A propose of XXXX stratification after valve surgery by physiotherapeutic assistance level.

@entity1 @entity891 @entity358
OBJECTIVE: a) to propose and implement an evaluation system; b) to classify the @entity358 and determine levels of physical therapy; c) to check the progress postoperatively. METHODS: @entity1 underwent physiotherapy assessment preoperatively, postoperatively and after 5 days of intervention. They were classified into three levels of care: level 1 - low risk of complication; Level 2 - medium risk; Level 3 - high risk. We used analysis of variance and Kruskal-Wallis and analysis of variance for repeated measures or Friedman. Chi-square test or Fisher for proportions. We considered statistical significance level P<0.05. RESULTS: We studied 199 @entity1 , 156 classified within level 1, 32 at level 2 and 11 at level 3. Thoracoabdominal motion and auscultation changed significantly postoperatively, persisting at levels 2 and 3 (P<0.05). Oxygenation and respiratory rate changed at levels 2 and 3 postoperatively (P<0.05) with recovery at the end. Significant decrease in lung volumes occurred in three levels (P<0.05) with partial recovery at level 1, @entity891 occurred at all levels, with recovery by 56% at level 1, 47% at level 2, 27% at level 3. CONCLUSION: The proposed assessment identified valve surgery @entity1 who require differentiated physical therapy. Level 1 @entity1 had rapid recovery, while the level 2 showed significant changes with functional gains at the end. Level 3 @entity1 , more committed and prolonged recovery, should receive greater assistance.
