Implementing the medically necessary, time-sensitive surgical scoring system during the COVID-19 pandemic

Initially, we relied on the Elective Surgery Acuity Scale (ESAS), Department Chairs and an EO 109 surgical committee to determine which cases were appropriate to go to the operating room. [...]some aspects of the MeNTS scoring system are subjective. MeNTS 2019 Elective P-value Outpatient Surgeries P...

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Bibliographic Details
Published in:	The American journal of surgery Vol. 223; no. 1; pp. 201 - 202
Main Authors:	Zaifman, Jay M., Sugalski, Gregory S., Tank, Lisa K., Napolitano, Massimo M., McCain, Donald A., Schlesinger, Mark D., Underwood, Joseph P., Freguletti, Terri D., Pereira-Argenziano, Lucy, Kretzschmar, Robyn J., Stifelman, Michael D.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-01-2022 Elsevier Limited
Subjects:	Acuity Blood transfusion Blood transfusions Conflicts of interest Consensus Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 - transmission Elective surgery Elective Surgical Procedures - standards Health Plan Implementation Hospitals Humans Mortality My Thoughts / My Surgical Practice New Jersey Pandemics Pandemics - prevention & control Patients Surgery Time Factors Time-to-Treatment Triage - standards New Jersey
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Summary:	Initially, we relied on the Elective Surgery Acuity Scale (ESAS), Department Chairs and an EO 109 surgical committee to determine which cases were appropriate to go to the operating room. [...]some aspects of the MeNTS scoring system are subjective. MeNTS 2019 Elective P-value Outpatient Surgeries Patients 32 1983 Median LOS (IQR) 3 days (1–3) 1 day (1-1) <0.001 Blood Transfusions (%) 0 (0%) 0 (0%) 1 30-day readmissions (%) 0 (0%) 0 (0%) 1 Mortality (%) 0 (0%) 0 (0%) 1 Inpatient Surgeries Patients 184 1898 Median LOS (IQR) 4 days (1–9) 3 days (2–6) 0.234 Blood Transfusions (%) 40 (22%) 225 (12%) <0.001 30-day readmissions (%) 20 (11%) 141 (7.4%) 0.110 Mortality (%) 3 (1.6%) 24 (1.3%) 0.727 Table 1 Comparison of outcomes from MeNTS cases operated on during the period of restricted surgery and elective surgeries from the same time period in 2019.
Bibliography:	SourceType-Other Sources-1 content type line 63 ObjectType-Editorial-2 ObjectType-Commentary-1
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2021.04.029