Keywords
Evaluation
Anaesthesia
Surgery
How to Cite
Abstract
This article aims to carry out a review of the current medical literature on the relationship The classification of physical status made by the American Society of Anesthesiologists (ASA classification) aims to categorize the surgical risk that the patient will be subject to according to his clinical status. There are studies that associate the ASA classification with postoperative complications and morbidity and mortality, while others state that this parameter is not so adequate. This article aims to analyze other literature and define how to use the ASA classification to measure favorable surgical outcomes. To this end, the authors conducted a systematic review of studies indexed in the PubMed database, using descriptors related to the theme proposed in this study. The articles were carefully selected, aiming at the veracity and reliability of this work. The selected studies addressed both favorable and unfavorable characteristics of the ASA classification and its use. Thus, several studies have proven the effectiveness of the score and it can be used in conjunction with the collection of a good history. However, there are specific procedures that do not benefit as much from classification and, therefore, other tools to assist in the screening of high-risk patients can be used.
References
Tønsager K, Rehn M, Krüger AJ, Røislien J, Ringdal KG. Assignment of pre-event ASA physical status classification by pre-hospital physicians: a prospective inter-rater reliability study. BMC Anesthesiol. 2020 Jul 9;20(1):167. doi: 10.1186/s12871-020-01083-x. PMID: 32646386; PMCID: PMC7346504. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32646386/
Teni FS, Burström K, Berg J, Leidl R, Rolfson O. Predictive ability of the American Society of Anaesthesiologists physical status classification system on health-related quality of life of patients after total hip replacement: comparisons across eight EQ-5D-3L value sets. BMC Musculoskelet Disord. 2020 Jul 6;21(1):441. doi: 10.1186/s12891-020-03399-8. PMID: 32631419; PMCID: PMC7339530. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32631419/
De Cassai A, Boscolo A, Tonetti T, Ban I, Ori C. Assignment of ASA-physical status relates to anesthesiologists' experience: a survey-based national-study. Korean J Anesthesiol. 2019 Feb;72(1):53-59. doi: 10.4097/kja.d.18.00224. Epub 2018 Nov 14. PMID: 30424587; PMCID: PMC6369346. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30424587/
Lynch CP, Cha EDK, Geoghegan CE, Jadczak CN, Mohan S, Singh K. Higher American Society of Anesthesiologists Classification Does Not Limit Safety or Improvement Following Minimally Invasive Transforaminal Lumbar Interbody Fusion. Neurospine. 2022 Sep;19(3):533-543. doi: 10.14245/ns.2142088.044. Epub 2022 Jan 2. PMID: 34990539; PMCID: PMC9537840. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34990539/
Gronbeck C, Cote MP, Lieberman JR, Halawi MJ. Risk stratification in primary total joint arthroplasty: the current state of knowledge. Arthroplast Today. 2019 Feb 5;5(1):126-131. doi: 10.1016/j.artd.2018.10.002. PMID: 31020036; PMCID: PMC6470321. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31020036/
Kerr MM, Graves SE, Duszynski KM, Inacio MC, de Steiger RN, Harris IA, Ackerman IN, Jorm LR, Lorimer MF, Gulyani A, Pratt NL. Does a Prescription-based Comorbidity Index Correlate with the American Society of Anesthesiologists Physical Status Score and Mortality After Joint Arthroplasty? A Registry Study. Clin Orthop Relat Res. 2021 Oct 1;479(10):2181-2190. doi: 10.1097/CORR.0000000000001895. PMID: 34232146; PMCID: PMC8445560. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34232146/
Xiao G, Srikumaran D, Sikder S, Woreta F, Boland MV. Assessing Resident Cataract Surgical Outcomes Using Electronic Health Record Data. Ophthalmol Sci. 2022 Dec 5;3(2):100260. doi: 10.1016/j.xops.2022.100260. PMID: 36685714; PMCID: PMC9852949. Disponível em: https://pubmed.ncbi.nlm.nih.gov/36685714/
Krickl J, Ittermann T, Thannheimer A, Schmidt W, Willauschus M, Ruether J, Loose K, Gesslein M, Millrose M. The Rising Problem of Hip Fractures in Geriatric Patients-Analysis of Surgical Influences on the Outcome. J Pers Med. 2023 Aug 17;13(8):1271. doi: 10.3390/jpm13081271. PMID: 37623521; PMCID: PMC10455730. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37623521/
Chung JH, Cannon D, Gulbrandsen M, Yalamanchili D, Phipatanakul WP, Liu J, Gowd A, Essilfie A. Random forest identifies predictors of discharge destination following total shoulder arthroplasty. JSES Int. 2023 May 12;8(2):317-321. doi: 10.1016/j.jseint.2023.04.003. PMID: 38464450; PMCID: PMC10920121. Disponível em: https://pubmed.ncbi.nlm.nih.gov/38464450/
Varady NH, Gillinov SM, Yeung CM, Rudisill SS, Chen AF. The Charlson and Elixhauser Scores Outperform the American Society of Anesthesiologists Score in Assessing 1-year Mortality Risk After Hip Fracture Surgery. Clin Orthop Relat Res. 2021 Sep 1;479(9):1970-1979. doi: 10.1097/CORR.0000000000001772. PMID: 33930000; PMCID: PMC8373577. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33930000/
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Isaías Sousa Mendonça de Medeiros, Alice Dandara Lima Pinheiro Gonçalves , Bruna Raquel Luna Pedroso Santos, Ielly Caroline de Amorim Coutinho , Medson Tavares Barbalho, Ian Mendonça Dantas de Matos , Jaciele Santos da Silva Sousa , Yenne Xiomara Vasconcelos da Conceição , Rafael Silva de Sousa , Jonas Wagner de Almeida Soares, Ana Paula Costa Linhares, Mateus Oliveira Viana , Hellen Regina Araujo Machado , Lucas Rafael de Lima Moraes, Jeefferson Cordeiro de Melo
