Mobilização precoce na prevenção e tratamento do delirium em pacientes internados em unidades de terapia intensiva: uma revisão sistemática

Abstract

Introduction: Hospitalization, despite being the solution and the best option, in several cases can generate negative impacts that will have repercussions on the patient's life even after hospital discharge. In the intensive care unit, due to all the critical context in which the patients are, several complications can arise and delirium can be one of the dysfunctions caused. Among the strategies for prevention and treatment of this dysfunction, is the ABCDEF package, of which early mobilization is one of its components. Objective: Given this, this research aimed to carry out a bibliographic survey to investigate the effects of early mobilization on delirium in the intensive care environment. Methodology: This is a systematic review carried out on the following databases: PubMed, Scopus, Web of Science and Embase. It included randomized clinical trials conducted with adult patients admitted to the ICU. Including articles published in the last 10 years (2010-2020), in Portuguese, English and Spanish. Results: The search generated 1541 potential studies, after applying filters, reading the titles, abstracts and texts in full, 9 studies were selected and included in this review. Conclusion: Even though most studies have not carried out the intervention to verify its effects on delirium, it was possible to verify in all studies a lower incidence and shorter duration of delirium when applied to early mobilization.