Urology Department, Son Espases University Hospital, Palma de Mallorca, Baleares, Spain.
Urologia. 2022 Nov;89(4):616-622. doi: 10.1177/03915603211065922. Epub 2022 Feb 1.
The COVID19 pandemic has caused a redistribution of hospital resources. Prioritization strategies are needed in order to organize elective surgeries. We compared the new Medically Necessary Time-Sensitive score (MeNTS) and its factors (disease, procedure, and patient factors) between operated and deferred cases, and also to a subjective priority scale in the Urology department.
The MeNTS score and a subjective prioritization scale were prospective applied to all patients included on the surgical waiting list from March 10 to September 9, 2020. Mann-Whitney test was used to compare MeNTS scores between operated and non-operated groups. Kruskal-Wallis test was used to compare MeNTS scores between three subjective priority groups.
A total of 150 cases were operated while 100 were deferred. Median total MeNTS score in the operated group was 39.5 whereas in the non-operated group it was 38 ( = 0.135). Median disease factors score was 9.5 in the operated group and 11 in the non-operated group( = 0.033). Median procedure factors score was 10 in both groups ( 0.02). Median patient factors score was 17 in the operated group and 18 in the non-operated group ( 0.210). Disease factors displayed a significant difference between the three subjective priority groups.
Total MeNTS score does not show significant differences between operated and non-operated patients. However, we demonstrate a relationship between MeNTS disease factors and the operated group as well as with the subjective priority scale.
COVID19 大流行导致医院资源重新分配。需要制定优先策略，以便组织选择性手术。我们比较了新的医学上必要的时间敏感评分（MeNTS）及其因素（疾病、手术和患者因素）在已手术和已推迟病例之间的差异，以及泌尿科的主观优先分级。
从 2020 年 3 月 10 日至 9 月 9 日，前瞻性地将 MeNTS 评分和主观优先分级应用于所有列入手术等候名单的患者。采用 Mann-Whitney 检验比较已手术和未手术组之间的 MeNTS 评分。采用 Kruskal-Wallis 检验比较三个主观优先组之间的 MeNTS 评分。
共 150 例手术，100 例推迟。已手术组的中位总 MeNTS 评分为 39.5，未手术组为 38（ = 0.135）。已手术组疾病因素评分中位数为 9.5，未手术组为 11（ = 0.033）。两组的手术因素评分中位数均为 10（ 0.02）。已手术组患者因素评分中位数为 17，未手术组为 18（ = 0.210）。疾病因素在三个主观优先组之间存在显著差异。
总 MeNTS 评分在已手术和未手术患者之间无显著差异。然而，我们证明了 MeNTS 疾病因素与已手术组以及与主观优先分级之间存在关系。
