Luna Esther C Wilches, Perme Christiane, Gastaldi Ada Clarice
Exercise and Cardiopulmonary Health Research Group (GIESC by its Spanish acronym) Universidad del Valle, Cali, Colombia.
Faculty of Health, School of Human Rehabilitation, Universidad del Valle, Cali, Colombia.
Can J Respir Ther. 2021 Nov 22;57:148-153. doi: 10.29390/cjrt-2021-018. eCollection 2021.
Identifying barriers to early mobilization is essential for the management of patients in the intensive care unit (ICU). Our objective was to identify the potential barriers to early mobilization in adult patients using the Perme ICU Mobility Score (Perme Score) and its relationship with days of mechanical ventilation (MV) and length of stay in ICU.
This was a pilot, observational, and prospective study. We included 142 adult patients admitted to a 14-bed ICU, in a fourth-level complexity hospital in Cali, Colombia. The Perme Score was used to evaluate potential barriers to mobility. We used the Spearman's correlation coefficient to find potential correlations between the number of barriers to mobility per patient and the duration of MV and ICU stay.
We identified significant inverse correlations between total days in MV and the total score of barriers to mobility at ICU admission ( = -0.773; < 0.05) and at ICU discharge ( = -0.559; < 0.05). Also, between ICU length of stay and total score of barriers to mobility at ICU admission ( = -0.420; < 0.05) and at ICU discharge ( = -0.283; < 0.05). Moreover, we found a significant correlation between total score of the barriers item and total Perme score ( = 0.91; < 0.01).
Using the Perme Score we identified potential barriers to mobility upon admission to the ICU that were maintained until discharge. Our findings indicate a strong positive correlation at ICU admission between the total Perme Score and the total score of "Category #2 - Potential Mobility Barriers" in the Perme Score.
识别早期活动的障碍对于重症监护病房（ICU）患者的管理至关重要。我们的目标是使用Perme ICU活动评分（Perme评分）来识别成年患者早期活动的潜在障碍，以及其与机械通气（MV）天数和ICU住院时间的关系。
这是一项试点、观察性和前瞻性研究。我们纳入了哥伦比亚卡利市一家拥有14张床位的四级综合医院ICU收治的142例成年患者。Perme评分用于评估活动的潜在障碍。我们使用Spearman相关系数来寻找每位患者活动障碍数量与MV持续时间和ICU住院时间之间的潜在相关性。
我们发现MV总天数与ICU入院时（r = -0.773；P < 0.05）和ICU出院时（r = -0.559；P < 0.05）活动障碍总分之间存在显著负相关。此外，ICU住院时间与ICU入院时（r = -0.420；P < 0.05）和ICU出院时（r = -0.283；P < 0.05）活动障碍总分之间也存在显著负相关。此外，我们发现障碍项目总分与Perme总分之间存在显著相关性（r = 0.91；P < 0.01）。
使用Perme评分，我们识别出了ICU入院时直至出院时持续存在的活动潜在障碍。我们的研究结果表明，在ICU入院时，Perme总分与Perme评分中“第2类 - 潜在活动障碍”总分之间存在强正相关。
