Bussières, A., & Spahija, J. (2020). Early rehabilitation reduces the likelihood of developing intensive care unit-acquired weakness: a systematic review and meta-analysis. Physiotherapy, 107,1–10. https://doi.org/10.1016/j.physio.2019.12.004
Appleton, R. T., Kinsella, J., & Quasim, T. (2015). The incidence of intensive care unit-acquired weakness syndromes: A systematic review. Journal of the Intensive Care Society, 16(2), 126–136. https://doi.org/10.1177/1751143714563016.
Arias-Fernández, P., Romero-Martin, M., Gómez-Salgado, J., & Fernández-García, D. (2018). Rehabilitation and early mobilization in the critical patient: systematic review. Journal of physical therapy science, 30(9), 1193–1201. https://doi.org/10.1589/jpts.30.1193
Berney, S. C., Rose, J. W., Denehy, L., Granger, C. L., Ntoumenopoulos, G., Crothers, E., Steel, B., Clarke, S., & Skinner, E. H. (2019). Commencing Out-of-Bed Rehabilitation in Critical Care-What Influences Clinical Decision-Making?. Archives of physical medicine and rehabilitation, 100(2), 261–269.e2. https://doi.org/10.1016/j.apmr.2018.07.438
Booth F. W. (1982). Effect of limb immobilization on skeletal muscle. Journal of applied physiology: respiratory, environmental and exercise physiology, 52(5), 1113–1118. https://doi.org/10.1152/jappl.1982.52.5.1113
Conceição, T., Gonzáles, A. I., Figueiredo, F., Vieira, D., & Bündchen, D. C. (2017). Safety criteria to start early mobilization in intensive care units. Systematic review. Critérios de segurança para iniciar a mobilização precoce em unidades de terapia intensiva. Revisão sistemática. Revista Brasileira de terapia intensiva, 29(4), 509–519. https://doi.org/10.5935/0103-507X.20170076
Cunningham, C., Finlayson, H. C., Henderson, W. R., O'Connor, R. J., & Travlos, A. (2018). Impact of Critical Illness Polyneuromyopathy in Rehabilitation: A Prospective Observational Study. PM & R : the journal of injury, function, and rehabilitation, 10(5), 494–500. https://doi.org/10.1016/j.pmrj.2017.09.013
Curci, C., Pisano, F., Bonacci, E., Camozzi, D. M., Ceravolo, C., Bergonzi, R., De Franceschi, S., Moro, P., Guarnieri, R., Ferrillo, M., Negrini, F., & de Sire, A. (2020). Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol. European journal of physical and rehabilitation medicine, 56(5), 633–641. https://doi.org/10.23736/S1973-9087.20.06339-X
de Jonghe, B., Lacherade, J. C., Sharshar, T., & Outin, H. (2009). Intensive care unit-acquired weakness: risk factors and prevention. Critical care medicine, 37(10 Suppl), S309–S315. https://doi.org/10.1097/CCM.0b013e3181b6e64c
Doiron, K. A., Hoffmann, T. C., & Beller, E. M. (2018). Early intervention (mobilization or active exercise) for critically ill adults in the intensive care unit. The Cochrane database of systematic reviews, 3(3), CD010754. https://doi.org/10.1002/14651858.CD010754.pub2
Dubb, R., Nydahl, P., Hermes, C., Schwabbauer, N., Toonstra, A., Parker, A. M., Kaltwasser, A., & Needham, D. M. (2016). Barriers and Strategies for Early Mobilization of Patients in Intensive Care Units. Annals of the American Thoracic Society, 13(5), 724–730. https://doi.org/10.1513/AnnalsATS.201509-586CME
Fan, E., Dowdy, D. W., Colantuoni, E., Mendez-Tellez, P. A., Sevransky, J. E., Shanholtz, C., Himmelfarb, C. R., Desai, S. V., Ciesla, N., Herridge, M. S., Pronovost, P. J., & Needham, D. M. (2014). Physical complications in acute lung injury survivors: a two-year longitudinal prospective study. Critical care medicine,42(4), 849–859. https://doi.org/10.1097/CCM.0000000000000040
Fuke, R., Hifumi, T., Kondo, Y., Hatakeyama, J., Takei, T., Yamakawa, K., Inoue, S., & Nishida, O. (2018). Early rehabilitation to prevent postintensive care syndrome in patients with critical illness: a systematic review and meta-analysis. BMJ open, 8(5), e019998. https://doi.org/10.1136/bmjopen-2017-019998
Goodwin, V. A., Allan, L., Bethel, A., Cowley, A., Cross, J. L., Day, J., Drummond, A., Hall, A. J., Howard, M., Morley, N., Thompson Coon, J., & Lamb, S. E. (2021). Rehabilitation to enable recovery from COVID-19: a rapid systematic review. Physiotherapy, 111, 4–22. https://doi.org/10.1016/j.physio.2021.01.007
Griffiths, R. D., & Hall, J. B. (2010). Intensive care unit-acquired weakness. Critical care medicine, 38(3), 779–787. https://doi.org/10.1097/CCM.0b013e3181cc4b53
Hermans, G., Van Mechelen, H., Clerckx, B., Vanhullebusch, T., Mesotten, D., Wilmer, A., Casaer, M. P., Meersseman, P., Debaveye, Y., Van Cromphaut, S., Wouters, P. J., Gosselink, R., & Van den Berghe, G. (2014). Acute outcomes and 1-year mortality of intensive care unit-acquired weakness. A cohort study and propensity-matched analysis. American journal of respiratory and critical care medicine, 190(4), 410–420. https://doi.org/10.1164/rccm.201312-2257OC
Kou, K., Momosaki, R., Miyazaki, S., Wakabayashi, H., & Shamoto, H. (2019). Impact of Nutrition Therapy and Rehabilitation on Acute and Critical Illness: A Systematic Review. Journal of UOEH, 41(3), 303–315. https://doi.org/10.7888/juoeh.41.303
McWilliams, D., Jones, C., Atkins, G., Hodson, J., Whitehouse, T., Veenith, T., Reeves, E., Cooper, L., & Snelson, C. (2018). Earlier and enhanced rehabilitation of mechanically ventilated patients in critical care: A feasibility randomised controlled trial. Journal of critical care, 44, 407–412. https://doi.org/10.1016/j.jcrc.2018.01.001
McWilliams, D., Snelson, C., Goddard, H., & Attwood, B. (2019). Introducing early and structured rehabilitation in critical care: A quality improvement project. Intensive & critical care nursing, 53, 79–83. https://doi.org/10.1016/j.iccn.2019.04.006
Nydahl, P., Sricharoenchai, T., Chandra, S., Kundt, F. S., Huang, M., Fischill, M., & Needham, D. M. (2017). Safety of Patient Mobilization and Rehabilitation in the Intensive Care Unit. Systematic Review with Meta-Analysis. Annals of the American Thoracic Society, 14(5), 766–777. https://doi.org/10.1513/AnnalsATS.201611-843SR
Polanco, K. M., López-Walle, J. M., Muñoz-Noguera, B. C., Vergara-Torres, A. P., Tristán, J., & Arango-Dávila, C. A. (2022). Efecto del ejercicio físico sobre los síntomas depresivos en pacientes hospitalizados con depresión (Effect of physical exercise on depressive symptoms in hospitalized patients with depression).Retos, 43, 53–61. https://doi.org/10.47197/retos.v43i0.88339
Pozuelo-Carrascosa, D. P., Torres-Costoso, A., Alvarez-Bueno, C., Cavero-Redondo, I., López Muñoz, P., & Martínez-Vizcaíno, V. (2018). Multimodality respiratory physiotherapy reduces mortality but may not prevent ventilator-associated pneumonia or reduce length of stay in the intensive care unit: a systematic review. Journal of physiotherapy, 64(4), 222–228. https://doi.org/10.1016/j.jphys.2018.08.005
Rollinson, T. C., Connolly, B., Berlowitz, D. J., & Berney, S. (2021). Physical activity of patients with critical illness undergoing rehabilitation in intensive care and on the acute ward: An observational cohort study. Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, S1036-7314(21)00096-5. Advance online publication. https://doi.org/10.1016/j.aucc.2021.06.005
Stevens, R. D., Marshall, S. A., Cornblath, D. R., Hoke, A., Needham, D. M., de Jonghe, B., Ali, N. A., & Sharshar, T. (2009). A framework for diagnosing and classifying intensive care unit-acquired weakness. Critical care medicine, 37(10 Suppl), S299–S308. https://doi.org/10.1097/CCM.0b013e3181b6ef67
Zhang, L., Hu, W., Cai, Z., Liu, J., Wu, J., Deng, Y., Yu, K., Chen, X., Zhu, L., Ma, J., & Qin, Y. (2019). Early mobilization of critically ill patients in the intensive care unit: A systematic review and meta-analysis. PloS one, 14(10), e0223185. https://doi.org/10.1371/journal.pone.0223185.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2022 Retos
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los autores que publican en esta revista están de acuerdo con los siguientes términos:
- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores pueden establecer por separado acuerdos adicionales para la distribución no exclusiva de la versión de la obra publicada en la revista (por ejemplo, situarlo en un repositorio institucional o publicarlo en un libro), con un reconocimiento de su publicación inicial en esta revista.
- Se permite y se anima a los autores a difundir sus trabajos electrónicamente (por ejemplo, en repositorios institucionales o en su propio sitio web) antes y durante el proceso de envío, ya que puede dar lugar a intercambios productivos, así como a una citación más temprana y mayor de los trabajos publicados (Véase The Effect of Open Access) (en inglés).
Esta revista sigue la "open access policy" de BOAI (1), apoyando los derechos de los usuarios a "leer, descargar, copiar, distribuir, imprimir, buscar o enlazar los textos completos de los artículos".
(1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess