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VOLUME 29 , ISSUE 3 ( March, 2025 ) > List of Articles

Original Article

Behavior of the Perme Scale and Correlation with Clinical Outcomes in the Postoperative of Coronary Artery Bypass Grafting

André Luiz Cordeiro, Hayssa Mascarenhas, Lucas Oliveira Soares, Vitória Pimentel, Eduarda Gomes, Larissa Pinto, Gabriel Ferreira, Luiz Alberto Forgiarini Junior, André Guimarães

Keywords : Cardiac surgery, Functionality, Intensive care unit, Mobility limitation

Citation Information : Cordeiro AL, Mascarenhas H, Soares LO, Pimentel V, Gomes E, Pinto L, Ferreira G, Junior LA, Guimarães A. 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.

DOI: 10.5005/jp-journals-10071-24922

License: CC BY-NC 4.0

Published Online: 28-02-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Background: 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. Objective: Describe the behavior of the Perme scale and its correlation with clinical outcomes in the postoperative stage of cardiac surgery. Materials and methods: 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. Results: Twenty-one patients were included. Among the correlation variables at the different moments, it was perceived that cardiopulmonary bypass time d1 (r = 0.19; p = 0.42); d2 (r = 0.07; p = 0.98); ICU time d1 (r = 0.34; p = 0.17); d2 (r = 0.35; p = 0.16); hospital time d1 (r = 0.17; p = 0.54); d2 (r = 0.21; p = 0.47) and mechanical ventilation (MV) time d1 (r = 0.09; p = 0.70); d2 (r = 0.44; p = 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. Conclusion: 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.


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