Relationship of the Perme ICU Mobility Score and Medical Research Council Sum Score With Discharge Destination for Patients in 5 Different Intensive Care Units

Abstract

Background: Measurement tools are increasingly used to quantify impairments in mobility and muscle strength of patients in the intensive care unit (ICU), yet little evidence exists to support the relationship between measurement tools and discharge destination. Objective: The aim of this study is to investigate whether a relationship between the Perme ICU Mobility Score (Perme Score) and the Medical Research Council Sum Score (MRC-SS) exists between either of these 2 measurement tools and discharge destination for patients in the ICU. Design: The Perme Score and the MRC-SS were performed on patients during the initial physical therapy (PT) evaluation in 5 different ICUs. Data were analyzed to determine whether a relationship exists between either of these scores and discharge destination. Methods: Data were collected on 250 patients in 5 ICUs during the initial PT evaluation. Results: Patients in the ICU with a higher Perme Score or MRC-SS at the time of PT evaluation were discharged home whereas those with lower scores required postacute care placement. Conclusion: The results from this study demonstrate the potential use of the Perme Score or the MRC-SS as standardized measurement tools to assist physical therapists in providing discharge recommendations in the ICU.

Using Outcome Measures to Transition Ambulation From Physical Therapy to Nursing for Patients With Mechanical Circulatory Support

“…Perme et al 28 determined that patients with a higher Perme Score (>26/32) on initial physical therapy evaluation had a greater chance of returning home, whereas a lower Perme Score increased the likelihood of discharge to a PAC facility. However, this study results found that patients with MCS devices may require a higher Perme Score (>29/32) before transitioning the responsibility of ambulation to the nursing staff due to the complex nature of their monitoring devices and infusion needs.…”

“…There is limited evidence about the use of a cutoff score when transitioning ambulation from physical therapy to nursing service. Cutoff scores from certain outcome measures have been used to suggest patient discharge location [26][27][28] and risk of frailty, rehospitalization, mortality, and morbidity, [29][30][31] but never to support the transition of mobility responsibility while patients are still admitted in an acute care setting. The primary aim of this study is to explore the feasibility of using cutoff scores for AM-PAC, Perme, and gait speed to determine when it is most appropriate to transition ambulation from physical therapy service to nursing service.…”

Predictors of Basic Activity in Daily Living and Length of Hospitalization in Patients with COVID-19

“…Hermans et al also found its reliability and reproducibility in evaluating muscle weakness in ICU patients [ 23 ]. It was also used to predict discharge destination in the study done by Perme et al [ 24 ].…”