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ASA Physical Status Classification System

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1. ASA Physical Status Classification System

ASA Physical Status Classification SystemASA Physical Status Classification System | American Society of Anesthesiologists (ASA) Menu Menu Close Standards and Guidelines Back Standards and Guidelines Advocacy & ASAPAC Back Advocacy & ASAPAC Education and Career Back Education and Career Events Back Events In the Spotlight Back In the Spotlight Quality and Practice Management Back Quality and Practice Management Research and Publications Back Research and Publications Member Center Back Member (...) Center About ASA Back About ASAASA Physical Status Classification System Developed By: ASA House of Delegates/Executive Committee Last Amended: October 15, 2014 (original approval: October 15, 2014) Current definitions (NO CHANGE) and Examples (NEW) ASA PS Classification Definition Examples, including, but not limited to: ASA I A normal healthy patient Healthy, non-smoking, no or minimal alcohol use ASA II A patient with mild systemic disease Mild diseases only without substantive functional

2014 American Society of Anesthesiologists

2. ASA Physical Status Classification System

ASA Physical Status Classification System ASA Physical Status Classification System Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) ASA Physical Status Classification System ASA Physical Status Classification System Aka: ASA Physical Status Classification System , ASA Physical Status , American Society Anesthesiology Physical Status II. Scoring: ASA 1 - Healthy patient No use Minimal use III. Scoring: ASA 2 - Mild systemic disease Current use Frequent social use Pregnancy (BMI 30-40) Well controlled Mild lung disease IV. Scoring: ASA 3 - Moderate to severe systemic disease with significant functional limitations Poorly

2018 FP Notebook

3. Adding Examples to the ASA-Physical Status Classification Improves Correct Assignment to Patients. (Abstract)

Adding Examples to the ASA-Physical Status Classification Improves Correct Assignment to Patients. Despite its widespread use, the American Society of Anesthesiologists (ASA)-Physical Status Classification System has been shown to result in inconsistent assignments among anesthesiologists. The ASA-Physical Status Classification System is also used by nonanesthesia-trained clinicians and others. In 2014, the ASA developed and approved examples to assist clinicians in determining the correct ASA (...) -Physical Status Classification System assignment. The effect of these examples by anesthesia-trained and nonanesthesia-trained clinicians on appropriate ASA-Physical Status Classification System assignment in hypothetical cases was examined.Anesthesia-trained and nonanesthesia-trained clinicians were recruited via email to participate in a web-based questionnaire study. The questionnaire consisted of 10 hypothetical cases, for which respondents were first asked to assign ASA-Physical Status using only

2017 Anesthesiology

4. Pharmacodynamic Equivalence of Ramipril 10 mg and Atorvastatin 40 mg Administered as a Cardiovascular (CV) Polypill Acetylsalicylic Acid-Atorvastatin-Ramipril (AAR) as Compared to Monotherapy

Pharmacodynamic Equivalence of Ramipril 10 mg and Atorvastatin 40 mg Administered as a Cardiovascular (CV) Polypill Acetylsalicylic Acid-Atorvastatin-Ramipril (AAR) as Compared to Monotherapy Pharmacodynamic Equivalence of Ramipril 10 mg and Atorvastatin 40 mg Administered as a Cardiovascular (CV) Polypill Acetylsalicylic Acid-Atorvastatin-Ramipril (AAR) as Compared to Monotherapy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting (...) registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Pharmacodynamic Equivalence of Ramipril 10 mg and Atorvastatin 40 mg Administered as a Cardiovascular (CV) Polypill Acetylsalicylic Acid-Atorvastatin-Ramipril (AAR) as Compared to Monotherapy The safety and scientific validity of this study is the responsibility of the study

2016 Clinical Trials

5. One Size Does Not Fit All: A Perspective on the American Society of Anesthesiologists Physical Status Classification for Pediatric Patients. (Abstract)

One Size Does Not Fit All: A Perspective on the American Society of Anesthesiologists Physical Status Classification for Pediatric Patients. The American Society of Anesthesiologists physical status (ASA-PS) classification system is used worldwide to classify patients based on comorbid conditions before general anesthesia. Despite its popularity, the ASA-PS classification system has been shown to have poor interrater reliability due to its subjective definitions, especially when applied (...) ASA-PS classification system has several benefits including ease-of-use, simplicity, and flexibility. However, revising the ASA-PS system to provide better guidance for pediatric patients could be valuable. While this study demonstrates good interrater reliability with the included ASA-PS pediatric definitions, further work is needed to clarify accurate assignment of ASA-PS within the midrange of the scale (ASA-PS II and III) and explore its implementation in other institutions.

2019 Anesthesia and Analgesia Controlled trial quality: uncertain

6. Clinical agreement in the American Society of Anesthesiologists physical status classification Full Text available with Trip Pro

Clinical agreement in the American Society of Anesthesiologists physical status classification The American Society of Anesthesiologists physical status (ASA-PS) classification is not intended to predict risk, but increasing ASA-PS class has been associated with increased perioperative mortality. The ASA-PS class is being used by many institutions to identify patients that may require further workup or exams preoperatively. Studies regarding the ASA-PS classification system show significant (...) variability in class assignment by anesthesiologists as well as providers of different specialties when provided with short clinical scenarios. Discrepancies in the ASA-PS accuracy have the potential to lead to unnecessary testing and cancelation of surgical procedures. Our study aimed to determine whether these differences in ASA-PS classification were present when actual patients were evaluated rather than previously published scenario-based studies.A retrospective chart review was completed

2018 Perioperative Medicine

7. A 25-year retrospective analysis of the American Society of Anesthesiologists physical status classification: did we "up-code" young obese patients when obesity was not yet considered a disease? Full Text available with Trip Pro

A 25-year retrospective analysis of the American Society of Anesthesiologists physical status classification: did we "up-code" young obese patients when obesity was not yet considered a disease? The influence of obesity on anesthetic risk remains controversial, and obesity has only recently been specifically identified as a criterion by which a patient can be given a higher American Society of Anesthesiologists-physical status (ASA-PS) score. Nevertheless, we hypothesized that clinicians had (...) assigned obese patients a greater ASA-PS score before obesity became an "official" criterion in 2015.Basic demographic and physical details were collected on patients receiving anesthetics in the Virginia Commonwealth University Health System between 1986 and 2010. The risk ratio (RR) of "up-coding" ASA-PS classification assignments was calculated for patients of varying body mass index (BMI). We specifically focused on the subset of patients aged 20-29 yr in whom the medical sequelae of obesity would

2018 Canadian Journal Of Anaesthesia

8. The Assignment of American Society of Anesthesiologists Physical Status Classification for Adult Polytrauma Patients: Results From a Survey and Future Considerations. (Abstract)

The Assignment of American Society of Anesthesiologists Physical Status Classification for Adult Polytrauma Patients: Results From a Survey and Future Considerations. The American Society of Anesthesiologists (ASA) physical status (PS) classification system assesses the preoperative health of patients. Previous studies demonstrated poor interrater reliability and variable ASA PS scores, especially in trauma scenarios. There are few studies that evaluated the assignment of ASA PS scores (...) in trauma patients and no studies that evaluated ASA PS assignment in severely injured adult polytrauma patients. Our objective was to assess interrater reliability and identify sources of discrepancy among anesthesiologists and trauma surgeons in designating ASA PS scores to adult polytrauma patients.A link to an online survey containing questions assessing attitudes regarding ASA PS classification, demographic information, and 8 fictional trauma cases was e-mailed to anesthesiologists and trauma

2017 Anesthesia and Analgesia

9. ASA Physical Status Classification System

ASA Physical Status Classification System ASA Physical Status Classification System Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) ASA Physical Status Classification System ASA Physical Status Classification System Aka: ASA Physical Status Classification System , ASA Physical Status , American Society Anesthesiology Physical Status II. Scoring: ASA 1 - Healthy patient No use Minimal use III. Scoring: ASA 2 - Mild systemic disease Current use Frequent social use Pregnancy (BMI 30-40) Well controlled Mild lung disease IV. Scoring: ASA 3 - Moderate to severe systemic disease with significant functional limitations Poorly

2015 FP Notebook

10. Classification of comorbidity in trauma: the reliability of pre-injury ASA physical status classification. (Abstract)

Classification of comorbidity in trauma: the reliability of pre-injury ASA physical status classification. Pre-injury comorbidities can influence the outcomes of severely injured patients. Pre-injury comorbidity status, graded according to the American Society of Anesthesiologists Physical Status (ASA-PS) classification system, is an independent predictor of survival in trauma patients and is recommended as a comorbidity score in the Utstein Trauma Template for Uniform Reporting of Data. Little (...) is known about the reliability of pre-injury ASA-PS scores. The objective of this study was to examine whether the pre-injury ASA-PS system was a reliable scale for grading comorbidity in trauma patients.Nineteen Norwegian trauma registry coders were invited to participate in a reliability study in which 50 real but anonymised patient medical records were distributed. Reliability was analysed using quadratic weighted kappa (κ(w)) analysis with 95% CI as the primary outcome measure and unweighted kappa

2013 Injury

11. The influence of the type and design of the anesthesia record on ASA physical status scores in surgical patients: paper records vs. electronic anesthesia records. Full Text available with Trip Pro

The influence of the type and design of the anesthesia record on ASA physical status scores in surgical patients: paper records vs. electronic anesthesia records. The American Society of Anesthesiologists Physical Status classification (ASA PS) of surgical patients is a standard element of the preoperative assessment. In early 2013, the Department of Anesthesia was notified that the distribution of ASA PS scores for sampled patients at the University of Iowa had recently begun to deviate from (...) national comparison data. This change appeared to coincide with the transition from paper records to a new electronic Anesthesia Information Management System (AIMS). We hypothesized that the design of the AIMS was unintentionally influencing how providers assigned ASA PS values.Primary analyses were based on 12-month blocks of data from paper records and AIMS. For the purpose of analysis, ASA PS was dichotomized to ASA PS 1 and 2 vs. ASA PS >2. To ensure that changes in ASA PS were not due to "real

2016 Medical Informatics and Decision Making

12. Surgical scheduling categorization system (SSCS): A novel classification system to improve coordination and scheduling of operative cases in a tertiary pediatric medical system. (Abstract)

year (July 2012-June 2013). All otolaryngology surgical procedures were reviewed, encompassing 8478 procedures on 5711 patients. The attending otolaryngologist assigned surgical scheduling category (SSCS) at the time of case booking based on an institution specific guidelines. The guidelines are as follow: Category I was assigned to American Society of Anesthesiologists physical status classification (ASA) I/II patients, designating them appropriate for institution's suburban ambulatory surgery (...) . The case mix complexity is also readily apparent, enhancing recognition of the coordination and attention required for the perioperative management of high complexity patients. The SSCS helps convey concerns not addressed by ASA physical status alone.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

2017 International Journal of Pediatric Otorhinolaryngology

13. AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery

of evidence and consensus. It is hoped that the relative proportion of recommendations based on rigorous evidence will grow over time. This guideline uses the framework established by the American Heart Association (AHA) concerning classes and levels of evidence for use in guidelines, as shown in 1 and 2. Table 1. Applying Classification of Recommendations and Level of Evidence Table 2. Definition of Classes and Levels of Evidence Used in AHA/ASA Recommendations Class I Conditions for which (...) evaluator Level of Evidence B Data derived from a single grade A study, ≥1 case-control studies, or studies using a reference standard applied by an unmasked evaluator Level of Evidence C Consensus opinion of experts AHA/ASA indicates American Heart Association/American Stroke Association. We have organized this guideline into 5 major sections: (1) The Rehabilitation Program, which includes system-level sections (eg, organization, levels of care); (2) Prevention and Medical Management of Comorbidities

2016 American Heart Association

14. A meta-analysis of the predictive accuracy of postoperative mortality using the American Society of Anesthesiologists' physical status classification system. (Abstract)

A meta-analysis of the predictive accuracy of postoperative mortality using the American Society of Anesthesiologists' physical status classification system. The American Society of Anesthesiologists' physical status (ASA) tool has been applied to determine compensation, risk adjustment and risk prediction, but little is known about the accuracy and generalizability of this tool for prediction of postoperative mortality.We systematically investigated prior published reports of associations (...) between ASA physical status and mortality to test the hypothesis that ASA physical status will have varying accuracy in prediction of postoperative mortality across surgical populations with varying surgical risk of mortality. We used random effects models and metaregression to account for heterogeneity.Combining 77 studies with 165,705 patients, the ASA physical status tool demonstrated the following pooled performance (95 % confidence intervals)--sensitivity 0.74 (0.73, 0.74), specificity 0.67 (0.67

2014 World Journal of Surgery

15. The Effects of ASA Physical Status on Length of Stay and Inpatient Cost in the Surgical Treatment of Isolated Orthopaedic Fractures. (Abstract)

The Effects of ASA Physical Status on Length of Stay and Inpatient Cost in the Surgical Treatment of Isolated Orthopaedic Fractures. To identify the impact of the American Society of Anesthesiologists (ASA) physical status on postoperative length of stay (LOS) and to document the cost due to LOS after surgical management of the 8 most common lower extremity and 2 most common upper extremity isolated orthopaedic fractures.Retrospective chart review.All patients who presented and underwent one (...) operative management for isolated orthopaedic fractures were identified utilizing a CPT code search for analysis in a retrospective chart review.LOS and cost secondary to LOS.ASA physical status proved the strongest predictor of postoperative LOS for the 8 most common lower extremity and 2 most common upper extremity isolated orthopaedic procedures. ASA was also a significant predictor of inpatient cost for all isolated orthopaedic procedures included in the study with the exception of CPT code 27536

2013 Journal of Orthopaedic Trauma

16. Inter‐rater reliability of the American Society of Anesthesiologists physical status rating for emergency gastrointestinal surgery Full Text available with Trip Pro

Inter‐rater reliability of the American Society of Anesthesiologists physical status rating for emergency gastrointestinal surgery The American Society of Anesthesiologists Physical Status (ASA-PS) classification system is used worldwide and has also been incorporated into various prediction rules. However, concerns have been raised regarding inter-rater agreement in various surgical fields. Although emergency gastrointestinal surgery is relatively common and associated with high (...) postoperative mortality, a reliability study has not yet been undertaken in this field. The aim of the present study was to investigate the inter-rater reliability of ASA-PS for emergency gastrointestinal surgery.Three sets of scenarios were generated for each ASA-PS class (2E, 3E, and 4E) in emergency gastrointestinal surgery, resulting in nine scenarios. These scenarios described the preoperative profiles of patients in one hospital. Two or three anesthesiologists from 18 other hospitals provided scores

2016 Acute medicine & surgery

17. Discriminative ability of commonly used indices to predict adverse outcomes after poster lumbar fusion: a comparison of demographics, ASA, the modified charlson comorbidity index, and the modified frailty index. (Abstract)

Discriminative ability of commonly used indices to predict adverse outcomes after poster lumbar fusion: a comparison of demographics, ASA, the modified charlson comorbidity index, and the modified frailty index. As research tools, the American Society of Anesthesiologists (ASA) physical status classification system, the modified Charlson Comorbidity Index (mCCI), and the modified Frailty Index (mFI) have been associated with complications following spine procedures. However, with respect (...) to clinical use for various adverse outcomes, no known study has compared the predictive performance of these indices specifically following posterior lumbar fusion (PLF).This study aimed to compare the discriminative ability of ASA, mCCI, and mFI, as well as demographic factors including age, body mass index, and gender for perioperative adverse outcomes following PLF.A retrospective review of prospectively collected data was performed.Patients undergoing elective PLF with or without interbody fusion

2017 The Spine Journal

18. Aspirin for prophylactic use in the primary prevention of cardiovascular disease and cancer: a systematic review and overview of reviews

of Initial Vascular Events ASA acetylsalicylic acid ASCEND A Study of Cardiovascular Events in Diabetes ASPREE Aspirin in Reducing Events in the Elderly ATT Antithrombotic Trialists BDT British Doctors Trial BP blood pressure CARING Chronotherapy with Low-dose Aspirin for Primary Prevention CHD coronary heart disease CI con?dence interval COD cause of death COX cyclo-oxygenase COX-1 cyclo-oxygenase 1 COX-2 cyclo-oxygenase 2 CRC colorectal cancer CRD Centre for Reviews and Dissemination CV cardiovascular (...) Quality assessment of included studies (n=27) 103 Appendix 6 Data extraction 129 Appendix 7 Summaries of included papers and evidence 227 Appendix 8 Revised protocol: 2 September 2012 239 CONTENTS viii NIHR Journals Library www.journalslibrary.nihr.ac.ukList of abbreviations AAA Aspirin for Asymptomatic Atherosclerosis ACCEPT-D Aspirin and Simvastatin Combination for Cardiovascular Events Prevention Trial in Diabetes APLASA antiphospholipid antibody acetylsalicylic acid ARRIVE Aspirin to Reduce Risk

2013 NIHR HTA programme

19. Flash Glucose Monitoring System for People with Type 1 or Type 2 Diabetes

Flash Glucose Monitoring System for People with Type 1 or Type 2 Diabetes Published December 2019 Volume 19, Number 8 ONTARIO HEALTH TECHNOLOGY ASSESSMENT SERIES Flash Glucose Monitoring System for People with Type 1 or Type 2 Diabetes: A Health Technology Assessment KEY MESSAGES What Is This Health Technology Assessment About? Diabetes is a health condition in which the pancreas cannot produce any insulin, the pancreas cannot produce enough insulin, or the body cannot properly use the insulin (...) therapy who are eligible for coverage under the Ontario Drug Benefit program would cost about $15 million to $39 million annually. Adults with diabetes and parents of children with diabetes with whom we spoke reported that they thought using flash glucose monitoring helped them better control their blood glucose levels or their children’s, resulting in physical, social, and emotional benefits. The cost of flash glucose monitoring was the largest barrier to its use. December 2019 Ontario Health

2019 Health Quality Ontario

20. Advocacy Interventions to Reduce or Eliminate Violence and Promote the Physical and Psychosocial Well?Being of Women who Experience Intimate Partner Abuse: A Systematic Review Full Text available with Trip Pro

Advocacy Interventions to Reduce or Eliminate Violence and Promote the Physical and Psychosocial Well?Being of Women who Experience Intimate Partner Abuse: A Systematic Review Advocacy Interventions to Reduce or Eliminate Violence and Promote the Physical and Psychosocial Well‐Being of Women who Experience Intimate Partner Abuse: A Systematic Review - Rivas - 2016 - Campbell Systematic Reviews - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described (...) in our . Search within Search term Search term UPDATED SYSTEMATIC REVIEW Open Access Advocacy Interventions to Reduce or Eliminate Violence and Promote the Physical and Psychosocial Well‐Being of Women who Experience Intimate Partner Abuse: A Systematic Review Faculty of Health Sciences, University of Southampton, Southampton, UK Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK Department of Medicine, Stroger

2016 Campbell Collaboration

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