ArticleScientific reports2022
Discordant American Society of Anesthesiologists Physical Status Classification between anesthesiologists and surgeons and its correlation with adverse patient outcomes.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- GPT-4o-Powered Preanesthetic AI: Development and Validation Study.JMIR medical informatics · 2026Article
- HeLP-BAG score: a novel data-driven scoring system for predicting post-operative 30-day mortality using 24-hour preoperative data.BMC anesthesiology · 2026Article
- Artificial Intelligence for American Society of Anesthesiologists Physical Status Classification: Agreement with Clinician Consensus and Temporal Stability Analysis.Journal of clinical medicine · 2026Article
- Evaluation of the reliability of large language models for ASA-PS classification in cardiovascular surgery: a pilot study.JA clinical reports · 2026Article
- Association Between ASA Physical Status Classification and Postoperative Intensive Care Requirement in Pediatric Patients Undergoing Dental Treatment Under General Anesthesia: A Retrospective Study.Healthcare (Basel, Switzerland) · 2026Article
- Assessing Racial Bias Within American Society of Anesthesiologists Classification.The Journal of surgical research · 2026Article
- Surveying prioritisation for emergency surgery - do the specialties involved agree?BMC surgery · 2026Article
- Frailty index comparison in predicting postoperative outcomes in hepatic cystic echinococcosis: a nested case-control study.BMC surgery · 2026Article
- Surgeon decision-making and implant selection in primary total knee arthroplasty: association of training, experience, and robotic-assisted surgical innovation with implant selection.Frontiers in medicine · 2026Article
- Perioperative Artificial Intelligence Driven Integrated Modeling of Surgeries using Anesthetic, Physical and Cognitive Statuses for Predicting Hospital Outcomes.Research square · 2025Article
- Secular Trends in Hip Fracture Mortality and Predictors of Mortality From the NSQIP Database.The Journal of clinical endocrinology and metabolism · 2025Article
- Comparative performance of logistic regression, multilayer perceptron and decision tree models for predicting surgical pressure injuries: a retrospective cohort study.BMJ health & care informatics · 2025Article
- Who is Completing Patient-Reported Outcome Measures following Total Hip Arthroplasty? An Investigation of Completion Characteristics to Inform the Age of Mandatory Reporting Rates.Arthroplasty today · 2025Article
- Managing Brugada Syndrome in a Private Dental Practice: A Structured Case-Based Review.Cureus · 2025Article
- Correlation between admission hyperglycemia and postoperative pneumonia after hip fracture surgery: A propensity score-matched study.Scientific reports · 2024Article
- Machine learning used to determine features of importance linked to overnight stay after patellar tendon repair.Journal of orthopaedics · 2024Article
- Comparison of NLP machine learning models with human physicians for ASA Physical Status classification.NPJ digital medicine · 2024Article
- Short-Term Outcomes of Total Knee Arthroplasty Using a Conventional, Computer-Assisted, and Robotic Technique: A Pilot Clinical Trial.Journal of clinical medicine · 2024Article
- Comorbidity data collection across different spine registries: an evidence map.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Review
- Defining complexity in anaesthesia: description and validation of the Oxford Anaesthetic Complexity (OxAnCo) score.Anaesthesia · 2022Article
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6 authors.
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Abstract
The American Society of Anesthesiologists Physical Status Classification (ASA) is used for communication of patient health status, risk scoring, benchmarking and financial claims. Prior studies using hypothetical scenarios have shown poor concordance of ASA classification among healthcare providers. There is a paucity of studies using clinical data, and of clinical factors or patient outcomes associated with discordant classification. The study aims to assess ASA classification concordance between surgeons and anesthesiologists, factors surrounding discordance and its impact on patient outcomes. This retrospective cohort study was conducted in a tertiary medical center on 46,284 consecutive patients undergoing elective surgery between January 2017 and December 2019. The ASA class showed moderate concordance (weighted Cohen's κ 0.53) between surgeons and anesthesiologists. We found significant associations between discordant classification and patient comorbidities, age and race. Patients with discordant classification had a higher risk of 30-day mortality (odds ratio (OR) 2.00, 95% confidence interval (CI) = 1.52-2.62, p < 0.0001), 1-year mortality (OR 1.53, 95% CI = 1.38-1.69, p < 0.0001), and Intensive Care Unit admission > 24 h (OR 1.69, 95% CI = 1.47-1.94, p < 0.0001). Hence, there is a need for improved standardization of ASA scoring and cross-specialty review in ASA-discordant cases.
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