Adverse Events During Physiotherapy at Intensive Care Unit In Patients Undergoing Cardiac Surgery (Adephysio)

University of Sao Paulo General Hospital

Status: Completed

Conditions: Adverse Event; Cardiac Surgery; Intensive Care Units; Physiotherapy; Postoperative

Treatments: Procedure: Physiotherapy; Procedure: Cardiac Surgery

Study type: Observational

Funder types: Other

Identifiers

NCT03552887

51256215.5.0000.0068 (Other Identifier)

1391854

Details and patient eligibility

About

This study aims to estimate the incidence of adverse events during physiotherapy at intensive care unit (ICU) in adult patients undergoing cardiac surgery and to identify predictors of those events. This is a prospective cohort study, and the investigators observed all types of physiotherapy interventions in patients admitted at surgical ICU.

Full description

Physiotherapy intervention practice in patients after cardiac surgery has been associated with better clinical outcomes, but the safety of such interventions are not fully understood.

A prospective observational study of patients admitted at surgical ICU, aged > 18 years old, undergoing cardiac surgery was conducted to estimate the incidence of adverse events during physiotherapy interventions in those patients and to identify predictors of adverse events.

Physiotherapy interventions were observed, performed by physiotherapists outside of the protocol. The occurrence of adverse events or physiological abnormality were recorded, classifying them according to the symptomatic consequences for the patient, from grade 1 ("near miss", additional intervention not required) to grade 5 (death). The investigators collected clinical characteristics of patients, such as sequential organ failure assessment (SOFA) score, comorbidities, sedation leve and pain. Participants were followed up to hospital discharge.

Enrollment: 323 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing cardiac surgery
• Age ≥ 18 years old
• Patients who are receiving any physiotherapy intervention

Exclusion criteria

• Neurological and cognitive impairment

Trial design

323 participants in 1 patient group

Postoperative patients

Description:

Cohort of patients undergoing cardiac surgery, aged ≥ 18 years old, who had received any physiotherapy intervention

Treatment:

Procedure: Cardiac Surgery

Procedure: Physiotherapy