The performance of physiotherapeutic conducts in oncology patients interned in a pediatric intensive care unit: A systematic review
Abstract
Objective: The intervention of physical therapy in pediatric oncology is currently transmuting from a view based on the restriction of physical stress to an approach that advocates the practice of cardiorespiratory and motor interventions that provide a better prognosis for the patient. The objective of this study is to carry out a systematic review and to identify studies that address the performance of physical therapeutic practices in pediatric cancer patients admitted to an intensive care unit (ICU).
Methods: The stage of identification and selection of articles were carried out according to what was recommended by Preferred Reporting Items for Systematic Review and Meta-analyzes, on PubMed, Medline, and Scopus platforms, based on the PICO acronym, and were classified by the PeDRO quality scale.
Results: A total of 19,820 articles were found and six were acceptable according to the inclusion and exclusion criteria of the study, accounting for a total of 634 patients evaluated in the respective study.
Conclusion: There is a scarcity of studies that show the reality of physical therapy practice in pediatric and neonatal ICU, with a focus on cancer patients. Most of the articles found emphasize the physiotherapeutic approach in the management of ventilation in these patients. Within this context, they show positive outcomes with the highest number of discharges, reduced mortality, increased survival, and treatment of respiratory failure. In addition, the application of non-invasive ventilation modalities proved to be more prevalent and important, both in the variables mentioned above and in the prevention of complications, such as a lower rate of patients undergoing orotracheal intubation.
Keywords:
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).