Perme Intensive Care Unit Mobility Score

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Objective[edit | edit source]

  • To measure the patient's mobility status. [1]
  • The scale scoring starts with the ability to follow the command and ends in the distance walked in 2 minutes[1]
  • The tool is indicative of functional performance especially, patient's walking capacity in the ICU at a specific moment in time. [1]

Intended Population[edit | edit source]

  • Patients with limited independent activities and are in critical illness.[1]

Method of Use[edit | edit source]

The outcome tool has 15 items and the score ranges from 0 to 32. There are 7 categories (mental status, potential mobility barriers, functional strength, bed mobility, transfers, gait, and endurance). The higher the score, it indicates fewer potential mobility barriers and decreased assistance whereas, the lower the score, it indicates more potential barriers to mobility and more assistance needed for mobility.[1]

Evidence[edit | edit source]

Reliability[edit | edit source]

Interrater reliability (Cohen κ coefficient) for[2]

  • items2, 3, 5, 6, 7, 8, 13, and 15 was 1.0000
  • item 1, 0.8276
  • item 4, 0.8000
  • item 9, 0.6000
  • item 10, 0.7297
  • item 11, 0.7260
  • item 12, 0.7872
  • and item 14, 0.9048

The intraclass correlation coefficient (95% confidence interval) was 0.9880 (0.97743-0.99859)[2]

Validity[edit | edit source]

  • supported by expert concurrence and
  • Clinical use of this outcome tool is acceptable.

Links[edit | edit source]

https://www.permeicuseminars.com/copy-of-perme-score

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 Perme C, Nawa RK, Winkelman C, Masud F. A tool to assess mobility status in critically ill patients: the Perme Intensive Care Unit Mobility Score. Methodist DeBakey cardiovascular journal. 2014 Jan;10(1):41.
  2. 2.0 2.1 Nawa RK, Lettvin C, Winkelman C, Evora PR, Perme C. Initial interrater reliability for a novel measure of patient mobility in a cardiovascular intensive care unit. Journal of Critical Care. 2014 Jun 1;29(3):475-e1.