title: Retirada do leito após a descontinuação da ventilação mecânica: há repercussão na mortalidade e no tempo de permanência na unidade de terapia intensiva?
abstract: OBJECTIVE
  To describe the withdrawal of the bed frequency in mechanic ventilation patients and its impact on mortality and length of stay in the intensive care unit.
  
  
  METHODS
  This was a retrospective cohort study in mechanical ventilation patients. Clinical and epidemiological variables, withdrawal of bed related motor therapy, intensive care unit length of stay and mortality were evaluated.
  
  
  RESULTS
  We studied 91 patients, mean age of 62.5± 18.8 years, predominantly female (52%) and mean intensive care unit length of stay of 07 days (95% CI, 8-13 days). Considering the withdrawal of the bed or not, no difference was observed between groups regarding length of stay in intensive care unit. Patients who were withdrawn of bed had a lower clinical severity. Their mortality rate was 29.7%. The not withdrawn of bed group had higher both actual and expected mortality.
  
  
  CONCLUSIONS
  Patients withdrawn of bed following mechanical ventilation discontinuation showed lower mortality. It is suggested that early intensive care unit mobilization and withdrawal of bed should be stimulated.
authors.affiliation: Hospital da Cidade - HC, Salvador, BA, Brasil.
authors.forename: Thiago Rios
authors.initials: TR
authors.lastname: Soares
authors.affiliation: Escola Bahiana de Medicina e Saúde Pública - EBMSP, Salvador, BA, Brasil.
authors.forename: Kátia de Miranda
authors.initials: Kde M
authors.lastname: Avena
authors.affiliation: Escola Bahiana de Medicina e Saúde Pública - EBMSP, Salvador, BA, Brasil.
authors.forename: Flávia Milholo
authors.initials: FM
authors.lastname: Olivieri
authors.affiliation: Hospital da Cidade - HC, Salvador, BA, Brasil.
authors.forename: Luciana Ferreira
authors.initials: LF
authors.lastname: Feijó
authors.affiliation: Escola Bahiana de Medicina e Saúde Pública - EBMSP, Salvador, BA, Brasil.
authors.forename: Kristine Menezes Barberino
authors.initials: KM
authors.lastname: Mendes
authors.affiliation: Unidade de Terapia Intensiva, Hospital da Cidade - HC, Salvador, BA, Brasil.
authors.forename: Sydney Agareno de
authors.initials: SA
authors.lastname: Souza Filho
authors.affiliation: Hospital da Cidade - HC, Salvador, BA, Brasil.
authors.forename: André Mansur de Carvalho Guanaes
authors.initials: AM
authors.lastname: Gomes