Prescrição de exercícios na UTI: mapeamento de práticas e critérios por revisão de escopo
DOI:
https://doi.org/10.34119/bjhrv9n2-085Keywords:
unidade de terapia intensiva, pacientes críticos, prescrição de exercícios, mobilização precoceAbstract
Considerando que milhões de pessoas são admitidas anualmente em Unidades de Terapia Intensiva, e reconhecendo os riscos inerentes à hospitalização prolongada, torna-se pertinente analisar de que forma se estrutura a prescrição de exercícios nesse contexto. Objetiva-se sintetizar da literatura, as ferramentas, critérios e práticas adotadas para a prescrição de exercícios em pacientes críticos, conforme as recomendações do American College of Sports Medicine (ACSM). Para tanto, procede-se a uma revisão de escopo, utilizando a base de dados PubMed dos últimos 10 anos. Dos 623 estudos encontrados, 53 foram incluídos dentro dos critérios de elegibilidade e analisados qualitativamente. Observou-se que apenas 3,77% dos estudos apresentaram prescrição completa conforme o modelo FITT-VP do ACSM, evidenciando lacunas na padronização e descrição de frequência, intensidade, duração, volume e progressão. Desse modo, conclui-se que embora a mobilização precoce seja amplamente recomendada, a falta de critérios de prescrição compromete a replicabilidade e segurança.
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