Adverse Events During Physiotherapy at Intensive Care Unit In Patients Undergoing Cardiac Surgery
Adverse Events During Physiotherapy at Intensive Care Unit In Patients Undergoing Cardiac Surgery
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.
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.
Inclusion Criteria:

 -  Patients undergoing cardiac surgery

 -  Age ≥ 18 years old

 -  Patients who are receiving any physiotherapy intervention

 Exclusion Criteria:

 -  Neurological and cognitive impairment