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The Evolution, Current Value, and Future of the American Society of Anesthesiologists Physical Status Classification System

Anesthesiology (Philadelphia), 2021-11, Vol.135 (5), p.904-919 [Peer Reviewed Journal]

Copyright © 2021, the American Society of Anesthesiologists. All Rights Reserved. ;ISSN: 0003-3022 ;EISSN: 1528-1175 ;DOI: 10.1097/ALN.0000000000003947 ;PMID: 34491303

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  • Title:
    The Evolution, Current Value, and Future of the American Society of Anesthesiologists Physical Status Classification System
  • Author: Horvath, Balazs ; Kloesel, Benjamin ; Todd, Michael M ; Cole, Daniel J ; Prielipp, Richard C
  • Subjects: Anesthesiologists ; Anesthesiology - methods ; Health Status ; Health Status Indicators ; Humans ; Postoperative Complications - prevention & control ; Reproducibility of Results ; Risk Assessment ; Societies, Medical ; United States
  • Is Part Of: Anesthesiology (Philadelphia), 2021-11, Vol.135 (5), p.904-919
  • Description: The American Society of Anesthesiologists (ASA) Physical Status classification system celebrates its 80th anniversary in 2021. Its simplicity represents its greatest strength as well as a limitation in a world of comprehensive multisystem tools. It was developed for statistical purposes and not as a surgical risk predictor. However, since it correlates well with multiple outcomes, it is widely used-appropriately or not-for risk prediction and many other purposes. It is timely to review the history and development of the system. The authors describe the controversies surrounding the ASA Physical Status classification, including the problems of interrater reliability and its limitations as a risk predictor. Last, the authors reflect on the current status and potential future of the ASA Physical Status system.
  • Publisher: United States
  • Language: English
  • Identifier: ISSN: 0003-3022
    EISSN: 1528-1175
    DOI: 10.1097/ALN.0000000000003947
    PMID: 34491303
  • Source: MEDLINE
    Alma/SFX Local Collection
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