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- W4386814319 abstract "<h3>Objectives:</h3> To evaluate 2 new modifications to medically necessary, time-sensitive (MeNTS) scoring systems integrating functional capacity assessment in estimating intensive care unit (ICU) requirements. <h3>Methods:</h3> 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. <h3>Results:</h3> This study analyzed 718 patients. The MeNTS, MeNTS-METs, and MeNTS-DASI-5Q scores were higher in group ICU+ than in group ICU- (<i>p</i><0.001). Group ICU+ had longer operation durations and hospital stay lengths (<i>p</i><0.001), lower DASI scores (<i>p</i><0.001), and greater hospital readmissions, postoperative complications, and mortality (<i>p</i><0.001). The MeNTS-METs and MeNTS-DASI-5Q scores better predicted ICU requirement with areas under the receiver operating characteristic curve (AUC) of 0.806 and 0.804, than the original MeNTS (AUC=0.782). <h3>Conclusion:</h3> The 5-questionnaire M-DASI is easy to calculate and, when added to a triage score, is as reliable as the original DASI for predicting postoperative ICU requirements." @default.
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- W4386814319 date "2023-09-01" @default.
- W4386814319 modified "2023-09-26" @default.
- W4386814319 title "Integration of functional capacity to medically necessary, time-sensitive scoring system" @default.
- W4386814319 doi "https://doi.org/10.15537/smj.2023.44.9.20230318" @default.
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