Estudo sobre as potenciais barreiras à mobilidade de pacientes críticos por meio do Perme Score

Abstract

Introduction: For a long time it was believed that the imobilization of patients in a critical stage was beneficial and it has been so for many years. However,several researches show that the best procedure is to avoid imobilization and start mobilization manouvers as soon as possible.Some obstacles were observed that compromise the mobilization manouvers .Therefore it is relevant to analise and quantify the barriers and verify if they are directly related to any kind of desease. Objective: Evaluate the potential barriers to the mobility in three ICU:clinical,cirurgical and neurological. Method: Observational,longitudinal and behavioral study realised at The ICU of Hospital das Clinicas,Uberlandia Federal University form april 2018 till may 2018 where it was analised the Escore Perme of mobility in the ICU. Results: The mobility of 73 patients were studied:36 from surgical ICU,23 from neurological ICU and14 from Clinical ICU.It was possible to observe that the barriers in the Clinical and neurological ICUs decresead in the starting and ending momnets,while in the surgical ICU they stayed the same.Observed the difference beteween clinical and surgical IC a death variable (%)(p=0,006),intern days(p=0,022).I was observed a difference in inicial Perme between surgical and clinical ICU(p=0,003) and neurological and clinical(p=0,042). Conclusion: We concluded that there is a correlation between the barriers and the final value of the Perme scale:the greater the barriers,the smaller Perme score and consequently the mobility.