How good are anesthesiologists at choosing the correct American Society of Anesthesiologists physical status classification for their patients? Pretty good, according to the results of a recent analysis from the University of Iowa—at least when the ASA’s physical descriptors are used when making the decision.
“Then, to make the study a bit more scientific, we looked at patients who had a surgical encounter both before and after we made the change,” Dr. Marian said. “A lot of patients had multiple surgical encounters. We just looked at the ones who had operations just prior to and just after the change.”
“Perhaps the patients that we thought were healthy were not that healthy after all,” he said. “On the other hand, people that we thought were very unhealthy were perhaps better off than we initially thought.”