Categorical measurements of subjectiveness: is there still a role for the ASA classification?

Zampieri, Fernando Godinho

doi:10.5935/0103-507x.20150016

Cited by 3 publications

(2 citation statements)

References 15 publications

(20 reference statements)

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“…The ASA PS score is known to exhibit great inter-individual variability [3,[14][15][16]. In this study, compared to the ABCK, the percentage of respondents who placed the ten hypothetical cases in the modal category was larger in the ABCK than in the ASA PS.…”

Section: Discussionmentioning

confidence: 65%

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Assessment of the Inter-Individual Concordance of ASA PS Score versus ABCK: A Survey Carried Out Among Anaesthetists of Kinshasa City

Im¹,

Mvuama²,

Bwaka³

et al. 2018

Anesth Pain Res

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Background: The ASA PS is a score which evaluates the physical state of a preoperative patient. It is largely used throughout the world. However, it is subjective and presents inconsistencies among anaesthetists. Because of these disagreements, some medical institutions established their own methods of evaluation. One of them is the Altered general status-Breathing-Circulation-K scores (ABCK). The question which this study raised was to know whether, in terms of inter individual consistency, the ABCK, a new score which has presented an excellent agreement with the ASA PS, could not be more effective than the ASA PS? Methods: A survey of the ASA PS and ABCK classes of ten hypothetical cases from the Aronson study (2) and the reasons for their choice, was carried out among anesthetists in Kinshasa. The sampling was of the exhaustive type. The data were collected using a self-administered questionnaire technique. Results: This study showed that the agreement between the two scores varied from a weak agreement (kappa de Cohen = 0.2; p = 0.001) to a moderate agreement (Kappa de Cohen = 0.59; p = 0.001). Furthermore, the ABCK had an interindividual interclass variance weaker than the ASA PS (IC 95 %; P< 0.005). Conclusion: The ABCK score proves to be much more objective than the ASA PS. Indeed, it has an interclass variability weaker than that of the ASA PS. And because of its good agreement with the ASA PS, it could be used as an alternative or complement to it.

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Section: Discussionmentioning

confidence: 65%

“…Finally, even if the ASA PS classification would be decried by several authors for its subjectivity [1,11], it finds a slight interest. This insofar as, by this same subjectivity, it expresses to a certain extent the own assessment of the anesthetist [15].…”

confidence: 90%

Assessment of the Inter-Individual Concordance of ASA PS Score versus ABCK: A Survey Carried Out Among Anaesthetists of Kinshasa City

Im¹,

Mvuama²,

Bwaka³

et al. 2018

Anesth Pain Res

View full text Add to dashboard Cite

show abstract

Assessing the Modified Frailty Index and Post-Operative Outcomes in Adhesive Small Bowel Obstruction: A Retrospective Cohort Study

Talwar,

McKechnie,

Patel

et al. 2024

Journal of Surgical Research

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Evaluation of cardiac risk in dental patients

et al. 2018

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Patients with cardiac disease, cardiac symptoms and related co-morbidities are increasingly being encountered in dental practice. Current methods of medical risk assessment can however be problematic. This paper represents a multi-speciality consensus on how to identify patients that may be more at risk of an adverse cardiac event occurring perio-operatively i.e. during or in the first few weeks after a dental procedure. Drawing on guidelines for surgery and the available literature, we present on an algorithm which aims to inform dental practitioners' decisions about which patients can be managed in primary care and which should be considered for assessment by a dental specialist together with a methodology thereof.

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Categorical measurements of subjectiveness: is there still a role for the ASA classification?

Cited by 3 publications

References 15 publications

Assessment of the Inter-Individual Concordance of ASA PS Score versus ABCK: A Survey Carried Out Among Anaesthetists of Kinshasa City

Assessment of the Inter-Individual Concordance of ASA PS Score versus ABCK: A Survey Carried Out Among Anaesthetists of Kinshasa City

Assessing the Modified Frailty Index and Post-Operative Outcomes in Adhesive Small Bowel Obstruction: A Retrospective Cohort Study

Evaluation of cardiac risk in dental patients

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