[Preoperative risk assessment with the ASA classification. A prospective study of morbidity and mortality in various ASA classes in 2,937 patients in general surgery].
The value of ASA classification in assessment of perioperative risk, i.e. especially postoperative morbidity, was analyzed prospectively using the data of 2937 patients. The analysis took into account the criteria validity, reliability, and sensitivity. The incidence of post-operative morbidity after elective surgery rose from 3.9% in ASA class I to 36% in ASA class IV. Mortality was 0.6% in ASA class II, whereas 9.3% died in ASA class IV. Morbidity, mortality respectively, after emergency surgery was 10.2% in ASA class II compared to 69% in class IV, mortality 1.4% compared to 21.5%. Differences between the ASA classes were confirmed (p-value < 0.05) considering separate kinds of complications and different periods. Furthermore, ASA classification was a valuable reference to length of stay and severity of necessary therapy at the ICU.
Menke
H
H
Klinik für Allgemein- und Abdominalchirurgie, Universität Mainz.
John
K D
KD
Klein
A
A
Lorenz
W
W
Junginger
T
T
D000328:Adult; D000368:Aged; D002423:Cause of Death; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D011446:Prospective Studies; D015203:Reproducibility of Results; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000401:mortality*
Präoperative Risikoeinschätzung mit der ASA-Klassifikation. Eine prospektive Untersuchung zu Morbidität und Letalität in verschiedenen ASA-Klassen bei 2937 Patienten mit allgemeinchirurgischen Operationen.