ASA class is a reliable independent predictor of medical complications and mortality following surgery

Hackett, Nicholas J.; Oliveira, Gildàsio S. De; Jain, Umang; Kim, John Y.S.

doi:10.1016/j.ijsu.2015.04.079

Cited by 473 publications

(333 citation statements)

References 22 publications

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“…Nicholas firstly proposed that ASA score has a strong ability to predict surgical complications and perioperative mortality (21), and then Agostini showed that the risk of PCs increased by 3.9 times in patients with ASA score ≥3 after lung resection (4), our study also shows that ASA score was associated with MPCs in NSCLC patients after VATS lobectomy.…”

Section: Discussionmentioning

confidence: 51%

“…Previous studies on the prognosis of lung cancer are often focused on tumor size, lymph node metastasis, distant metastasis, chemotherapy sensitivity and other clinical pathology features (20). In recent years, more and more research began to focus on the patient's own factors, such as: the patient's physical condition, immune status, depression (21). However, the impact of perioperative complications on the outcome of the lung cancer patients has been seldom studied (11), this study is the first to determine the association between MPCs and long-term outcomes among patients undergoing VATS lobectomy for NSCLC.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer

Wang¹,

Li²,

Li³

et al. 2017

J. Thorac. Dis.

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Background: Pulmonary complications (PCs) may influence long-term survivor. We sought to determine the long-term impacts of major pulmonary complications (MPCs) and identify the independent risk factors in non-small cell lung cancer (NSCLC) patients. Conclusions: MPC after VATS lobectomy is associated with a poorer long-time outcome. The independent risk factors for MPCs were age, male and ASA grade.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer

Wang¹,

Li²,

Li³

et al. 2017

J. Thorac. Dis.

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“…Information about the American Society of Anesthesiologists Physical Status (ASA-PS) classification for the patients was also obtained 8) . …”

Section: Investigationmentioning

confidence: 99%

Surgical and general complications in 2,961 Japanese patients with cervical spondylotic myelopathy: Comparison of different age groups

Imajo

Taguchi

Neo

et al. 2017

Spine Surg Relat Res

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Abstract:Introduction: Details of surgical and general complications for patients with cervical spondylotic myelopathy (CSM) are still uncertain. The purpose of this study was to describe surgeries and their complications among Japanese patients with CSM. Methods: The Japanese Society for Spine Surgery and Related Research performed a nationwide survey on spine surgery and complications in 2011. Data of patients with 2,961 CSM >40 years old were included. The clinicopathological variables were basic demographic and clinical information, surgical information, and surgical and general complications. To examine the influence of age, variables were compared among three age groups: patients 40-64 (n=1,123), 65-74 (n=966), and ! 75 (n=872) years of age. Results: The study included 1,970 males and 991 females and the mean age was 64.3 years old. There were 168 anterior (5.7%) and 2,770 posterior (94.2%) approach surgeries. The vast majority of patients with CSM were treated using the posterior approach, 89.4% of whom had decompression surgery only. Anterior surgeries were more common in the younger age group, but posterior surgeries were equally distributed. The incidence of total complications including surgical/general complications was similar for the anterior (16/168; 9.5%) and posterior (295/2,770; 10.6%) approaches. No patient died on the operating table, but four patients (0.1%) died within one month after surgery. No association was detected between complications and age, comorbidity, and other surgical factors. The incidence of complications was similar for the different age groups. However general complications were predominantly observed in the older group and those who had instrumented surgery. Conclusions: The results indicate that the indication and surgical performance for patients with CSM is favorable in Japan, despite the super-aging population. Few serious complications were reported in this study. However, more detailed informed consent about surgical and, in particular, general complications is necessary for the older patients with CSM.

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“…The ASA grade takes into account disease severity and is a reliable metric for the measurement of postoperative mortality and complications19. The RCRI is used to estimate a patient's risk of perioperative cardiac complications, including cardiac death, non‐fatal myocardial infarction and non‐fatal cardiac arrest20.…”

Section: Methodsmentioning

confidence: 99%

Multicentre prospective cohort study of body mass index and postoperative complications following gastrointestinal surgery

Drake¹,

Nepogodiev²,

Chapman³

et al. 2016

British Journal of Surgery

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BackgroundThere is currently conflicting evidence surrounding the effects of obesity on postoperative outcomes. Previous studies have found obesity to be associated with adverse events, but others have found no association. The aim of this study was to determine whether increasing body mass index (BMI) is an independent risk factor for development of major postoperative complications.MethodsThis was a multicentre prospective cohort study across the UK and Republic of Ireland. Consecutive patients undergoing elective or emergency gastrointestinal surgery over a 4‐month interval (October–December 2014) were eligible for inclusion. The primary outcome was the 30‐day major complication rate (Clavien–Dindo grade III–V). BMI was grouped according to the World Health Organization classification. Multilevel logistic regression models were used to adjust for patient, operative and hospital‐level effects, creating odds ratios (ORs) and 95 per cent confidence intervals (c.i.).ResultsOf 7965 patients, 2545 (32·0 per cent) were of normal weight, 2673 (33·6 per cent) were overweight and 2747 (34·5 per cent) were obese. Overall, 4925 (61·8 per cent) underwent elective and 3038 (38·1 per cent) emergency operations. The 30‐day major complication rate was 11·4 per cent (908 of 7965). In adjusted models, a significant interaction was found between BMI and diagnosis, with an association seen between BMI and major complications for patients with malignancy (overweight: OR 1·59, 95 per cent c.i. 1·12 to 2·29, P = 0·008; obese: OR 1·91, 1·31 to 2·83, P = 0·002; compared with normal weight) but not benign disease (overweight: OR 0·89, 0·71 to 1·12, P = 0·329; obese: OR 0·84, 0·66 to 1·06, P = 0·147).ConclusionOverweight and obese patients undergoing surgery for gastrointestinal malignancy are at increased risk of major postoperative complications compared with those of normal weight.

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ASA class is a reliable independent predictor of medical complications and mortality following surgery

Abstract: ASA PS has strong, independent associations with post-operative medical complications and mortality across procedures. This capability, along with its simplicity, makes it a valuable prognostic metric.

Cited by 473 publications

References 22 publications

The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer

The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer

Surgical and general complications in 2,961 Japanese patients with cervical spondylotic myelopathy: Comparison of different age groups

Multicentre prospective cohort study of body mass index and postoperative complications following gastrointestinal surgery

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