Use of the ASA Physical Status Grading System in pediatric practice

Aplin, Stephanie C.; Baines, David; Lima, Jonathan De

doi:10.1111/j.1460-9592.2006.02094.x

Cited by 71 publications

(45 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…ASA physical score data must be used aware of its limitations. The ASA physical score showed a high interrater inconsistency in pediatric patients (12,13). Interrater reliability could be enhanced by grouping the ASA physical status grades I/II and ASA III/IV (13).…”

Section: Discussionmentioning

confidence: 99%

Incidence and predictors of difficult laryngoscopy in 11.219 pediatric anesthesia procedures

Heinrich¹,

Birkholz²,

Ihmsen

et al. 2012

Pediatric Anesthesia

207

146

View full text Add to dashboard Cite

The general incidence of difficult laryngoscopy in pediatric anesthesia is lower than in adults. Our results show that the risk of difficult laryngoscopy is much higher in patients below 1 year of age, in underweight patients and in ASA III and IV patients. The underlying disease might also contribute to the risk. If the Mallampati score could be obtained, prediction of difficult laryngoscopy seems to be reliable. Our data support the existing recommendations for a specialized anesthesiological team to provide safe anesthesia for infants and neonates.

show abstract

Section: Discussionmentioning

confidence: 99%

Incidence and predictors of difficult laryngoscopy in 11.219 pediatric anesthesia procedures

Heinrich¹,

Birkholz²,

Ihmsen

et al. 2012

Pediatric Anesthesia

207

146

View full text Add to dashboard Cite

show abstract

“…The classification of ASA physical status may be more variable for children and pregnant women. Aplin et al reported a variation of up to three ASA physical status scores when 15 paediatric scenarios were analysed by 130 paediatric specialist anaesthetists . Many of their respondents described modifying the ASA scheme and they suggested that a system specific to children should be designed and validated to reduce variability.…”

Section: Reliability In Paediatrics and Obstetricsmentioning

confidence: 99%

A review of ASA physical status – historical perspectives and modern developments

2019

View full text Add to dashboard Cite

Summary The American Society of Anesthesiologists (ASA) physical status is a tool commonly used to classify a patient's physical fitness before surgery. Since its introduction in 1941 it has undergone very few modifications to improve its reliability and to eliminate subjectivity, despite vast changes in both surgical and anaesthetic technique. We present the history of the ASA physical status and review the literature on its applicability to contemporary anaesthetic practice.

show abstract

“…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: 64%

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

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.

show abstract

Use of the ASA Physical Status Grading System in pediatric practice

Cited by 71 publications

References 19 publications

Incidence and predictors of difficult laryngoscopy in 11.219 pediatric anesthesia procedures

Incidence and predictors of difficult laryngoscopy in 11.219 pediatric anesthesia procedures

A review of ASA physical status – historical perspectives and modern developments

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

Contact Info

Product

Resources

About