Banca de DEFESA: SWELTTON RODRIGUES RAMOS DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SWELTTON RODRIGUES RAMOS DA SILVA
DATE: 19/08/2022
TIME: 16:00
LOCAL: remoto
TITLE:

Use of a protocol for assessing the new level of early deterioration (NEWS) in patients with covid-19 in the intervention of the physical therapy team in a campaign hospital in Paraíba

KEY WORDS:

Covid-19, national early warning score; phisiotherapy

PAGES: 120
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Covid-19 is a disease a multisystemic, inflamatory caused by the coronavirus, what affects mainly the respiratory and cardiac systems, causing respiratory distress syndrome, which consequently alters the physiological signs, usually identified late, increasing the risk of cardiorespiratory arrest and even death. Thus, there are instruments that can assess vital signs in the face of imminent risk. NEWS was developed as an easy-to-apply tool with the objective of standardizing and standardizing the assessment and response to deteriorating patients in view of the physiological signs presented during the assessment. Objective: the primary objective is to evaluate the predictive capacity of the National Early Warning Score (NEWS) for stratification of severity risk at admission of patients diagnosed with covid-19, in addition to analyzing physical therapy clinical decision-making based on this score. Method: the present study is cross-sectional, retrospective and analytical, exploratory of medical records of inpatients in a field hospital facing Covid-19. The sample will consist of physical/electronic medical records of patients who were regulated and admitted to Hospital Solidário, with a minimum age of 18 years, of both genders, with signs, symptoms and clinically diagnosed and with positive rapid testing for covid-19, referred and admitted to the field hospital, who underwent physiotherapeutic interventions, from June to October 2020. The exclusion criteria will be: patients in palliative care or surgical cases, acute stroke, COPD and exacerbated asthma. To the collection, data will be accessed from the electronic medical record system (TiMed) and a data collection form composed of blocks with the variables of interest: demographic data, admission and hospital stay, epidemiological data, variables and physiological parameters measured in the NEWS score and the indicated physiotherapeutic decision making. The main outcome variables will be analyzed and will be taken in terms of the NEWS severity risk score and their relationship with the physiotherapeutic clinical decision making. 195 medical recorders were indentifided with NEWS assesssment in the patients, however 21 were excluded by COPD acute, ageded 61yr (61,37±19,9), 59,9% men, sistolic hypertention (39%) and cardiovascular disease were (8,9%) the most commun, by the NEWS score, 30,5 and 26,4% of patients presented mediun and high risk respectively of having acute deterioration, beeing the respiratory rate and oxigen peripheral saturation the signs more affected. The NEWS was positively associated with oxigen supplemantation (p=0,005) and no invasive ventilation (p=0,035) by the physioterapist team in patients with low risk. 

COMMITTEE MEMBERS:
Presidente - 1149619 - SELMA SOUSA BRUNO
Externo ao Programa - 2419223 - GERSON FONSECA DE SOUZA - UFRNExterna à Instituição - RENATA RAMOS TOMAZ BARBOSA