Examinando por Autor "Miranda Arevalo, Ernesto Antonio"

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    Effectiveness of early mobilization in mechanically ventilated patients in the intensive care unit.
    (Universidad Privada Norbert Wiener, 2018-07-08) Miranda Arevalo, Ernesto Antonio; Nieto Bedoya, Gianner Andree; Glenni Garay, Zarely Zabeli
    Objective: To systematize the evidence on the effectiveness of early mobilization in patients on mechanical ventilation in the intensive care unit (ICU). Materials and Methods: A systematic search was conducted for 10 scientific articles in the following databases: PubMed, Medline, Scielo, Elsevier, and Cochrane Plus. The articles were subjected to clinical reading using the GRADE method, which evaluated the quality of evidence and strength of recommendation. Results: 80% of the articles are systematic reviews, originating from the following countries: the USA (2), Brazil (2), Australia (2), Japan (1), and China (1). Additionally, one study (10%) was a descriptive ambispective cohort study from Colombia, and one study (10%) was a prospective multicenter cohort study from Australia. Conclusions: 90% of the reviewed articles conclude that early mobilization is a feasible, safe, and effective method for reducing muscle strength deterioration and the duration of ICU stay. However, 10% mention that there is insufficient evidence regarding the effect of early mobilization in ICU patients due to low-quality evidence found.