About: Prioritizing elective cardiovascular procedures during the COVID‐19 pandemic: The cardiovascular medically necessary, time‐sensitive procedure scorecard

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About: Prioritizing elective cardiovascular procedures during the COVID‐19 pandemic: The cardiovascular medically necessary, time‐sensitive procedure scorecard Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Prioritizing elective cardiovascular procedures during the COVID‐19 pandemic: The cardiovascular medically necessary, time‐sensitive procedure scorecard
Creator	Cohen, Marc Garg, Aakash Roelke, Marc Salemi, Arash Torre, Sabino Wasty, Najam Waxman, Sergio
source	Medline; PMC
abstract	BACKGROUND: Following the surge of the coronavirus disease 2019 (COVID‐19) pandemic, government regulations, and recommendations from professional societies have conditioned the resumption of elective surgical and cardiovascular (CV) procedures on having strategies to prioritize cases because of concerns regarding the availability of sufficient resources and the risk of COVID‐19 transmission. OBJECTIVES: We evaluated the use of a scoring system for standardized triage of elective CV procedures. METHODS: We retrospectively reviewed records of patients scheduled for elective CV procedures that were prioritized ad hoc to be either performed or deferred when New Jersey state orders limited the performance of elective procedures due to the COVID‐19 pandemic. Patients in both groups were scored using our proposed CV medically necessary, time‐sensitive (MeNTS) procedure scorecard, designed to stratify procedures based on a composite measure of hospital resource utilization, risk of COVID‐19 exposure, and time sensitivity. RESULTS: A total of 109 scheduled elective procedures were either deferred (n = 58) or performed (n = 51). The median and mean cumulative CV MeNTS scores for the group of performed cases were significantly lower than for the deferred group (26 (interquartile range (IQR) 22–31) vs. 33 (IQR 28–39), p < .001, and 26.4 (SE 0.34) vs. 32.9 (SE 0.35), p < .001, respectively). CONCLUSIONS: The CV MeNTS procedure score was able to stratify elective cases that were either performed or deferred using an ad hoc strategy. Our findings suggest that the CV MeNTS procedure scorecard may be useful for the fair triage of elective CV cases during the time when available capacity may be limited due to the COVID‐19 pandemic.
has issue date	2020-06-26(xsd:dateTime)
bibo:doi	10.1002/ccd.29093
bibo:pmid	32588955
has license	no-cc
sha1sum (hex)	939791f20e366f54ac38ae33a2978a1047c27016
schema:url	https://doi.org/10.1002/ccd.29093
resource representing a document's title	Prioritizing elective cardiovascular procedures during the COVID‐19 pandemic: The cardiovascular medically necessary, time‐sensitive procedure scorecard
has PubMed Central identifier	PMC7361381
has PubMed identifier	32588955
schema:publication	Catheter Cardiovasc Interv
resource representing a document's body	covid:939791f20e366f54ac38ae33a2978a1047c27016#body_text
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