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 Release 22.0, Sept. 2008
 
Chapter : ch31. Anesthesiology Section : Preoperative Patient Classification and Preparation
  American Society of Anesthesiologists Physical Status Classification System

  Online Excel Reference
Copyright (c) 2008-2010, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

The American Society of Anesthesiologist classification system is used to stratify patients preoperatively by risk.

 

ASA

Patient's Health

Status of Under-lying Disease

Limitations on Activities

Risk of Death

I

excellent; no systemic disease; excludes persons at extremes of age

none

none

none

II

disease of one body system

well-controlled

none

none

III

disease of more than one body system or one major system

controlled

present but not incapacitated

no immediate danger

IV

poor with at least 1 severe disease

poorly controlled or end stage

incapacitated

possible

V

very poor, moribund

 

incapacitated

imminent

 

where:

• ASA I excludes the very young and very old.

 

  References:

Camporesi EM, Greeley WJ, et al. Chapter 9: Anesthesia. pages 148-163 (page 156). IN: Sabiston DC Jr. Textbook of Surgery, 14th edition. W.B. Saunders Company. 1991.

Owens WD, Felts JA, Spitznagel EL Jr. ASA physical status classifications: A study of consistency of ratings. Anesthesiology. 1978; 49: 239-243.

 

 

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