Functional recovery of chronically critically ill patients in the first days after discharge from the intensive care unit: Feasibility of the 6-minute step test

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGAIA, Viviane Roccasecca Sampaio
dc.contributor.authorCOSTA, Eduardo Leite Vieira
dc.contributor.authorYAMAGUTI, Wellington Pereira
dc.contributor.authorFRANCISCO, Davi de Souza
dc.contributor.authorFUMIS, Renata Rego Lins
dc.date.accessioned2024-04-05T19:46:29Z
dc.date.available2024-04-05T19:46:29Z
dc.date.issued2023
dc.description.abstractBackground Survivors of chronic critical illness often experience weakness and functional dependence to various degrees after their intensive care unit (ICU) stay. Evaluating their functional status with the traditional six-minute walk test is challenging due to space constraints or patient intolerance. Objective Our aim was to evaluate the feasibility of using the six-minute step test (6MST) as a measure of functional capacity in chronically critically ill patients early after ICU discharge. Methods This prospective study was undertaken in a private Brazilian hospital. From July 2019 to July 2020, all chronically critically ill patients were asked to participate 48 hours after ICU discharge. On the day of study inclusion and a week later, those who consented underwent functional assessment comprised of the 6MST, peripheral muscle strength using handgrip strength (HGS), and mobility using the ICU mobility scale (IMS). Results A total of 40 patients were included. The 6MST was feasible in 40% on the first evaluation and 57% on the second. The median 6MST was 0 [0-5] on the first evaluation and 3.5 [0-7.75] on the second (P = 0.005). The median HGS increased from 11.50 [9.25-18] on the first evaluation to 14.5 [10-20] on the second (P = 0.006). The median IMS was 4.5 [3.25-7] on the first evaluation and 6 [3.25-7] on the second (P<0.001). Despite the significant improvement, all parameters measured remained well below normal. Conclusion The 6MST was a feasible measure of functional capacity in chronically critically ill patients early after ICU discharge. Patients had functional capacity well below predicted values.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.identifier.citationPLOS ONE, v.18, n.11, article ID e0293747, 11p, 2023
dc.identifier.doi10.1371/journal.pone.0293747
dc.identifier.issn1932-6203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59302
dc.language.isoeng
dc.publisherPUBLIC LIBRARY SCIENCEeng
dc.relation.ispartofPlos One
dc.rightsopenAccesseng
dc.rights.holderCopyright PUBLIC LIBRARY SCIENCEeng
dc.subject.othercritical illnesseng
dc.subject.otheroutcomeseng
dc.subject.otherdisabilityeng
dc.subject.othersurvivorseng
dc.subject.otherstrengtheng
dc.subject.otherweaknesseng
dc.subject.wosMultidisciplinary Scienceseng
dc.titleFunctional recovery of chronically critically ill patients in the first days after discharge from the intensive care unit: Feasibility of the 6-minute step testeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalGAIA, Viviane Roccasecca Sampaio:Hosp Sirio Libanes, Sao Paulo, SP, Brazil
hcfmusp.author.externalYAMAGUTI, Wellington Pereira:Hosp Sirio Libanes, Sao Paulo, SP, Brazil
hcfmusp.author.externalFRANCISCO, Davi de Souza:Hosp Sirio Libanes, Sao Paulo, SP, Brazil
hcfmusp.author.externalFUMIS, Renata Rego Lins:Hosp Sirio Libanes, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcEDUARDO LEITE VIEIRA COSTA
hcfmusp.description.articlenumbere0293747
hcfmusp.description.issue11
hcfmusp.description.volume18
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1165448631
hcfmusp.origem.pubmed37917777
hcfmusp.origem.scopus2-s2.0-85175987531
hcfmusp.origem.wosWOS:001158614800052
hcfmusp.publisher.citySAN FRANCISCOeng
hcfmusp.publisher.countryUSAeng
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