PTRNSystematic ReviewRevista latino-americana de enfermagem2025

Evidence of the use of the Perme Intensive Care Unit Mobility Score in hospitalized adults: a scoping review.

Maria Helena Lenard, Clovis Cechinel, Tissiane Bona Zomer and 3 others

PMID 40332196

WHAT IT FOUND

The Perme ICU Mobility Score was used in 29 studies of 3,399 hospitalized adults, mostly in ICUs.

It takes about 30 seconds, is scored 0 to 32, and higher scores were linked to home discharge, while lower initial scores were seen in patients who died.

Key findings

01The review included 29 studies with 3,399 participants, and most were conducted in ICUs; only two were in hospital wards.

02Higher Perme Scores were associated with home discharge, and median discharge scores differed by destination.

03An included study of nurses and physiotherapists reported completion in about 30 seconds, but pain and ability to follow commands had lower agreement.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for RNs

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What it does not show

This is a scoping review, so it maps what has been studied rather than proving that the Perme Score improves mobility or discharge outcomes. No formal quality assessment was done for the 29 included studies, so the summary does not distinguish stronger from weaker studies. Most studies were in ICUs, and only two were in hospital wards, so the evidence may not apply to ordinary inpatient units. Included studies used different populations, timing and outcomes, so score values are not directly comparable. The review found no additional tests of psychometric properties or construct validity for the adapted versions. In a reliability study, pain and ability to follow commands had lower agreement.

The easy way to misread this

Do not conclude that the Perme Score improves mobility, discharge or survival. This is a scoping review of 29 heterogeneous studies, and it did not assess study quality or test whether the score changes outcomes.

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