Perme ICU Mobility Score (Perme Score) and the ICU Mobility Scale (IMS): translation and cultural adaptation for the Spanish language

Abstract

Objective: To perform translation, cultural adaptation and inter-rater reliability of the Spanish versions of the Perme Intensive Care Unit Mobility Score and IMS tools in ICU patients. Methods: Translation and validation study between November 2016 and July 2017, following the COSMIN Protocol's recommendations. Two couples of physiotherapists with the role of observer/rater applied both scales in 150 patients upon admission and discharge of a medical-surgical ICU from a private hospital in Colombia. The sample size was defined taking into account the lowest proportion of reported agreement (68.57%), a Kappa index of 0.2784 or higher to ensure that the calculated n was adequate, and a confidence level of 95% Results: Translation and cultural adaptation were performed, the final version of both scales in Spanish was approved by the authors. The sample was 150 patients, 52% were men, the average age was 58 ± 17 years, invasive mechanical ventilation was present in 63 (42%) of the cases. Inter-rater reliability of the ICU Mobility Scale was between 0.97 and 1, and for the Perme Intensive Care Unit the Mobility Score it was between 0.99 and 1 in the two moments of the measurements. Conclusions: Both scales were translated and culturally adapted and presented excellent inter-rater reliability in the two pairs of raters (rater/observer).

Spanish version of the Perme Intensive Care Unit Mobility Score: Minimal detectable change and responsiveness

“…The main strengths of this study are related to a large number of patients, prospective design, and being the first study that evaluates the MDC and responsiveness of the Perme Score. Additionally, the study's methodological strengths are related to the randomization by incomplete balanced blocks in order to establish the role of evaluator/observer, ensuring a similar number of patients in each pair, and to the strategies implemented to reduce the possibility of information and selection bias (Luna et al, 2018).…”

“…These are factors that differ between clinicians and could influence the scores. This is a common scenario in an ICU where different clinicians assess the patient at different times The main researcher and the ICU work team were masked (Luna et al, 2018).…”

“…The preliminary data suggest that the reliability and validity of the Perme Score are high (ICC of 0.98801, CI of 0.97743–0.99859). The Perme Score has been translated and culturally adapted to Portuguese, German, and Spanish languages (Luna et al, 2018; Nydahl et al, 2018). At this point, the magnitude of the change that the MDC value represents for changes in the Perme Score is unknown.…”

Risk factors, time to onset and recurrence of delirium in a mixed medical-surgical ICU population: a secondary analysis using Cox and CHAID decision tree modeling

“…Comorbidities such as diabetes, hypertension, malignancy, congestive heart failure (CHF), and chronic kidney, liver and pulmonary diseases, which were assessed by the Charlson Comorbidity Index (Deyo et al, 1992[ 15 ]; Quan et al, 2005[ 57 ]). Activity and mobility as measured by the Perme ICU mobility score (IMS), reflects the patient's mobility status at one particular moment in time (Perme et al, 2014[ 54 ]; Wilches Luna et al, 2018[ 79 ]). Data was collected by a trained physical therapist.…”

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

“…There are different types of barriers such as patient-related, structural, cultural, and process-related [ 10 ], but the potential barriers item in the Perme Score only relates to patient-related barriers. The Perme Score has high inter- and intra-rater reliability and has been translated and culturally adapted to different languages such as Portuguese [ 11 ], German [ 12 ], and Spanish [ 13 ]. In clinical practice, it is important to recognize the burden of potential barriers to mobility activities in the ICU to facilitate safe and timely implementation of a mobility program [ 9 ].…”