• Ahmet K Koltka, Müşerref B Dinçer, Mehmet Güzel, Mukadder Orhan-Sungur, Tülay Özkan-Seyhan, Demet Altun, GökAli Fuat KaanAFKFrom the Department of Anesthesiology and Reanimation (Koltka, Dinçer, Güzel, Orhan-Sungur, Özkan-Seyhan, Altun); and from the Department of Surgery (Gök, İlhan), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey., and Mehmet İlhan.
• From the Department of Anesthesiology and Reanimation (Koltka, Dinçer, Güzel, Orhan-Sungur, Özkan-Seyhan, Altun); and from the Department of Surgery (Gök, İlhan), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
• Saudi Med J. 2023 Sep 1; 44 (9): 921932921-932.

ObjectivesTo evaluate 2 new modifications to medically necessary, time-sensitive (MeNTS) scoring systems integrating functional capacity assessment in estimating intensive care unit (ICU) requirements.MethodsThis 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.ResultsThis study analyzed 718 patients. The MeNTS, MeNTS-METs, and MeNTS-DASI-5Q scores were higher in group ICU+ than in group ICU- (p<0.001). Group ICU+ had longer operation durations and hospital stay lengths (p<0.001), lower DASI scores (p<0.001), and greater hospital readmissions, postoperative complications, and mortality (p<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).ConclusionThe 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.Copyright: © Saudi Medical Journal.

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