Cordeiro André Luiz Lisboa, Mascarenhas Hayssa, Soares Lucas Oliveira, Pimentel Vitória, Gomes Eduarda, Pinto Larissa, Ferreira Gabriel, Junior Luiz Alberto Forgiarini, Guimarães André
Department of Physiotherapy, Nobre University, Feira de Santana, Bahia, Brazil.
Indian J Crit Care Med. 2025 Mar;29(3):273-277. doi: 10.5005/jp-journals-10071-24922. Epub 2025 Feb 28.
There are limiting factors that influence the assessment of mobility after cardiac surgery. Therefore, the Perme intensive care unit mobility score scale becomes more appropriate because it analyzes physical and psychological limitations in the intensive care unit (ICU), taking into account extrinsic problems.
Describe the behavior of the Perme scale and its correlation with clinical outcomes in the postoperative stage of cardiac surgery.
This is a prospective cohort study. The patients were evaluated in four moments, to analyze the perception of pain, the degree of dyspnea, muscle strength, and functionality according to the Perme scale which ranges from 0 to 32 points. It was applied at hospital admission, ICU discharge, admission to the ward (UI), and hospital discharge. Values expressed as Delta 1 (d1) and Delta 2 (d2) were used to determine the comparison of preoperative and hospital discharge, respectively.
Twenty-one patients were included. Among the correlation variables at the different moments, it was perceived that cardiopulmonary bypass time d1 ( = 0.19; = 0.42); d2 ( = 0.07; = 0.98); ICU time d1 ( = 0.34; = 0.17); d2 ( = 0.35; = 0.16); hospital time d1 ( = 0.17; = 0.54); d2 ( = 0.21; = 0.47) and mechanical ventilation (MV) time d1 ( = 0.09; = 0.70); d2 ( = 0.44; = 0.06) showed no statistically significant difference. The variables hospital admission (31 ± 1) and ICU discharge (20 ± 4) showed significant losses in the length of stay in these units.
The evaluation performed with the Perme scale showed significance when comparing the values between ICU admission and discharge. However, in relation to the clinical outcomes of this study, no relevant correlations were proven.
Cordeiro ALL, Mascarenhas H, Soares LO, Pimentel V, Gomes E, Pinto L, . Behavior of the Perme Scale and Correlation with Clinical Outcomes in the Postoperative of Coronary Artery Bypass Grafting. Indian J Crit Care Med 2025;29(3):273-277.
存在一些影响心脏手术后活动能力评估的限制因素。因此，Perme重症监护病房活动评分量表更为合适，因为它分析了重症监护病房（ICU）中的身体和心理限制因素，并考虑了外部问题。
描述Perme量表的表现及其与心脏手术后临床结局的相关性。
这是一项前瞻性队列研究。在四个时间点对患者进行评估，以根据Perme量表（范围为0至32分）分析疼痛感知、呼吸困难程度、肌肉力量和功能。该量表在入院时、ICU出院时、转入病房（UI）时和出院时使用。分别用表示为Delta 1（d1）和Delta 2（d2）的值来确定术前与出院时的比较。
纳入21例患者。在不同时间点的相关变量中，发现体外循环时间d1（= 0.19；= 0.42）；d2（= 0.07；= 0.98）；ICU停留时间d1（= 0.34；= 0.17）；d2（= 0.35；= 0.16）；住院时间d1（= 0.17；= 0.54）；d2（= 0.21；= 0.47）以及机械通气（MV）时间d1（= 0.09；= 0.70）；d2（= 0.44；= 0.06）均无统计学显著差异。入院时（31±1）和ICU出院时（20±4）这两个时间段的住院时间有显著缩短。
使用Perme量表进行的评估在比较ICU入院和出院时的值时具有显著意义。然而，就本研究的临床结局而言，未证实有相关相关性。
Cordeiro ALL, Mascarenhas H, Soares LO, Pimentel V, Gomes E, Pinto L, . Perme量表的表现及其与冠状动脉旁路移植术后临床结局的相关性。《印度重症监护医学杂志》2025；29（3）：273 - 277。
