TY - JOUR T1 - Early mobilization in a single ICU from a public hospital in São Paulo – Brazil JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P4294 AU - Ruy Pires-Neto AU - Nathalia Lima AU - Gregorio Cardim AU - Linda Denehy Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P4294.abstract N2 - INTRODUCTION: Mobilization therapy in mechanically ventilated critical care patients is feasible, safe and is associated with better functional improvement at ICU and hospital discharge. Physiotherapy (PT) treatment in ICU is not standardized worldwide and currently, there is a paucity of data from centers outside USA and Australia. AIM: Characterize mobilization therapy in a 6-bed medical ICU from a public hospital in Sao Paulo-Brazil. METHODS: Using a retrospective design we collected ICU and physiotherapy data from 120 mechanically ventilated patients: age (mean±SD) 49±17 years (SAPS3 = 46±19) using a specifically designed case report sheet introduced earlier for physiotherapists. RESULTS: Median (interquartile range) time of mechanical ventilation and ICU length of stay were 3 [4] and 8 [10] days respectively. ICU and one year mortality were 30% and 31%. Mobilization therapy was performed in 63% of the total of 1428 PT sessions. Frequency of activities were: Passive exercises (33%), in bed active exercises (24%), sit at the edge of bed (18%), standing-up (13%); ambulation away from bed (8%). Walking away from bed was associated with a lower ICU mortality (odds ratio (OR) =0.09; 95% confidence interval (CI) 0.02–0.43; p=0.0002), ICU discharge location (home) (OR=3.33, 95%CI = 1.14 - 9.6; p=0.02) and lower one year mortality (OR=0.33, 95%CI = 0.10 – 1.04; p=0.045). CONCLUSION: In our Brazilian ICU, mobilization therapy in mechanically ventilated critical care patients was safe and feasible, however only a small percentage were stood or mobilized away from the bed. For these patients this was a promising trend of improved outcome. ER -