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Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score

BACKGROUND: 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...

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Autores principales: Luna, Esther C. Wilches, Perme, Christiane, Gastaldi, Ada Clarice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Society of Respiratory Therapists 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607990/
https://www.ncbi.nlm.nih.gov/pubmed/34820503
http://dx.doi.org/10.29390/cjrt-2021-018
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author Luna, Esther C. Wilches
Perme, Christiane
Gastaldi, Ada Clarice
author_facet Luna, Esther C. Wilches
Perme, Christiane
Gastaldi, Ada Clarice
author_sort Luna, Esther C. Wilches
collection PubMed
description BACKGROUND: 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. METHODS: 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. RESULTS: We identified significant inverse correlations between total days in MV and the total score of barriers to mobility at ICU admission (r = –0.773; p < 0.05) and at ICU discharge (r = –0.559; p < 0.05). Also, between ICU length of stay and total score of barriers to mobility at ICU admission (r = –0.420; p < 0.05) and at ICU discharge (r = –0.283; p < 0.05). Moreover, we found a significant correlation between total score of the barriers item and total Perme score (r = 0.91; p < 0.01). CONCLUSIONS: 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.
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spelling pubmed-86079902021-11-23 Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score Luna, Esther C. Wilches Perme, Christiane Gastaldi, Ada Clarice Can J Respir Ther Research Article BACKGROUND: 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. METHODS: 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. RESULTS: We identified significant inverse correlations between total days in MV and the total score of barriers to mobility at ICU admission (r = –0.773; p < 0.05) and at ICU discharge (r = –0.559; p < 0.05). Also, between ICU length of stay and total score of barriers to mobility at ICU admission (r = –0.420; p < 0.05) and at ICU discharge (r = –0.283; p < 0.05). Moreover, we found a significant correlation between total score of the barriers item and total Perme score (r = 0.91; p < 0.01). CONCLUSIONS: 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. Canadian Society of Respiratory Therapists 2021-11-22 /pmc/articles/PMC8607990/ /pubmed/34820503 http://dx.doi.org/10.29390/cjrt-2021-018 Text en https://creativecommons.org/licenses/by-nc/4.0/This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact editor@csrt.com
spellingShingle Research Article
Luna, Esther C. Wilches
Perme, Christiane
Gastaldi, Ada Clarice
Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score
title Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score
title_full Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score
title_fullStr Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score
title_full_unstemmed Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score
title_short Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score
title_sort relationship between potential barriers to early mobilization in adult patients during intensive care stay using the perme icu mobility score
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607990/
https://www.ncbi.nlm.nih.gov/pubmed/34820503
http://dx.doi.org/10.29390/cjrt-2021-018
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