ArticleBMC musculoskeletal disorders2017
The relationship between preoperative American Society of Anesthesiologists Physical Status Classification scores and functional recovery following hip-fracture surgery.
Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Risk factors for perioperative acute heart failure in older hip fracture patients and establishment of a nomogram predictive model.Journal of orthopaedic surgery and research · 2023Trial
- Effect of different anaesthetic techniques on gene expression profiles in patients who underwent hip arthroplasty.PloS one · 2019Trial
- Associations between preoperative american society of anesthesiologists physical status classification and postoperative outcomes in patients undergoing vertebroplasty.Clinics (Sao Paulo, Brazil) · 2026Article
- Quality of life and cost-utility analysis in patients with femoral neck fracture: a propensity score matching study comparing monopolar hemiarthroplasty and total hip arthroplasty.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Significance of Preoperative Multidisciplinary Assessment with 30-Second Sit-to-Stand and Timed Up-and-Go Tests in Predicting Postoperative Outcomes.Journal of clinical medicine · 2025Article
- Impact of the American Society of Anesthesiologists (ASA) classification on hip fracture surgery outcomes: insights from a retrospective analysis.BMC anesthesiology · 2024Article
- Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study.Journal of clinical medicine · 2023Article
- Predictors of mobility status one year post hip fracture among community-dwelling older adults prior to fracture: A prospective cohort study.Journal of the American Geriatrics Society · 2023Article
- High grade femoral stem subsidence in uncemented hip hemiarthroplasty - A radiographic analysis and an early prediction while treating femoral neck fractures.International orthopaedics · 2023Article
- Article
- Effect of Postoperative Non-Weight-Bearing in Trochanteric Fracture of the Femur: A Retrospective Cohort Study Using Propensity Score Matching.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Article
- Early postoperative Barthel index score and long-term walking ability in patients with trochanteric fractures walking independently before injury: a retrospective cohort study.Archives of orthopaedic and trauma surgery · 2021Article
- Prognostic factors related to ambulation deterioration after 1-year of geriatric hip fracture in a Chinese population.Scientific reports · 2021Article
- Femoral Stem Subsidence and its Associated Factors after Cementless Bipolar Hemiarthroplasty in Geriatric Patients.Malaysian orthopaedic journal · 2021Article
- Developing a Simpler Prognosticating Tool: Comparing the Combined Assessment of Risk Encountered in Surgery Score with Deyo-Charlson Comorbidity Index and The American Society of Anesthesiologists Physical Status Score in Predicting 2 years Mortality after Hip Fracture Surgery.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Predictive ability of the American Society of Anaesthesiologists physical status classification system on health-related quality of life of patients after total hip replacement: comparisons across eight EQ-5D-3L value sets.BMC musculoskeletal disorders · 2020Article
- Effect of epidural block anesthesia combined with general anesthesia on postoperative cognitive ability of elderly patients undergoing thoracoscopic surgery.International journal of clinical and experimental pathology · 2020Review
- Influence of mobilization and weight bearing on in-hospital outcome in geriatric patients with hip fractures.SICOT-J · 2019Article
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Authors and funding
7 authors.
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Abstract
backgroundLittle is known about the relationship of the American Society of Anesthesiologists Physical Status Classification scores (ASA scores) on patient outcomes following hip fracture surgery in Asian countries. Therefore, this study explored the association of patients' preoperative ASA scores on trajectories of recovery in physical functioning and health outcomes during the first year following postoperative discharge for older adults with hip-fracture surgery in Taiwan.
methodsThe data for this study was generated from three prior studies. Participants (N = 226) were older hip-fracture patients from an observational study (n = 86) and two clinical trials (n = 61 and n = 79). Participants were recruited from the trauma wards of one medical center in northern Taiwan and data was collected prior to discharge and at 1, 3, 6, and 12 months after hospital discharge. Participants were grouped as ASA class 1-2 (50.5%; ASA Class 1, n = 7; ASA Class 2, n = 107) and ASA class 3 (49.5%, n = 112). Measures for mortality, service utilization, activities of daily living (ADL), measured by the Chinese Barthel Index, and health related quality of life, measured by Medical Outcomes Study Short Form-36, were assessed for the two groups. Generalized estimating equations (GEE) were used to analyze the changes over time for the two groups.
resultsDuring the first year following hip-fracture surgery, ASA class 1-2 participants had significantly fewer rehospitalizations (6%, p = .02) and better scores for mental health (mean = 70.29, standard deviation = 19.03) at 6- and 12-months following discharge than those classified as ASA 3. In addition, recovery of walking ability (70%, p = .001) and general health (adjusted mean = 58.31, p = .003) was also significantly better than ASA 3 participants.
conclusionsThere was a significant association of hip-fracture patients classified as ASA 1-2 with better recovery and service utilization during the first year following surgery. Interventions for hip fractured patients with high ASA scores should be developed to improve recovery and quality of life.
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