About: Scoring system to triage patients for spine surgery in the setting of limited resources: Application to the COVID-19 pandemic and beyond

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About: Scoring system to triage patients for spine surgery in the setting of limited resources: Application to the COVID-19 pandemic and beyond Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Scoring system to triage patients for spine surgery in the setting of limited resources: Application to the COVID-19 pandemic and beyond
Creator	Aa, Elsamadicy Benzel, Edward Bj, Neuman Bs¹, Daniel Bs¹, Jeff Bydon, Bydon, Ali Chou, Dean Cr, Goodwin Dm, Sciubba Ec, Benzel Ehresman, Jeff Elder, Benjamin Elsamadicy, Aladine Eo, Klineberg Feghali, Ali Feghali, James Goodwin, C Goodwin, Matthew Goodwin, Rory Harrop, James Jh, Shin Klineberg, Eric Laufer, I Laufer, Ilya Lo, Sheng-Fu Lubelski, Daniel Md², Dean Md¹, James Md¹, Peter Ml, Goodwin Neuman, Brian Passias, Passias, Peter Pennington, Zach Pg, Passias Protopsaltis, Themistocles Sciubba, Daniel Shin, John Tf, Witham Theodore, Nicholas Witham, Timothy
Source	Elsevier; Medline; PMC; WHO
abstract	Abstract Background As of May 04, 2020, the COVID-19 pandemic has affected over 3.5 million people and touched every inhabited continent. Accordingly, it has stressed health systems the world over leading to the cancellation of elective surgical cases and discussions regarding healthcare resource rationing. It is expected that rationing of surgical resources will continue even after the pandemic peak, and may recur with future pandemics, creating a need for a means of triaging emergent and elective spine surgery patients. Methods Using a modified Delphi technique, a cohort of 16 fellowship-trained spine surgeons from 10 academic medical centers constructed a scoring system for the triage and prioritization of emergent and elective spine surgeries. Three separate rounds of videoconferencing and written correspondence were used to reach a final scoring system. Sixteen test cases were used to optimize the scoring system so that it could categorize cases as requiring emergent, urgent, high-priority elective, or low-priority elective scheduling. Results The devised scoring system included 8 independent components: neurological status, underlying spine stability, presentation of a high-risk post-operative complication, patient medical comorbidities, expected hospital course, expected discharge disposition, facility resource limitations, and local disease burden. The resultant calculator was deployed as a freely-available web-based calculator (https://jhuspine3.shinyapps.io/SpineUrgencyCalculator/). Conclusion Here we present the first quantitative urgency scoring system for the triage and prioritizing of spine surgery cases in resource-limited settings. We believe that our scoring system, while not all-encompassing, has potential value as a guide for triaging spine surgical cases during the COVID pandemic and post-COVID period.
has issue date	2020-05-29(xsd:dateTime)
bibo:doi	10.1016/j.wneu.2020.05.233
bibo:pmid	32479913
has license	els-covid
sha1sum (hex)	a62cbdea244e644dcb55f4c86af0a84b90153f88
schema:url	https://doi.org/10.1016/j.wneu.2020.05.233
resource representing a document's title	Scoring system to triage patients for spine surgery in the setting of limited resources: Application to the COVID-19 pandemic and beyond
has PubMed Central identifier	PMC7256646
has PubMed identifier	32479913
schema:publication	World Neurosurg
resource representing a document's body	covid:a62cbdea244e644dcb55f4c86af0a84b90153f88#body_text
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