The Perme scale score as a predictor of functional status and complications after discharge from the intensive care unit in patients undergoing liver transplantation

Abstract

Objective To assess the Perme mobility scale score as a predictor of functional status and complications in the postoperative period in patients undergoing liver transplantation. Methods The sample consisted of 30 patients who underwent liver transplantation. The patients were evaluated at two time points to determine their perception of pain, degree of dyspnea, peripheral muscle strength, and functional status according to the Perme scale. The collected data were analyzed by descriptive and inferential statistics. To compare the means between the evaluations, Student's t test for paired samples was applied. In case of asymmetry, the Wilcoxon test was used. In the evaluation of the association between the quantitative variables, the Pearson or Spearman correlation tests were applied. Results A total of 30 individuals who underwent liver transplantation were included. The patients were predominantly male, and the mean age was 58.4 ± 9.9 years. The most prevalent underlying pathology was cirrhosis C virus (23.3%). Significant associations of the time on mechanical ventilation with the Perme scale score at discharge from the intensive care unit (r = -0.374; p = 0.042) and the number of physical therapy treatments (r = -0.578; p = 0.001) were recorded. When comparing the results of the initial evaluation and the evaluation at hospital discharge, there was a significant improvement in functional status (p < 0.001). Conclusion Functional mobility, peripheral muscle strength, pain perception, and dyspnea are significantly improved at hospital discharge compared with those at inpatient unit admission.

Functional deficit in children with congenital heart disease undergoing surgical correction after intensive care unit discharge

“…Studies of functional outcomes after pediatric ICU stay have gained prominence recently, but they have include patients with a wide range of illnesses. ( 20 - 22 ) In Brazil, studies on functional deficits in specific illnesses are scarce, ( 14 ) making it difficult to identify potential risk groups and factors that may be associated with worsened functional status after discharge from the pediatric ICU.…”

Comparação De Desfechos Clínicos E Correlação Entre Funcionalidade E Tempo De Ventilação Mecânica De Pacientes Em Uti

“…Durante o processo de hospitalização na UTI a degradação funcional pode estar relacionada há múltiplas causas como a falta de mobilidade, VM invasiva prolongada, efeitos adversos das medicações e alimentação diferenciada. Todas essas causas podem resultar em fraqueza ou fadiga generalizada, anemia, carências nutricionais, descondicionamento muscular e comprometimento neurológico, como também disfunções de outros órgãos e sistemas como o respiratório, cardiovascular e nervoso central (PEREIRA et al, 2019).…”

“…(2019) descrevem em seu estudo que utilizou a escala Perme como preditor de funcionalidade de pacientes submetidos a transplante hepático internados em UTI, que quanto maior o tempo de VM menor o escore na escala Perme na alta da UTI, sendo o comprometimento da independência funcional relacionado com o tempo de internação na UTI, bem como, o tempo de VM.Esses resultados são contraditórios aos encontrados em nosso estudo onde foi usada a escala ICU Mobility Scale (escala de mobilidade em UTI) e não foi verificada correlação significativa entre funcionalidade e tempo de VM. Uma possível explicação para essa diferença reside nas diferenças epidemiológicas entre as populações dos estudos, enquantoPereira et al (2019) analisaram a associação em pacientes cirróticos, no presente estudo, foram analisados pacientes neurológicos com características diversas.…”

Relationship between Perme ICU Mobility Score and length of stay in patients after cardiac surgery

“…It indicates functional performance, particularly the patients' walking capacity, in the ICU at a specific time 14 . Most previous studies have used Perme Score at a specific moment in time and specific patient populations [15][16][17] . However, it is still unclear whether the Perme Score predicts the length of stay in the cardiovascular ICU and the possible influence of respiratory muscle strength, pulmonary function, and handgrip strength during the preoperative period on the mobility status of patients undergoing CABG and valve replacement.…”