Aerobic exercise simultaneous with non-invasive ventilation reduces the length of stay in intensive care in patients with heart failure: a randomised clinical trial

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dc.contributor.authorLeone, Carolina Nigro Di
dc.contributor.authorDiniz, Clara Pinto
dc.contributor.authorAraújo, Thais Marvila Vieira de
dc.contributor.authorSant’ Anna Jr., Mauricio de
dc.contributor.authorLamas, Cristiane da Cruz
dc.contributor.authorMediano, Mauro Felippe Felix
dc.contributor.authorGuimarães, Tereza Cristina Felippe
dc.contributor.authorRodrigues Jr., Luiz Fernando
dc.date.accessioned2025-02-07T13:20:52Z
dc.date.available2025-02-07T13:20:52Z
dc.date.issued2024
dc.description.abstractIntroduction: Early cardiac rehabilitation using non-invasive ventilation (NIV) and aerobic exercise may reduce the length of hospital stay in patients with heart failure (HF), however, there is still no evidence of this effect on patients in the intensive care unit (ICU). Objectives: to investigate the effects of aerobic exercise (AE) performed simultaneously with non-inva- sive ventilation (NIV) on the length of intensive care stay (LICUS) in patients diagnosed with decom- pensated heart failure (HF) admitted to the intensive care units (ICU). Methods: Twenty-eight patients admitted to the intensive care unit (ICU) because of decompensation of HF were randomised into two groups: the intervention group (AE þ NIV), and a control group. The intervention group’s treatment strategy involved simultaneous AE with NIV daily. The control group performed non-simultaneous AE and NIV daily during their ICU stay. The primary outcome was LICUS. The secondary outcomes were the length of hospital stay, peripheral and respiratory muscle strength, functional status, functional classification, and exercise tolerance. Results: The mean LICUS was shorter in AE þ NIV than in the control group (6.3 ± 4.7 days vs 8.3 ± 3.6 days, respectively; p 1⁄4 0.015). Secondary outcomes were similar between groups, except for exercise hemodynamics, which was improved in AE þ NIV, as showed by the decreased diastolic blood pressure immediately after the exercise tolerance test. Conclusion: The use of AE simultaneous with NIV reduced the LICUS of patients admitted to the ICU because of decompensated HF. This innovative approach is a promising tool for accelerating ICU dis- charge during the in-hospital rehabilitation of patients with HF.
dc.identifier.citationDi Leone, C. N., Diniz, C. P., Vieira de Araújo, T. M., Sant’ Anna, M. de, Lamas, C. da C., Mediano, M. F. F., … Rodrigues, L. F. Aerobic exercise simultaneous with non-invasive ventilation reduces the length of stay in intensive care in patients with heart failure: a randomised clinical trial. European Journal of Physiotherapy. 2024;26(3), 176–184. doi: 10.1080/21679169.2023.2229392
dc.identifier.otherDOI: 10.1080/21679169.2023.2229392
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/817
dc.language.isoen
dc.publisherEUROPEAN JOURNAL OF PHYSIOTHERAPY
dc.subjectHeart failureen
dc.subjectBi-level positive airway pressure ventilationen
dc.subjectphysiotherapyen
dc.subjectaerobic exerciseen
dc.subjecthospitalization.en
dc.titleAerobic exercise simultaneous with non-invasive ventilation reduces the length of stay in intensive care in patients with heart failure: a randomised clinical trial
dc.typeArticle
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