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Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study

dc.contributor.authorKawakami, Débora Mayumi de Oliveira
dc.contributor.authorBonjorno Junior, José Carlos
dc.contributor.authorDestro, Tamara Rodrigues da Silva
dc.contributor.authorBiazon, Thaís Marina Pires de Campos
dc.contributor.authorGarcia, Naiara Molina
dc.contributor.authorBonjorno, Flávia Cristina Rossi Caruso
dc.contributor.authorSilva, Audrey Borghi
dc.contributor.authorMendes, Renata Gonçalves
dc.date.accessioned2022-02-10T09:57:19Z
dc.date.available2022-02-10T09:57:19Z
dc.date.issued2021-09-18
dc.identifierhttps://doi.org/10.1007/s10554-021-02402-0por
dc.identifier.citationKAWAKAMI, Débora Mayumi de Oliveira; BONJORNO JUNIOR, José Carlos; DESTRO, Tamara Rodrigues da Silva; BIAZON, Thaís Marina Pires de Campos; GARCIA, Naiara Molina; BONJORNO, Flávia Cristina Rossi Caruso; SILVA, Audrey Borghi; MENDES, Renata Gonçalves. Patterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal study. Repositório Institucional da UFSCar, 2021. Dataset. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15583.*
dc.identifier.urihttps://repositorio.ufscar.br/handle/ufscar/15583
dc.descriptionSepsis is a serious organ dysfunction leading to endothelial damage in critical patients. Physiologically, there is an augment of vascular diameter in response to increased vascular blood flow and shear stress stimulus. However, the pattern of vascular response in face of passive mobilization (PM), an early mobilization physical strategy, has not yet been explored in patients with sepsis. To explore patterns of vascular response to PM and associations with clinical and cardiovascular profile in patients with sepsis. Cross-sectional, single-arm study. Thirty-two patients diagnosed with sepsis were enrolled. Vascular response was assessed by flow-mediated dilation (FMD) using brachial artery ultrasound, before and after PM. The PM (to assess the response pattern) and SR (shear rate) were also calculated. PM protocol consisted of knees, hips, wrists, elbows, shoulders, dorsiflexion/plantar flexion movements 3 × 10 repetitions each (15 min). Arterial stiffness was assessed by Sphygmocor®, by analyzing the morphology and pulse wave velocity. Cardiac autonomic modulation (CAM) was assessed by analyzing heart rate variability indexes (mean HR, RMSSD, LF, HF, ApEn, SampEn, DFA). Different vascular responses were observed after PM: (1) increased vascular diameter (responders) (n = 13, %FMD = 11.89 ± 5.64) and (2) reduced vascular diameter (non-responders) (n = 19, %FMD= -7.42 ± 6.44). Responders presented a higher non-linear DFA2 index (p = 0.02). There was a positive association between FMD and DFA (r = 0.529; p = 0.03); FMD and SampEn (r = 0.633; p < 0.01). A negative association was identified between FMD and LF (Hz) (r= -0.680; p < 0.01) and IL-6 (r= -0.469; p = 0.037) and SR and CRP (r= -0.427; p = 0.03).eng
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)por
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)por
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)por
dc.language.isoengeng
dc.publisherUniversidade Federal de São Carlospor
dc.relation.urihttps://pubmed.ncbi.nlm.nih.gov/34535852/por
dc.relation.urihttps://repositorio.ufscar.br/handle/ufscar/14137por
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/br/*
dc.subjectEndotheliumeng
dc.subjectExerciseeng
dc.subjectFlow-mediated dilatation analysiseng
dc.subjectInpatienteng
dc.titlePatterns of vascular response immediately after passive mobilization in patients with sepsis an observational transversal studyeng
dc.typeDataseteng
dc.publisher.initialsUFSCarpor
dc.publisher.programPrograma de Pós-Graduação em Fisioterapia - PPGFtpor
dc.subject.cnpqCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALpor
dc.description.sponsorshipIdProcesso nº 2015/26501–1, Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)por
dc.description.sponsorshipIdCódigo de Financiamento 001 - CAPESpor
dc.description.sponsorshipIdProcesso nº 428073/2016-6 - Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)por
dc.publisher.addressCâmpus São Carlospor
dc.contributor.authorlatteshttp://lattes.cnpq.br/9692224107315722por
dc.contributor.authorlatteshttp://lattes.cnpq.br/4305632485050289por
dc.contributor.authorlatteshttp://lattes.cnpq.br/8012515468767804por
dc.contributor.authorlatteshttp://lattes.cnpq.br/3277909577762827por
dc.contributor.authorlatteshttp://lattes.cnpq.br/8558756190725831por
dc.contributor.authorlatteshttp://lattes.cnpq.br/7119400854907214por
dc.contributor.authorlatteshttp://lattes.cnpq.br/4855616925791895por
dc.contributor.authorlatteshttp://lattes.cnpq.br/9634590922242052por
dc.publisher.departmentDepartamento de Fisioterapia - DFisiopor


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