Análise da incidência dos eventos adversos e segurança das intervenções fisioterapêuticas no doente crítico

Abstract

Despite the role played by the physiotherapist as a member of the multidisciplinary team, be essential to assist critical patients, adverse events have been reported during their interventions. The objective of this study was to analyze the incidence of adverse events and the safety of physiotherapeutic interventions in the critical patient. This is a cross-sectional, observational, prospective study performed at the ICU of the Regional Hospital of Lagarto, in which were evaluated all physiotherapeutic interventions performed in the period of 6 months, from September 2016 to March 2017, the patients profile, as well as the Adverse events during physiotherapy intervention. In this period, 56 patients underwent ICU, in which 9,238 physiotherapeutic interventions were performed, being 76 (0.82%) of those resulted in an adverse event. The patients who presented adverse events had a mean age of elderly (47,6%) and adults (47,6%)mostly , the most frequent diagnosis are Nervous System diseases (71.05%), median time of mechanical ventilation of 30 days, and the most constant hospitalization outcome was death (80.95%). Besides that, it was found that the intervention that led the most to the events was open-circuit endotracheal aspiration (39.47%), the most common event was a 10% decrease in saturation (31.58%) and the most frequent outcome was that required only physiotherapeutic intervention (43.42%). The study reveals a low incidence of adverse events related to the physiotherapeutic interventions in critically ill patients, showing their safety in these patients.