The Association Between ASA Status and Other Risk Stratification Models on Postoperative Intensive Care Unit Outcomes

Lupei, Monica I.; Chipman, Jeffrey G.; Beilman, Greg J.; Oancea, S. Cristina; Konia, Mojca Remskar

doi:10.1213/ane.0000000000000187

Cited by 27 publications

(18 citation statements)

References 29 publications

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“…In contrast, another study Cerit et al (9) found that the perioperative complication rate in ASA I patients was 1.9 %, while in ASA V patients complication rates were up to 60 %. Lupei MI et al (10) found that increased ASA physical status is associated with increased length of stay in surgical intensive care unit. They found that mortality was not related to age, it was related to comorbid diseases.…”

Section: Discussionmentioning

confidence: 99%

Perioperative regional anesthesia complications in geriatric patients: clinical report

Polat¹,

Aydın²,

Ergil³

et al. 2015

Okmeydani Medical Journal

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Section: Discussionmentioning

confidence: 99%

Perioperative regional anesthesia complications in geriatric patients: clinical report

Polat¹,

Aydın²,

Ergil³

et al. 2015

Okmeydani Medical Journal

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“…Several studies have investigated the mortality and post-operative complications in a wide variety of surgical populations, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] but in the majority of studies, observation time is short and appears to vary between in-hospital, 30-day, and 90-day mortality.…”

Section: Editorial Commentmentioning

confidence: 99%

Post‐operative serious adverse events in a mixed surgical population – a retrospective register study

Hansen

Petersen²,

Dahl

et al. 2016

Acta Anaesthesiol Scand

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“…1 The ASA-PS scale was revised, simplified, and used to evaluate perioperative mortality. 2,3 Many studies have revealed the correlation between ASA-PS and perioperative mortality. 4,5 …”

Section: Introductionmentioning

confidence: 99%

“…In these patients, surgery is completed for treatment and largely for palliative aims to lengthen life. 2 …”

Section: Introductionmentioning

confidence: 99%

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Comparison of Risk Scoring Systems to Predict the Outcome in ASA-PS V Patients Undergoing Surgery

et al. 2016

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Operative decision in American Society of Anesthesiology Physical Status (ASA-PS) V patient is difficult as this group of patients expected to have high mortality rate. Another risk scoring system in this ASA-PS V subset of patients can aid to ease this decision.Data of ASA-PS V classified patients between 2011 and 2013 years in a single hospital were analyzed in this study. Predicted mortality of these patients was determined with acute physiology and chronic health evaluations (APACHE) II, simplified acute physiology score (SAPS II), Charlson comorbidity index (CCI), Porthsmouth physiological and operative severity score for enumeration of mortality and morbidity (P-POSSUM), Surgical apgar score (SAS), and Goldman cardiac risk index (GCRI) scores. Observed and predicted mortality rates according to the risk indexes in these patients were compared at survivor and nonsurvivor group of patients. Risk stratification was made with receiver operator characteristic (ROC) curve analysis.Data of 89 patients were included in the analyses. Predicted mortality rates generated by APACHE II and SAPS II scoring systems were significantly different between survivor and nonsurvivor group of patients. Risk stratification with ROC analysis revealed that area under curve was 0.784 and 0.681 for SAPS II and APACHE II scoring systems, respectively. Highest sensitivity (77.3) is reached with SAPS II score.APACHE II and SAPS II are better predictive tools of mortality in ASA-PS V classified subset of patients. Discrimination power of SAPS II score is the best among the compared risk stratification scores. SAPS II can be suggested as an additional risk scoring system for ASA-PS V patients.

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The Association Between ASA Status and Other Risk Stratification Models on Postoperative Intensive Care Unit Outcomes

Abstract: Our study revealed that ASA physical status class is associated with increased SICU length of stay, mechanical ventilation, vasopressor treatment duration, NOD, readmission to ICU, and surgery risk is associated with NOD.

Cited by 27 publications

References 29 publications

Perioperative regional anesthesia complications in geriatric patients: clinical report

Perioperative regional anesthesia complications in geriatric patients: clinical report

Post‐operative serious adverse events in a mixed surgical population – a retrospective register study

Comparison of Risk Scoring Systems to Predict the Outcome in ASA-PS V Patients Undergoing Surgery

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