Avaliação da funcionalidade pela FSS-ICU na alta da Unidade de Terapia Intensiva

Abstract

Introduction: Critical patients progress with muscle weakness and functional impairment, requiring the use of tools to measure functional capacity by performing basic tasks. The Intensive Care Unit Functional Status Scale (ICU) (Intensive Care Unit Functional Status Score - ICU-FSS) is easy to apply and specific to rehabilitation. An ordinal scale of eight points, ranging from zero (totally unable to perform) to seven points (fully independent). Objective: To analyze ICU post-discharge patient functionality through the ICU Functional Status scale and to correlate with variations in sedation, ventilation and OTI time, as well as the final outcome. Methods: We selected 42 patients admitted to the IC-UFU ICU who were under mechanical ventilation (MV) for more than 48 hours and were separated by the FSS-ICU value in group A greater than 19 and group B less than 19 points. No day of ICU discharge was applied on a Jonghe scale and then on an FSS-ICU scale. Results: Forty-two patients were part of the study, 29 men and 13 women, all with a mean age of 47.05 (± 17.43) years. The values found in group A and B were: total FSS-ICU (7.08 ± 5.96 and 28.11 ± 5.71, p = 0.000), SAPS (%) (45.1 and 36.8, p = 0.266), MV (16.75 ± 11.45 and 7.22 ± 4.75, p = 0.001) days, IOT (12.25 ± 7.28 and 6.83 ± 4.34, p = 0.007) days, Sedation (12.75 ± 9.20 and 6.22 ± 3.90, p = 0.007) days. Conclusion: Patients who had longer sedation time, MV and IOT days, lower levels of functionality assessed by FSS-ICU compared to patients who maintained shorter sedated and MV time and who obtained faster ICU.