Adverse Events During Physical Therapy in Neurocritical ICU Patients

The goal of this observational study is to identify the clinical, neurological, hemodynamic, and respiratory variables associated with the occurrence of adverse events during physical therapy interventions in adult neurocritical patients admitted to the Intensive Care Unit (ICU). The main questions it aims to answer are: What clinical, neurological, hemodynamic, and respiratory factors are associated with adverse events during physical therapy in neurocritical patients? What is the incidence and type of adverse events that occur most frequently during physical therapy in this patient population? Researchers will compare clinical and physiological data between patients who experienced adverse events during physical therapy and those who did not, to determine risk factors associated with these complications. Participants' data will be retrospectively collected from medical records without performing new clinical interventions.

Inclusion Criteria: * Adult patients (18 years or older) admitted to the Intensive Care Unit (ICU). * Patients classified with a neurocritical condition (e.g., ischemic or hemorrhagic stroke, brain tumor, aneurysm, traumatic brain injury, subarachnoid hemorrhage). * Complete medical records including documentation, notes, and charts from medical, nursing, and physical therapy departments. * Documented physical therapy intervention, vital signs monitoring, neurological scale scores, and pharmacological dosage records. Exclusion Criteria: * Medical records of adult patients admitted to general hospital wards or the emergency department. * Medical records of patients admitted to the Neonatal Intensive Care Unit (NICU). * Medical records of pregnant patients. * Medical records of patients not classified as neurocritical * Medical records of terminal patients or patients receiving palliative care with an estimated life expectancy of less than 24 hours at the time of ICU admission. * Medical records lacking documentation of physical therapy interventions. * Medical records lacking documentation of required hemodynamic and neurological values for risk analysis. * Medical records where collected data does not allow determining the presence or absence of adverse events during physical therapy.