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How to cite this article: Chiapinotto S, Dallazen F, Bodnar ET, Winkelman ER. Level of pain and functional independence of patients submitted to cardiac surgery. Rev Baiana Enferm. 2017;31(4):e21388.Objective: to evaluate the correlation of pain and functional independence in the pre and postoperative period of patients submitted to cardiac surgery. Methods: A prospective, noninterventional study of 24 patients submitted to elective cardiac surgery. Clinical data was collected in patients' charts and a direct interview was done both in the preoperative and in the postoperative period. The pain intensity was rated according to the Numerical Visual Scale. Functionality was measured with the Functional Independence Measure. Results: in the first evaluation, the patients did not report pain. In the postoperative evaluation, patients presented an average of 4.75 ± 1.91 points on the pain scale. The functionality increased from 124.29 ± 6.38 in the preoperative period to 97.42 ± 12.73 in the postoperative. There was a significant correlation between pain and functionality. Conclusion: there was an increase in pain and reduced functionality in the postoperative period of cardiac surgery, in addition to a correlation between the variables, demonstrating that the higher the intensity of the pain, the lower the functional independence of the patient.Descriptors: Thoracic surgery. Pain measurement. Physical therapy. Rehabilitation. Objetivo: avaliar a correlação da dor e independência funcional no período pré e pós-operatório dos

Objetivo: Analisar as condições físico-funcionais e a qualidade de vida de pacientes no pré e pós-operatório de cirurgia cardíaca. Materiais e Métodos: Estudo de delineamento transversal, composto por pacientes submetidos à cirúrgica cardíaca eletiva. Os pacientes foram avaliados no pré-operatório e pós-operatório (momento da alta hospitalar) quanto às condições físico-funcionais, incluindo medidas antropométricas, o teste senta e levanta em um minuto (TSL1min), força muscular inspiratória (PImáx) e expiratória (PEmáx), cirtometria torácica e a qualidade vida avaliado pelo WHOQOL-bref. Para análise estatística foi utilizado o software SPSS (versão 23.0) e as variáveis qualitativas foram apresentadas por meio de frequências e porcentagens, e as quantitativas, foram apresentadas por média e desvio-padrão (M±DP). Foi utilizado o teste T de Student para comparação entre o momento pré e pós-operatório, adotando o nível de signifi cância de p≤0,05. Resultados: Na análise entre o pré e pós-operatório observou-se uma redução estatisticamente signifi cativa na avaliação físico-funcional de todas as variáveis analisadas, incluindo o TSL1min (p=0,001), PImáx (p=0,001) e PEmáx (p=0,001) e cirtometria torácica (p=0,001). Porém, os valores da qualidade de vida mostraram uma melhora estatisticamente signifi cativa nos quatro domínios (físico p=0,043; psicológico p=0,001; relações sociais p=0,046 e ambiental p=0,001) e nas duas questões gerais (p=0,001). Conclusões: Houve uma piora da condição física funcional, porém uma melhora da qualidade de vida entre o pré e o pós-operatório de pacientes submetidos à cirurgia cardíaca.

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The non-pharmacological measures to contain the COVID-19 pandemic implemented in 2020 significantly impacted child admissions for respiratory diseases. This study aims to evaluate the impact of these measures on the incidence of child admissions after the resumption of school activities. Methods: This is a longitudinal study, conducted by analyzing pediatric hospital admissions data. It included data on patients diagnosed with bronchiolitis, asthma, or pneumonia. The period studied was from January to July of 2019, 2020, and 2021. Poisson regression models with robust variance were used to obtain relative risk and the respective 95% CI. For statistical significance, p <0.05 was used. Results: A total of 4024 pediatric admissions due to the diseases covered were recorded during the period studied. The reduction in admissions and costs in 2021 compared with 2019 was 56.99 admissions/100,000 children and 56% lower, respectively. Conclusion: Even during the period of relaxation of the non-pharmacological measures to contain the COVID-19 pandemic, there was a significant and clinically important reduction in the number of admissions due to respiratory diseases in children. The maintenance of the reduction in admissions indicates that these measures can have a highly important impact on infant health even after the resumption of school activities.