[Biomedical and clinimetric approaches in determining the causes of perioperative risk: developing a German ASA classification].
Perioperative risk research with biomedical (biochemical, physiological) methods must grow up as a main topic in surgical research. However, operative risk has also to be analysed with methods of clinimetrics, such as formal (objective) decision making and epidemiology. Only by this way a convincing practical dimension is added to basic scientific statements. ASA-classification of the preoperative physical status is a global index for estimating the operative risk. It contains objective findings, subjective impressions and the final clinical judgement. For this reason it is so flexible. For a multicentre trial on perioperative risk and histamine an empirical index was constructed using both the ASA-classification and the Mannheim-Munich risk check list.
Lorenz
W
W
Institut für Theoretische Chirurgie, Philipps-Universität, Marburg.
Dick
W
W
Junginger
T
T
Ohmann
C
C
Doenicke
A
A
Rothmund
M
M
D005860:Germany, West; D006305:Health Status Indicators; D006306:Health Surveys; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D012307:Risk Factors
Biomedizinische und klinimetrische Ansätze in der Ursachenforschung beim perioperativen Risiko: Erstellung einer deutschen ASA-Klassifikation.