Classification of comorbidity in trauma: agreement and reliability of the pre-injury ASA-PS Scale
نویسندگان
چکیده
Background Pre-injury comorbidity influence outcome in severely injured patients. Pre-injury comorbidity graded according to the American Society of Anesthesiologists Physical Status (ASA-PS) classification system (Table 1) is an independent predictor of survival in trauma patients, and is suggested as a comorbidity score in the Utstein Trauma Template. Little is known about the levels of agreement and reliability of pre-injury ASA-PS scores. The objective of the study was to examine if pre-injury ASA-PS was a reliable scale for grading comorbidity of trauma patients among a representative group of trauma registry coders.
منابع مشابه
Pre-injury ASA physical status classification is an independent predictor of mortality after trauma.
BACKGROUND The ability of an organism to withstand trauma is determined by the injury per se and inherent properties of the organism at the time of injury. We analyzed whether pre-injury morbidity scored on a four-level ordinal scale according to the American Society of Anesthesiologists Physical Status (ASA-PS) classification system predicts mortality after trauma. MATERIALS From a total of ...
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BACKGROUND Previous studies, which relied on hypothetical cases and chart reviews, have questioned the inter-rater reliability of the ASA physical status (ASA-PS) scale. We therefore conducted a retrospective cohort study to evaluate its inter-rater reliability and validity in clinical practice. METHODS The cohort included all adult patients (≥18 yr) who underwent elective non-cardiac surgery...
متن کاملبررسی سرانجام بیماران ترومایی بستری در بیمارستان امام حسین (ع) شاهرود با استفاده از متدولوژی TRISS
Background & Objectives: Trauma database in the form of a registry can provide necessary information for monitoring and modifying trauma care. These databases can be collected based on trauma and injury severity score (TRISS) method. The injury severity score (ISS) is based on an anatomic severity classification of injury called abbreviated injury scale (AIS). TRISS determines the probability o...
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BACKGROUND The American Society of Anesthesiologists physical status classification (ASA-PS) is used worldwide by anesthesia providers as an assessment of the preoperative physical status of patients. This assessment score has been inconsistently assigned by anesthesia providers among adult surgical patients. This study tested the reliability of assignment of ASA-PS classification among pediatr...
متن کاملVariability in the American Society of Anesthesiologists Physical Status Classification Scale.
The American Society of Anesthesiologists (ASA) Physical Status (PS) Classification is used worldwide by anesthesia providers as an assessment of the preoperative physical health of patients. This score also has been used in policy-making, performance evaluation, resource allocation, and reimbursement of anesthesia services and frequently is cited in clinical research. The purpose of this study...
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