Evaluation of Postoperative Complication with Medically Necessary, Time-Sensitive Scoring System During Acute COVID-19 Pandemic: A Prospective Observational Study

Autor:	Mehmet Ilhan, Müşerref Beril Dinçer, Ahmet Kemalettin Koltka, Meltem Merve Güler, Mukadder Orhan-Sungur, Tülay Özkan-Seyhan, Ali Gök
Rok vydání:	2021
Předmět:	Male VAC Vacuum-assisted wound closure Turkey Leukocytosis Severity of Illness Index BPT Blood product transfusion Postoperative Complications 0302 clinical medicine Medicine Anesthesia PCR Polymerase Chain Reaction Prospective Studies biology ASA American Society of Anesthesiologists Smoking Area under the curve Middle Aged Physical Functional Performance MODS Multiple organ dysfunction syndrome C-Reactive Protein Treatment Outcome Disaster planning Elective Surgical Procedures 030220 oncology & carcinogenesis CRP C-reactive protein Female 030211 gastroenterology & hepatology Elective Surgical Procedure MeNTS Medically necessary time-sensitive PPC Postoperative pulmonary complications medicine.medical_specialty Critical Care ROC Receiver operator characteristic Patient Readmission Sensitivity and Specificity 03 medical and health sciences Lymphopenia Humans Elective surgery Pandemics MACCE Major adverse cardiac and cerebrovascular events Receiver operating characteristic Health Priorities business.industry C-reactive protein COVID-19 Postoperative complication Length of Stay AUC Area under the curve medicine.disease Original Scientific Article DASI Duke activity status index Emergency medicine biology.protein Surgery Observational study Triage business Multiple organ dysfunction syndrome
Zdroj:	Journal of the American College of Surgeons
ISSN:	1072-7515
DOI:	10.1016/j.jamcollsurg.2021.05.028
Popis:	Background High scores in Medically Necessary, Time-sensitive (MeNTS) scoring system, used for elective surgical prioritization during Coronavirus Disease 2019 pandemic, are assumed to be associated with worse outcomes. We aimed to evaluate the MeNTS scoring system in patients undergoing elective surgery during restricted capacity of our institution with or without moderate or severe postoperative complications. Study Design In this prospective observational study, MeNTS scores of patients undergoing elective operations during May-June 2020 were calculated. Postoperative complication severity (classified as Group Clavien-Dindo Medically Necessary Time-Sensitive (MeNTS) score was proposed to objectively prioritize elective surgery during COVID-19. Whether higher MeNTS score is associated with worse outcomes was not examined. Despite higher MeNTS score in patients with moderate and severe postoperative complication, it had low prediction capability for these complications.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::43b98a8162df090d484ebf76fc5114cf https://doi.org/10.1016/j.jamcollsurg.2021.05.028 Zobrazit plný text záznamu