{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:37:17Z","timestamp":1761824237414,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T00:00:00Z","timestamp":1593129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Following the surge of the coronavirus disease 2019 (COVID\u201019) 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\u201019 transmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We evaluated the use of a scoring system for standardized triage of elective CV procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u201019 pandemic. Patients in both groups were scored using our proposed CV medically necessary, time\u2010sensitive (MeNTS) procedure scorecard, designed to stratify procedures based on a composite measure of hospital resource utilization, risk of COVID\u201019 exposure, and time sensitivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 109 scheduled elective procedures were either deferred (<jats:italic>n<\/jats:italic> =\u200958) or performed (<jats:italic>n<\/jats:italic> =\u200951). 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\u201331) vs. 33 (IQR 28\u201339), <jats:italic>p<\/jats:italic> &lt;\u2009.001, and 26.4 (<jats:italic>SE<\/jats:italic> 0.34) vs. 32.9 (<jats:italic>SE<\/jats:italic> 0.35), <jats:italic>p<\/jats:italic> &lt;\u2009.001, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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\u201019 pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29093","type":"journal-article","created":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T08:37:04Z","timestamp":1593247024000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prioritizing elective cardiovascular procedures during the <scp>COVID<\/scp>\u201019 pandemic: The cardiovascular <scp>medically necessary<\/scp>, <scp>time\u2010sensitive<\/scp> procedure scorecard"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6896-9211","authenticated-orcid":false,"given":"Sergio","family":"Waxman","sequence":"first","affiliation":[{"name":"Division of Cardiology Newark Beth Israel Medical Center  Newark New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aakash","family":"Garg","sequence":"additional","affiliation":[{"name":"Division of Cardiology Newark Beth Israel Medical Center  Newark New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabino","family":"Torre","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saint Barnabas Medical Center  Livingston New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najam","family":"Wasty","sequence":"additional","affiliation":[{"name":"Division of Cardiology Newark Beth Israel Medical Center  Newark New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Roelke","sequence":"additional","affiliation":[{"name":"Division of Cardiology Newark Beth Israel Medical Center  Newark New Jersey USA"},{"name":"Division of Cardiology Saint Barnabas Medical Center  Livingston New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Cohen","sequence":"additional","affiliation":[{"name":"Division of Cardiology Newark Beth Israel Medical Center  Newark New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arash","family":"Salemi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Newark Beth Israel Medical Center  Newark New Jersey USA"},{"name":"Division of Cardiology Saint Barnabas Medical Center  Livingston New Jersey USA"},{"name":"Department of Cardiothoracic Surgery Northern Region, Robert Wood Johnson Barnabas Health  West Orange New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.03.021"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.04.001"},{"key":"e_1_2_9_4_1","unstructured":"Centers for Medicare & Medicaid Services.Non\u2010Emergent Elective Medical Services and Treatment Recommendations.2020.https:\/\/www.cms.gov\/files\/document\/cms-non-emergent-elective-medical-recommendations.pdf. Accessed May 31 2020."},{"key":"e_1_2_9_5_1","first-page":"1","article-title":"Medically necessary, time\u2010sensitive procedures: scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID\u201019 pandemic","author":"Prachand VN","year":"2020","journal-title":"J Am Coll Surg"},{"key":"e_1_2_9_6_1","unstructured":"Centers for Medicare & Medicaid Services.Opening Up America Again Centers for Medicare & Medicaid Services (CMS) Recommendations Re\u2010opening Facilities to Provide Non\u2010emergent Non\u2010COVID\u201019 Healthcare: Phase I.2020.https:\/\/www.cms.gov\/files\/document\/covid-flexibility-reopen-essential-non-covid-services.pdf. Accessed May 31 2020."},{"key":"e_1_2_9_7_1","unstructured":"American College of Surgeons American Society of Anesthesiologists Association of periOperative Registered Nurses American Hospital Association.Joint Statement: Roadmap for Resuming Elective Surgery after COVID\u201019 Pandemic.2020.https:\/\/www.facs.org\/covid-19\/clinical-guidance\/roadmap-elective-surgery. Accessed May 31 2020."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.05.004"},{"key":"e_1_2_9_9_1","unstructured":"State of New Jersey.Governor Murphy Suspends All Elective Surgeries Invasive Procedures to Preserve Essential Equipment and Hospital Capacity.2020.https:\/\/www.nj.gov\/governor\/news\/news\/562020\/20200323b.shtml. Accessed May 31 2020."},{"key":"e_1_2_9_10_1","unstructured":"State of New Jersey.Executive Order 145.2020.https:\/\/nj.gov\/infobank\/eo\/056murphy\/pdf\/EO-145.pdf. Accessed May 31 2020."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.04.063"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.29093","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29093","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.29093","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29093","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T14:22:27Z","timestamp":1693837347000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.29093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,26]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1002\/ccd.29093"],"URL":"https:\/\/doi.org\/10.1002\/ccd.29093","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2020,6,26]]},"assertion":[{"value":"2020-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}