title: Mobility decline in patients hospitalized in an intensive care unit.
abstract: OBJECTIVE
  To evaluate the variation in mobility during hospitalization in an intensive care unit and its association with hospital mortality.
  
  
  METHODS
  This prospective study was conducted in an intensive care unit. The inclusion criteria included patients admitted with an independence score of ≥ 4 for both bed-chair transfer and locomotion, with the score based on the Functional Independence Measure. Patients with cardiac arrest and/or those who died during hospitalization were excluded. To measure the loss of mobility, the value obtained at discharge was calculated and subtracted from the value obtained on admission, which was then divided by the admission score and recorded as a percentage.
  
  
  RESULTS
  The comparison of these two variables indicated that the loss of mobility during hospitalization was 14.3% (p < 0.001). Loss of mobility was greater in patients hospitalized for more than 48 hours in the intensive care unit (p < 0.02) and in patients who used vasopressor drugs (p = 0.041). However, the comparison between subjects aged 60 years or older and those younger than 60 years indicated no significant differences in the loss of mobility (p = 0.332), reason for hospitalization (p = 0.265), SAPS 3 score (p = 0.224), use of mechanical ventilation (p = 0.117), or hospital mortality (p = 0.063).
  
  
  CONCLUSIONS
  There was loss of mobility during hospitalization in the intensive care unit. This loss was greater in patients who were hospitalized for more than 48 hours and in those who used vasopressors; however, the causal and prognostic factors associated with this decline need to be elucidated.
authors.affiliation: Hospital Santo Antonio, Obras Sociais Irmã Dulce, Salvador, BA, Brazil.
authors.forename: Fábio Santos de
authors.initials: FS
authors.lastname: Jesus
authors.affiliation: Hospital Santo Antonio, Obras Sociais Irmã Dulce, Salvador, BA, Brazil.
authors.forename: Daniel de Macedo
authors.initials: Dde M
authors.lastname: Paim
authors.affiliation: Hospital Santo Antonio, Obras Sociais Irmã Dulce, Salvador, BA, Brazil.
authors.forename: Juliana de Oliveira
authors.initials: Jde O
authors.lastname: Brito
authors.affiliation: Hospital Santo Antonio, Obras Sociais Irmã Dulce, Salvador, BA, Brazil.
authors.forename: Idiel de Araujo
authors.initials: Ide A
authors.lastname: Barros
authors.affiliation: Hospital Santo Antonio, Obras Sociais Irmã Dulce, Salvador, BA, Brazil.
authors.forename: Thiago Barbosa
authors.initials: TB
authors.lastname: Nogueira
authors.affiliation: Universidade do Estado da Bahia, Salvador, BA, Brazil.
authors.forename: Bruno Prata
authors.initials: BP
authors.lastname: Martinez
authors.affiliation: Reative Fisioterapia Especializada, Salvador, BA, Brazil.
authors.forename: Thiago Queiroz
authors.initials: TQ
authors.lastname: Pires
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D005260:Female; D017052:Hospital Mortality; D006760:Hospitalization; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008124:Locomotion / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D011446:Prospective Studies; D013997:Time Factors; D014662:Vasoconstrictor Agents / Q000008:administration & dosage* / Q000009:adverse effects
chemical_list: D014662:Vasoconstrictor Agents