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Record W3217415333 · doi:10.29390/cjrt-2021-018

Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score

2021· article· en· W3217415333 on OpenAlexvenueno aff
Esther Cecília Wilches-Luna, Christiane Perme, Ada Clarice Gastaldi

Bibliographic record

VenueCanadian Journal of Respiratory Therapy · 2021
Typearticle
Languageen
FieldMedicine
TopicIntensive Care Unit Cognitive Disorders
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineIntensive care unitObservational studyCorrelationMechanical ventilationEmergency medicineInternal medicine

Abstract

fetched live from OpenAlex

Background: Identifying barriers to early mobilization is essential for the management of patients in the intensive care unit (ICU).Our objective was to identify the potential barriers to early mobilization in adult patients using the Perme ICU Mobility Score (Perme Score) and its relationship with days of mechanical ventilation (MV) and length of stay in ICU.Methods: This was a pilot, observational, and prospective study.We included 142 adult patients admitted to a 14-bed ICU, in a fourth-level complexity hospital in Cali, Colombia.The Perme Score was used to evaluate potential barriers to mobility.We used the Spearman's correlation coefficient to find potential correlations between the number of barriers to mobility per patient and the duration of MV and ICU stay.Results: We identified significant inverse correlations between total days in MV and the total score of barriers to mobility at ICU admission (r = -0.773;p < 0.05) and at ICU discharge (r = -0.559;p < 0.05).Also, between ICU length of stay and total score of barriers to mobility at ICU admission (r = -0.420;p < 0.05) and at ICU discharge (r = -0.283;p < 0.05).Moreover, we found a significant correlation between total score of the barriers item and total Perme score (r = 0.91; p < 0.01).Conclusions: Using the Perme Score we identified potential barriers to mobility upon admission to the ICU that were maintained until discharge.Our findings indicate a strong positive correlation at ICU admission between the total Perme Score and the total score of "Category #2 -Potential Mobility Barriers" in the Perme Score.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.003
Threshold uncertainty score0.007

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.035
GPT teacher head0.286
Teacher spread0.251 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations18
Published2021
Admission routes1
Has abstractyes

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Same venueCanadian Journal of Respiratory TherapySame topicIntensive Care Unit Cognitive DisordersFrench-language works237,207