Integration of functional capacity to medically necessary, time-sensitive scoring system

Objectives:To evaluate 2 new modifications to medically necessary, time-sensitive (MeNTS) scoring systems integrating functional capacity assessment in estimating intensive care unit (ICU) requirements.Methods:This prospective observational study included patients undergoing elective surgeries betwe...

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Bibliographic Details
Published in:Saudi medical journal 2023-09, Vol.44 (9), p.921-932
Main Authors: Koltka, Ahmet K, Dinçer, Müşerref B, Güzel Mehmet, Orhan-Sungur Mukadder, Özkan-Seyhan Tülay, Altun Demet, Gök Ali Fuat Kaan, İlhan Mehmet
Format: Article
Language:English
Subjects:
Anesthesia
Bone surgery
Coronaviruses
COVID-19
Elective surgery
Intensive care
Medical personnel
Mortality
Pandemics
Patient admissions
Questionnaires
Statistical analysis
Surgeons
Thoracic surgery
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Summary:Objectives:To evaluate 2 new modifications to medically necessary, time-sensitive (MeNTS) scoring systems integrating functional capacity assessment in estimating intensive care unit (ICU) requirements.Methods:This prospective observational study included patients undergoing elective surgeries between July 2021 and January 2022. The MeNTS scores and our 2 modified scores: MeNTS-METs (integrated Duke activity status index [DASI] as metabolic equivalents [METs]) and MeNTS-DASI-5Q (integrated modified DASI [M-DASI] as 5 questions) were calculated. The patients’ ICU requirements (group ICU+ and group ICU-), DASIs, patient-surgery-anesthesia characteristics, hospital stay lengths, rehospitalizations, postoperative complications, and mortality were recorded.Results:This study analyzed 718 patients. The MeNTS, MeNTS-METs, and MeNTS-DASI-5Q scores were higher in group ICU+ than in group ICU- (p
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2023.44.9.20230318