The Evolution, Current Value, and Future of the American Society of Anesthesiologists Physical Status Classification System-Reference-Cited by-同舟云学术

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

Published:2021-09-07 Issue:5 Volume:135 Page:904-919
ISSN:0003-3022
Container-title:Anesthesiology
language:en
Short-container-title:

Author:

Horvath Balazs¹^ORCID,Kloesel Benjamin¹,Todd Michael M.¹,Cole Daniel J.²,Prielipp Richard C.¹

Affiliation:

1. From the Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota

2. Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, Los Angeles, California

Abstract

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

Ovid Technologies (Wolters Kluwer Health)

Subject

Anesthesiology and Pain Medicine

Link

http://pubs.asahq.org/anesthesiology/article-pdf/135/5/904/524790/20211100.0-00025.pdf

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