About: Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic

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About: Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic 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	Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic
Creator	Baroody, Fuad Angelos, Peter Kandel, Jessica Mak, Grace Matthews, Jeffrey Prachand, Vivek Reid, Russell Fuad, ; Gundeti, Mohan Slidell, Mark Grace, ; Baroody, M Mak, Z
Source	Elsevier; Medline; PMC
abstract	BACKGROUND: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” surgery. Perceptions regarding the time-sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and health care workers; preservation of hospital beds and intensive care unit resources; and minimizing COVID-19 related perioperative risk to patients. STUDY DESIGN: A scaffold for the complex decision-making required for prioritization of Medically Necessary, Time Sensitive (MeNTS) surgeries was developed for adult patients by colleagues at The University of Chicago(i). Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. In order to account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties. RESULTS: This Pediatric MeNTS (pMeNTS) scoring system was applied to 101 cases both performed and deferred between March 23(rd) and April 19(th), 2020, at The University of Chicago Comer Children’s Hospital. The pMeNTS scores provides a safe, equitable, transparent, and ethical strategy to prioritize children’s surgical procedures. CONCLUSIONS: This process is adaptable to individual institutions, and we project it will be useful during the acute phase of the pandemic (maximal limitations) as well as the anticipated recovery phase.
has issue date	2020-05-27(xsd:dateTime)
bibo:doi	10.1016/j.jamcollsurg.2020.05.015
bibo:pmid	32473197
has license	no-cc
sha1sum (hex)	6e2deeb2ba179e6ef9a57fbab927e25f87d0d619
schema:url	https://doi.org/10.1016/j.jamcollsurg.2020.05.015
resource representing a document's title	Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic
has PubMed Central identifier	PMC7251404
has PubMed identifier	32473197
schema:publication	J Am Coll Surg
resource representing a document's body	covid:6e2deeb2ba179e6ef9a57fbab927e25f87d0d619#body_text
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