Evidence map›Paper›PMID 31575418›Full record

ArticleAmerican journal of surgery2019

The role of the American Society of anesthesiologists physical status classification in predicting trauma mortality and outcomes.

Catherine M Kuza, Kazuhide Matsushima, Wendy J Mack, Christopher Pham, Talia Hourany, Jessica Lee, Thang D Tran, Roman Dudaryk, Michelle B Mulder, Miguel A Escanelle and 14 more

Registry-linked trialAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07727980 (Tissue Preservation in Immediate 1C Implants Using an Anatomical Prefabricated Healing Abutment), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07727980 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Tissue Preservation in Immediate 1C Implants Using an Anatomical Prefabricated Healing Abutment

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2026 to 2028Enrolled30ConditionsTooth Loss, Dental Implant, Clinical Trials, Randomized Controlled TrialArmsscannable anatomical healing abutment, Standard Healing Abutment for Dental Implants
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Trauma-related mortality in a European region with an intermediately mature trauma system: a comprehensive population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Observational
  4. Observational
  5. ASA score is an independent predictor of 1-year outcome after moderate-to-severe traumatic brain injury.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Catherine M KuzaDepartment of Anesthesiology, Keck School of Medicine of the University of Southern California (USC), 1450 San Pablo St., Suite 3600, Los Angeles, CA, 90033, USA. Electronic address: Catherine.kuza@gmail.com.
Kazuhide MatsushimaDepartment of Surgery, Keck School of Medicine of USC, 1450 San Pablo St., Suite 3600, Los Angeles, CA, 90033, USA.
Wendy J MackDepartment of Preventive Medicine, Keck School of Medicine of USC, 1450 San Pablo St., Suite 3600, Los Angeles, CA, 90033, USA.
Christopher PhamDepartment of Anesthesiology, Keck School of Medicine of the University of Southern California (USC), 1450 San Pablo St., Suite 3600, Los Angeles, CA, 90033, USA.
Talia HouranyDepartment of Anesthesiology, Keck School of Medicine of the University of Southern California (USC), 1450 San Pablo St., Suite 3600, Los Angeles, CA, 90033, USA.
Jessica LeeDepartment of Anesthesiology, Keck School of Medicine of the University of Southern California (USC), 1450 San Pablo St., Suite 3600, Los Angeles, CA, 90033, USA.
Thang D TranDepartment of Anesthesiology, Keck School of Medicine of the University of Southern California (USC), 1450 San Pablo St., Suite 3600, Los Angeles, CA, 90033, USA.
Roman DudarykDivision of Trauma Anesthesia, Department of Anesthesiology, Ryder Trauma Center, Jackson Memorial Hospital, University of Miami Leonard M. Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Michelle B MulderDivision of Trauma Anesthesia, Department of Anesthesiology, Ryder Trauma Center, Jackson Memorial Hospital, University of Miami Leonard M. Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Miguel A EscanelleDivision of Trauma Anesthesia, Department of Anesthesiology, Ryder Trauma Center, Jackson Memorial Hospital, University of Miami Leonard M. Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Babatunde OgunnaikeDepartment of Anesthesiology & Pain Management, The Rees-Jones Trauma Center, Parkland Health and Hospital System, 5201 Harry Hines Blvd, Dallas, TX, 75235, USA.
M Iqbal AhmedDepartment of Anesthesiology, Cardiac Anesthesia Division, Children's Medical Center, UTSW Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.
Xi LuoDepartment of Anesthesiology & Pain Management, The Rees-Jones Trauma Center, Parkland Health and Hospital System, 5201 Harry Hines Blvd, Dallas, TX, 75235, USA.
Alexander EastmanDivision of Burns, Trauma, & Critical Care, Rees-Jones Trauma Center at Parkland, UTSW Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.
Jonathan B ImranDivision of Burns, Trauma, & Critical Care, Rees-Jones Trauma Center at Parkland, UTSW Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.
Emily MelikmanDepartment of Anesthesiology & Pain Management, The Rees-Jones Trauma Center, Parkland Health and Hospital System, 5201 Harry Hines Blvd, Dallas, TX, 75235, USA.
Abu MinhajuddinDepartment of Clinical Sciences, UTSW Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.
Anne FeelerDepartment of Anesthesiology & Pain Management, The Rees-Jones Trauma Center, Parkland Health and Hospital System, 5201 Harry Hines Blvd, Dallas, TX, 75235, USA.
Richard D UrmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Ali SalimDepartment of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Dean SpencerDepartment of Surgery, Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, 333 City Blvd. West, Suite 1600, Orange, CA, 92868, USA.
Viktor GabrielDepartment of Surgery, Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, 333 City Blvd. West, Suite 1600, Orange, CA, 92868, USA.
Divya RamakrishnanDepartment of Surgery, Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, 333 City Blvd. West, Suite 1600, Orange, CA, 92868, USA.
Jeffry T NahmiasDepartment of Surgery, Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, 333 City Blvd. West, Suite 1600, Orange, CA, 92868, USA.

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855
6 · The paper itself

Abstract

backgroundTrauma prediction scores such as Revised Trauma Score (RTS) and Trauma and Injury Severity Score (TRISS)) are used to predict mortality, but do not include comorbidities. We analyzed the American Society of Anesthesiologists physical status (ASA PS) for predicting mortality in trauma patients undergoing surgery.

methodsThis multicenter, retrospective study compared the mortality predictive ability of ASA PS, RTS, Injury Severity Score (ISS), and TRISS using a complete case analysis with mixed effects logistic regression. Associations with mortality and AROC were calculated for each measure alone and tested for differences using chi-square.

resultsOf 3,042 patients, 230 (8%) died. The AROC for mortality for TRISS was 0.938 (95%CI 0.921, 0.954), RTS 0.845 (95%CI 0.815, 0.875), and ASA PS 0.886 (95%CI 0.864, 0.908). ASA PS + TRISS did not improve mortality predictive ability (p = 0.18).

conclusionsASA PS was a good predictor of mortality in trauma patients, although combined with TRISS it did not improve predictive ability.

Indexed as

AnesthesiologistsAdultFemaleHumansLength of StayMaleMiddle AgedPredictive Value of TestsRespiration, ArtificialRetrospective StudiesSocieties, MedicalTrauma Severity IndicesUnited StatesWounds and InjuriesASA PSMortalityOutcomesPredictorsTrauma scores

Identifiers

PMID31575418
PMCPMC8421011

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.