Deaths in Incorrectly Identified Low-Surgical-Risk Patients
Background The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with h...
Saved in:
Published in | World journal of surgery Vol. 42; no. 7; pp. 1997 - 2000 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Cham
Springer International Publishing
01.07.2018
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Background
The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with higher ASA grades (ASA ≥ 4). This study examined the course to death in patients classified as ASA 1 or 2 was examined, to investigate possible factors in unexpected deaths, in addition to evaluating the use of ASA grades by clinicians.
Methods
Patient data from the national surgical mortality audit of Australian hospitals were examined. The patient group was listed as ASA grade 1 or 2 by surgeons. Patients over 60 or under 20 were excluded in the final analysis, as were cases from New South Wales due to data not being available. A total of 357 cases were examined. Assessor summaries of the cases were examined, and ASA score reassessed to determine accuracy.
Results
More than 95% (
n
= 339) of cases listed as ASA 1 or 2 were found to have an incorrectly low grade, with 17.6% (
n
= 63) of cases listed as “expected” deaths.
Conclusion
ASA grades appear to be misunderstood in the reporting of patient surgical risk. Many patient summaries list patients with severe systemic disease or expected deaths as ASA 1 or 2, contrary to the intended use of this classification system. Improved education on the use of the ASA grading system would be beneficial to clinicians. |
---|---|
AbstractList | The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with higher ASA grades (ASA ≥ 4). This study examined the course to death in patients classified as ASA 1 or 2 was examined, to investigate possible factors in unexpected deaths, in addition to evaluating the use of ASA grades by clinicians.
Patient data from the national surgical mortality audit of Australian hospitals were examined. The patient group was listed as ASA grade 1 or 2 by surgeons. Patients over 60 or under 20 were excluded in the final analysis, as were cases from New South Wales due to data not being available. A total of 357 cases were examined. Assessor summaries of the cases were examined, and ASA score reassessed to determine accuracy.
More than 95% (n = 339) of cases listed as ASA 1 or 2 were found to have an incorrectly low grade, with 17.6% (n = 63) of cases listed as "expected" deaths.
ASA grades appear to be misunderstood in the reporting of patient surgical risk. Many patient summaries list patients with severe systemic disease or expected deaths as ASA 1 or 2, contrary to the intended use of this classification system. Improved education on the use of the ASA grading system would be beneficial to clinicians. BACKGROUNDThe American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with higher ASA grades (ASA ≥ 4). This study examined the course to death in patients classified as ASA 1 or 2 was examined, to investigate possible factors in unexpected deaths, in addition to evaluating the use of ASA grades by clinicians.METHODSPatient data from the national surgical mortality audit of Australian hospitals were examined. The patient group was listed as ASA grade 1 or 2 by surgeons. Patients over 60 or under 20 were excluded in the final analysis, as were cases from New South Wales due to data not being available. A total of 357 cases were examined. Assessor summaries of the cases were examined, and ASA score reassessed to determine accuracy.RESULTSMore than 95% (n = 339) of cases listed as ASA 1 or 2 were found to have an incorrectly low grade, with 17.6% (n = 63) of cases listed as "expected" deaths.CONCLUSIONASA grades appear to be misunderstood in the reporting of patient surgical risk. Many patient summaries list patients with severe systemic disease or expected deaths as ASA 1 or 2, contrary to the intended use of this classification system. Improved education on the use of the ASA grading system would be beneficial to clinicians. BackgroundThe American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with higher ASA grades (ASA ≥ 4). This study examined the course to death in patients classified as ASA 1 or 2 was examined, to investigate possible factors in unexpected deaths, in addition to evaluating the use of ASA grades by clinicians.MethodsPatient data from the national surgical mortality audit of Australian hospitals were examined. The patient group was listed as ASA grade 1 or 2 by surgeons. Patients over 60 or under 20 were excluded in the final analysis, as were cases from New South Wales due to data not being available. A total of 357 cases were examined. Assessor summaries of the cases were examined, and ASA score reassessed to determine accuracy.ResultsMore than 95% (n = 339) of cases listed as ASA 1 or 2 were found to have an incorrectly low grade, with 17.6% (n = 63) of cases listed as “expected” deaths.ConclusionASA grades appear to be misunderstood in the reporting of patient surgical risk. Many patient summaries list patients with severe systemic disease or expected deaths as ASA 1 or 2, contrary to the intended use of this classification system. Improved education on the use of the ASA grading system would be beneficial to clinicians. Background The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with higher ASA grades (ASA ≥ 4). This study examined the course to death in patients classified as ASA 1 or 2 was examined, to investigate possible factors in unexpected deaths, in addition to evaluating the use of ASA grades by clinicians. Methods Patient data from the national surgical mortality audit of Australian hospitals were examined. The patient group was listed as ASA grade 1 or 2 by surgeons. Patients over 60 or under 20 were excluded in the final analysis, as were cases from New South Wales due to data not being available. A total of 357 cases were examined. Assessor summaries of the cases were examined, and ASA score reassessed to determine accuracy. Results More than 95% (n = 339) of cases listed as ASA 1 or 2 were found to have an incorrectly low grade, with 17.6% (n = 63) of cases listed as “expected” deaths. Conclusion ASA grades appear to be misunderstood in the reporting of patient surgical risk. Many patient summaries list patients with severe systemic disease or expected deaths as ASA 1 or 2, contrary to the intended use of this classification system. Improved education on the use of the ASA grading system would be beneficial to clinicians. Abstract Background The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with higher ASA grades (ASA ≥ 4). This study examined the course to death in patients classified as ASA 1 or 2 was examined, to investigate possible factors in unexpected deaths, in addition to evaluating the use of ASA grades by clinicians. Methods Patient data from the national surgical mortality audit of Australian hospitals were examined. The patient group was listed as ASA grade 1 or 2 by surgeons. Patients over 60 or under 20 were excluded in the final analysis, as were cases from New South Wales due to data not being available. A total of 357 cases were examined. Assessor summaries of the cases were examined, and ASA score reassessed to determine accuracy. Results More than 95% ( n = 339) of cases listed as ASA 1 or 2 were found to have an incorrectly low grade, with 17.6% ( n = 63) of cases listed as “expected” deaths. Conclusion ASA grades appear to be misunderstood in the reporting of patient surgical risk. Many patient summaries list patients with severe systemic disease or expected deaths as ASA 1 or 2, contrary to the intended use of this classification system. Improved education on the use of the ASA grading system would be beneficial to clinicians. Background The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate surgical death risk. Patients with low ASA grades (ASA 1 or 2) are expected to have better surgical outcomes than patients with higher ASA grades (ASA ≥ 4). This study examined the course to death in patients classified as ASA 1 or 2 was examined, to investigate possible factors in unexpected deaths, in addition to evaluating the use of ASA grades by clinicians. Methods Patient data from the national surgical mortality audit of Australian hospitals were examined. The patient group was listed as ASA grade 1 or 2 by surgeons. Patients over 60 or under 20 were excluded in the final analysis, as were cases from New South Wales due to data not being available. A total of 357 cases were examined. Assessor summaries of the cases were examined, and ASA score reassessed to determine accuracy. Results More than 95% ( n = 339) of cases listed as ASA 1 or 2 were found to have an incorrectly low grade, with 17.6% ( n = 63) of cases listed as “expected” deaths. Conclusion ASA grades appear to be misunderstood in the reporting of patient surgical risk. Many patient summaries list patients with severe systemic disease or expected deaths as ASA 1 or 2, contrary to the intended use of this classification system. Improved education on the use of the ASA grading system would be beneficial to clinicians. |
Author | Maddern, G. J. Ludbrook, G. Babidge, W. J. McCulloch, G. A. J. Jones, C. R. |
Author_xml | – sequence: 1 givenname: C. R. surname: Jones fullname: Jones, C. R. email: charles.jones@student.adelaide.edu.au organization: Royal Australasian College of Surgeons, ANZASM – sequence: 2 givenname: G. A. J. surname: McCulloch fullname: McCulloch, G. A. J. organization: Royal Australasian College of Surgeons, ANZASM – sequence: 3 givenname: G. surname: Ludbrook fullname: Ludbrook, G. organization: Royal Australasian College of Surgeons, ANZASM – sequence: 4 givenname: W. J. surname: Babidge fullname: Babidge, W. J. organization: Royal Australasian College of Surgeons, ANZASM – sequence: 5 givenname: G. J. surname: Maddern fullname: Maddern, G. J. organization: Department of Hepatobiliary and Upper Gastrointestinal Surgery, The Queen Elizabeth Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29299646$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkEtLxDAUhYOM6Pj4AW6k4MZNNK8-gisdXyMDig9chjS91YyddkxaZP69GasigrjKhXzncPg20KBuakBoh5IDSkh66AlhSYYJTbEQLMV8BQ2p4AwzzvgADQlPRLgpX0cb3k9JABOSrKF1JpmUiUiG6OgUdPvsI1tH49o0zoFpq0U0LqBubWmhiCbNG77r3JM1usK31r9EN7q14dtvodVSVx62P99N9HB-dj-6xJPri_HoeIKNYIzjmBLN8jItC5MxGsd5LFiSFzqVQoIsYpLHoAnJKOiS5LwodA6ZNNTkUoJhgm-i_b537prXDnyrZtYbqCpdQ9N5RWUm0phlcRrQvV_otOlcHdZ9UJwnlPJA0Z4yrvHeQanmzs60WyhK1NKs6s2qIEwtzaplZvezuctnUHwnvlQGQPbAm61g8X-jery6OzknWcaX5azP-hCrn8D9mP3noneW-5Ta |
CitedBy_id | crossref_primary_10_1177_0218492319854888 crossref_primary_10_1097_ACO_0000000000000653 crossref_primary_10_1016_j_athoracsur_2019_09_060 crossref_primary_10_1111_ans_15386 |
Cites_doi | 10.1097/00000658-200108000-00007 10.1111/j.1365-2044.1995.tb04554.x 10.1302/0301-620X.87B6.15121 10.1016/S0016-5107(00)14079-9 10.1016/S1010-7940(97)01150-0 10.1186/s12911-016-0267-6 10.4103/0019-5049.79879 10.1093/bja/77.2.217 10.1016/S0090-4295(03)00570-3 10.1097/ALN.0000000000001541 10.1016/j.jss.2008.08.013 10.1213/ANE.0000000000000740 10.1016/j.jamcollsurg.2005.02.002 10.1097/01.sla.0000216508.95556.cc 10.1302/0301‐620X.87B6.15121 10.1186/s12911‐016‐0267‐6 10.4103/0019‐5049.79879 10.1016/S0016‐5107(00)14079‐9 10.1097/00000658‐200108000‐00007 10.1111/j.1365‐2044.1995.tb04554.x 10.1016/S0090‐4295(03)00570‐3 10.1016/S1010‐7940(97)01150‐0 |
ContentType | Journal Article |
Copyright | Société Internationale de Chirurgie 2018 2018 The Author(s) under exclusive licence to Société Internationale de Chirurgie World Journal of Surgery is a copyright of Springer, (2018). All Rights Reserved. |
Copyright_xml | – notice: Société Internationale de Chirurgie 2018 – notice: 2018 The Author(s) under exclusive licence to Société Internationale de Chirurgie – notice: World Journal of Surgery is a copyright of Springer, (2018). All Rights Reserved. |
DBID | NPM AAYXX CITATION 3V. 7QO 7T5 7X7 7XB 88E 8AO 8FD 8FI 8FJ 8FK ABUWG AFKRA BENPR CCPQU FR3 FYUFA GHDGH H94 K9. M0S M1P P64 PQEST PQQKQ PQUKI PRINS 7X8 |
DOI | 10.1007/s00268-017-4427-3 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Biotechnology Research Abstracts Immunology Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection Technology Research Database Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central ProQuest One Community College Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) AIDS and Cancer Research Abstracts ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) Biotechnology and BioEngineering Abstracts ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic |
DatabaseTitle | PubMed CrossRef Technology Research Database ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Pharma Collection ProQuest Central China ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection ProQuest Medical Library Biotechnology Research Abstracts ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) AIDS and Cancer Research Abstracts Immunology Abstracts Engineering Research Database ProQuest One Academic ProQuest Medical Library (Alumni) ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | PubMed MEDLINE - Academic Technology Research Database CrossRef |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1432-2323 |
EndPage | 2000 |
ExternalDocumentID | 10_1007_s00268_017_4427_3 29299646 WJSBF08833 |
Genre | article Journal Article |
GroupedDBID | --- -53 -5E -5G -BR -EM -Y2 -~C .55 .86 .GJ .VR 06C 06D 0R~ 0VY 123 199 1N0 1SB 2.D 203 28- 29R 29~ 2J2 2JN 2JY 2KG 2KM 2LR 2P1 2VQ 2~H 30V 36B 3O- 3V. 4.4 406 408 409 40D 40E 53G 5QI 5VS 67Z 6NX 78A 7X7 88E 8AO 8FI 8FJ 8TC 8UJ 95- 95. 95~ 96X AAAVM AABHQ AABYN AAFGU AAHNG AAIAL AAJKR AAKSU AANXM AANZL AAPBV AAQQT AARHV AARTL AATNV AATVU AAUYE AAWCG AAYFA AAYIU AAYQN AAYTO ABBBX ABBXA ABDZT ABECU ABFGW ABFTV ABHLI ABHQN ABIPD ABJNI ABJOX ABKAS ABKCH ABKTR ABLJU ABMNI ABMQK ABNWP ABOCM ABPLI ABPTK ABQBU ABSXP ABTEG ABTKH ABTMW ABULA ABUWG ABWNU ABXPI ACBMV ACBRV ACBXY ACBYP ACGFS ACHSB ACHVE ACHXU ACIGE ACIPQ ACIWK ACKNC ACMDZ ACMLO ACOKC ACOMO ACPRK ACTTH ACUDM ACVWB ACWMK ADBBV ADHHG ADHIR ADIMF ADINQ ADJJI ADKNI ADKPE ADMDM ADOXG ADRFC ADTPH ADURQ ADYFF ADZKW AEBTG AEEQQ AEFIE AEFTE AEGAL AEGNC AEJHL AEJRE AEKMD AENEX AEOHA AEPYU AEQTP AESKC AESTI AETLH AEVLU AEVTX AEXYK AFAFS AFEXP AFFNX AFJLC AFKRA AFLOW AFNRJ AFQWF AFRAH AFWTZ AFZKB AGAYW AGDGC AGGBP AGGDS AGJBK AGKHE AGMZJ AGQMX AGWIL AGWZB AGYKE AHAVH AHBYD AHIZS AHMBA AHSBF AHVUH AHYZX AIAKS AIIXL AILAN AIMYW AITGF AJBLW AJDOV AJRNO AJZVZ AKMHD AKQUC ALMA_UNASSIGNED_HOLDINGS ALWAN AMKLP AMXSW AMYLF AMYQR AOCGG ARMRJ ASPBG AVWKF AXYYD AZFZN B-. BA0 BBWZM BDATZ BENPR BGNMA BPHCQ BVXVI CAG CCPQU COF CS3 CSCUP DDRTE DL5 DNIVK DPUIP DU5 EBD EBLON EBS EIOEI EJD EMB EMOBN EN4 ESBYG F5P FEDTE FERAY FFXSO FIGPU FINBP FNLPD FRRFC FSGXE FWDCC FYUFA G-Y G-Z GGCAI GGRSB GJIRD GNWQR GQ6 GQ7 GQ8 GRRUI GXS HF~ HG5 HG6 HMCUK HMJXF HQYDN HRMNR HVGLF HZ~ I09 IHE IJ- IKXTQ IMOTQ ITM IWAJR IXC IZIGR IZQ I~X I~Z J-C J0Z J5H JBSCW JCJTX JZLTJ KDC KOV KOW KPH L7B LAS LLZTM M1P M4Y MA- N2Q N9A NB0 NDZJH NPVJJ NQJWS NU0 O9- O93 O9G O9I O9J OAM OVD P19 P2P P9S PF0 PQQKQ PROAC PSQYO PT4 PT5 Q2X QOK QOR QOS R4E R89 R9I RHV RIG RNI ROL RPX RRX RSV RZK S16 S1Z S26 S27 S28 S37 S3B SAP SCLPG SDE SDH SDM SHX SISQX SJYHP SMD SNE SNPRN SNX SOHCF SOJ SPISZ SRMVM SSLCW SSXJD STPWE SV3 SZ9 SZN T13 T16 TEORI TSG TSK TSV TT1 TUC U2A U9L UG4 UKHRP UNUBA UOJIU UTJUX UZXMN VC2 VFIZW W23 W48 WH7 WJK WK8 WXSBR X7M YLTOR Z45 Z7U Z7V Z7X Z81 Z82 Z83 Z87 Z8O Z8P Z8U Z8V Z8W Z91 Z92 ZA5 ZGI ZMTXR ZOVNA ~EX 1OC AACDK AAEOY AAJBT ABAKF ABQWH ACZOJ ADIYS AEFQL AFBBN AFFPM AGQEE AHBTC AIGIU AITYG ALIPV ALUQN H13 HGLYW MEWTI SUPJJ DCZOG NPM AAYXX CITATION 7QO 7T5 7XB 8FD 8FK FR3 H94 K9. P64 PQEST PQUKI PRINS 7X8 |
ID | FETCH-LOGICAL-c4223-510a2bf7fdc82155b5426bda7949e9d50b5ea0081eaf0b3ddabe89c1cb99ec243 |
IEDL.DBID | AGYKE |
ISSN | 0364-2313 |
IngestDate | Fri Aug 16 03:20:46 EDT 2024 Thu Oct 10 22:10:55 EDT 2024 Thu Sep 12 18:47:10 EDT 2024 Sat Sep 28 08:49:26 EDT 2024 Sat Aug 24 00:43:46 EDT 2024 Sat Dec 16 12:01:07 EST 2023 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 7 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c4223-510a2bf7fdc82155b5426bda7949e9d50b5ea0081eaf0b3ddabe89c1cb99ec243 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
PMID | 29299646 |
PQID | 1984336113 |
PQPubID | 47185 |
PageCount | 4 |
ParticipantIDs | proquest_miscellaneous_1984752857 proquest_journals_1984336113 crossref_primary_10_1007_s00268_017_4427_3 pubmed_primary_29299646 wiley_primary_10_1007_s00268_017_4427_3_WJSBF08833 springer_journals_10_1007_s00268_017_4427_3 |
PublicationCentury | 2000 |
PublicationDate | July 2018 |
PublicationDateYYYYMMDD | 2018-07-01 |
PublicationDate_xml | – month: 07 year: 2018 text: July 2018 |
PublicationDecade | 2010 |
PublicationPlace | Cham |
PublicationPlace_xml | – name: Cham – name: United States – name: Lupsingen |
PublicationSubtitle | Official Journal of the International Society of Surgery/Société Internationale de Chirurgie |
PublicationTitle | World journal of surgery |
PublicationTitleAbbrev | World J Surg |
PublicationTitleAlternate | World J Surg |
PublicationYear | 2018 |
Publisher | Springer International Publishing Springer Nature B.V |
Publisher_xml | – name: Springer International Publishing – name: Springer Nature B.V |
References | Sauvanet (CR10) 2005; 201 Eisen (CR6) 2000; 51 Daabiss (CR14) 2011; 55 CR5 Froehner (CR3) 2003; 62 Prause (CR11) 1997; 11 CR15 Marian (CR16) 2016; 16 Hurwitz (CR13) 2017; 126 Garcea (CR4) 2010; 159 Visnjevac (CR7) 2015; 121 Wolters (CR12) 1996; 77 Davenport (CR1) 2006; 243 Haynes, Lawler (CR2) 1995; 50 Ridgeway (CR8) 2005; 87 Tang (CR9) 2001; 234 2001; 234 1995; 50 1997; 11 2005; 201 2010; 159 2015; 121 2000; 51 2011; 55 2005; 87 2015 2014 2003; 62 2016; 16 2017; 126 2006; 243 1996; 77 e_1_2_7_5_2 e_1_2_7_4_2 e_1_2_7_3_2 e_1_2_7_2_2 e_1_2_7_9_2 e_1_2_7_8_2 e_1_2_7_7_2 e_1_2_7_6_2 e_1_2_7_17_2 e_1_2_7_16_2 e_1_2_7_15_2 e_1_2_7_14_2 e_1_2_7_13_2 e_1_2_7_12_2 e_1_2_7_11_2 e_1_2_7_10_2 |
References_xml | – volume: 234 start-page: 181 issue: 2 year: 2001 end-page: 189 ident: CR9 article-title: Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients publication-title: Ann Surg doi: 10.1097/00000658-200108000-00007 contributor: fullname: Tang – volume: 50 start-page: 195 issue: 3 year: 1995 end-page: 199 ident: CR2 article-title: An assessment of the consistency of ASA physical status classification allocation publication-title: Anaesthesia doi: 10.1111/j.1365-2044.1995.tb04554.x contributor: fullname: Lawler – volume: 87 start-page: 844 issue: 6 year: 2005 end-page: 850 ident: CR8 article-title: Infection of the surgical site after arthroplasty of the hip publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.87B6.15121 contributor: fullname: Ridgeway – volume: 51 start-page: AB76 issue: 4 year: 2000 ident: CR6 article-title: Do endoscopists utilize and understand the ASA grade? publication-title: Gastrointest Endosc doi: 10.1016/S0016-5107(00)14079-9 contributor: fullname: Eisen – volume: 11 start-page: 670 issue: 4 year: 1997 end-page: 675 ident: CR11 article-title: Comparison of two preoperative indices to predict perioperative mortality in non-cardiac thoracic surgery publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(97)01150-0 contributor: fullname: Prause – ident: CR15 – volume: 16 start-page: 29 year: 2016 ident: CR16 article-title: The influence of the type and design of the anesthesia record on ASA physical status scores in surgical patients: paper records vs. electronic anesthesia records publication-title: BMC Med Inform Decis Mak doi: 10.1186/s12911-016-0267-6 contributor: fullname: Marian – volume: 55 start-page: 111 issue: 2 year: 2011 end-page: 115 ident: CR14 article-title: American Society of Anaesthesiologists physical status classification publication-title: Indian J Anaesth doi: 10.4103/0019-5049.79879 contributor: fullname: Daabiss – volume: 77 start-page: 217 issue: 2 year: 1996 end-page: 222 ident: CR12 article-title: ASA classification and perioperative variables as predictors of postoperative outcome publication-title: Br J Anaesth doi: 10.1093/bja/77.2.217 contributor: fullname: Wolters – volume: 62 start-page: 698 issue: 4 year: 2003 end-page: 701 ident: CR3 article-title: Comparison of the American society of anesthesiologists physical status classification with the Charlson score as predictors of survival after radical prostatectomy publication-title: Urology doi: 10.1016/S0090-4295(03)00570-3 contributor: fullname: Froehner – volume: 126 start-page: 614 issue: 4 year: 2017 end-page: 622 ident: CR13 article-title: Adding examples to the ASA-physical status classification improves correct assignment to patients publication-title: Anesthesiology doi: 10.1097/ALN.0000000000001541 contributor: fullname: Hurwitz – ident: CR5 – volume: 159 start-page: 729 issue: 2 year: 2010 end-page: 734 ident: CR4 article-title: Preoperative early warning scores can predict in-hospital mortality and critical care admission following emergency surgery publication-title: J Surg Res doi: 10.1016/j.jss.2008.08.013 contributor: fullname: Garcea – volume: 121 start-page: 110 issue: 1 year: 2015 end-page: 116 ident: CR7 article-title: The effect of adding functional classification to ASA status for predicting 30-day mortality publication-title: Anesth Analg doi: 10.1213/ANE.0000000000000740 contributor: fullname: Visnjevac – volume: 201 start-page: 253 issue: 2 year: 2005 end-page: 262 ident: CR10 article-title: Mortality and morbidity after resection for adenocarcinoma of the gastroesophageal junction: predictive factors publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2005.02.002 contributor: fullname: Sauvanet – volume: 243 start-page: 636 issue: 5 year: 2006 end-page: 641 ident: CR1 article-title: National surgical quality improvement program (NSQIP) risk factors can be used to validate American Society of Anesthesiologists physical status classification (ASA PS) levels publication-title: Ann Surg doi: 10.1097/01.sla.0000216508.95556.cc contributor: fullname: Davenport – volume: 62 start-page: 698 issue: 4 year: 2003 end-page: 701 article-title: Comparison of the American society of anesthesiologists physical status classification with the Charlson score as predictors of survival after radical prostatectomy publication-title: Urology – volume: 11 start-page: 670 issue: 4 year: 1997 end-page: 675 article-title: Comparison of two preoperative indices to predict perioperative mortality in non‐cardiac thoracic surgery publication-title: Eur J Cardiothorac Surg – volume: 16 start-page: 29 year: 2016 article-title: The influence of the type and design of the anesthesia record on ASA physical status scores in surgical patients: paper records vs. electronic anesthesia records publication-title: BMC Med Inform Decis Mak – volume: 234 start-page: 181 issue: 2 year: 2001 end-page: 189 article-title: Risk factors for surgical site infection after elective resection of the colon and rectum: a single‐center prospective study of 2,809 consecutive patients publication-title: Ann Surg – volume: 50 start-page: 195 issue: 3 year: 1995 end-page: 199 article-title: An assessment of the consistency of ASA physical status classification allocation publication-title: Anaesthesia – volume: 77 start-page: 217 issue: 2 year: 1996 end-page: 222 article-title: ASA classification and perioperative variables as predictors of postoperative outcome publication-title: Br J Anaesth – volume: 87 start-page: 844 issue: 6 year: 2005 end-page: 850 article-title: Infection of the surgical site after arthroplasty of the hip publication-title: J Bone Joint Surg Br – volume: 51 start-page: AB76 issue: 4 year: 2000 article-title: Do endoscopists utilize and understand the ASA grade? publication-title: Gastrointest Endosc – volume: 126 start-page: 614 issue: 4 year: 2017 end-page: 622 article-title: Adding examples to the ASA‐physical status classification improves correct assignment to patients publication-title: Anesthesiology – volume: 243 start-page: 636 issue: 5 year: 2006 end-page: 641 article-title: National surgical quality improvement program (NSQIP) risk factors can be used to validate American Society of Anesthesiologists physical status classification (ASA PS) levels publication-title: Ann Surg – volume: 201 start-page: 253 issue: 2 year: 2005 end-page: 262 article-title: Mortality and morbidity after resection for adenocarcinoma of the gastroesophageal junction: predictive factors publication-title: J Am Coll Surg – volume: 159 start-page: 729 issue: 2 year: 2010 end-page: 734 article-title: Preoperative early warning scores can predict in‐hospital mortality and critical care admission following emergency surgery publication-title: J Surg Res – volume: 121 start-page: 110 issue: 1 year: 2015 end-page: 116 article-title: The effect of adding functional classification to ASA status for predicting 30‐day mortality publication-title: Anesth Analg – year: 2014 – year: 2015 – volume: 55 start-page: 111 issue: 2 year: 2011 end-page: 115 article-title: American Society of Anaesthesiologists physical status classification publication-title: Indian J Anaesth – ident: e_1_2_7_9_2 doi: 10.1302/0301‐620X.87B6.15121 – ident: e_1_2_7_16_2 – ident: e_1_2_7_17_2 doi: 10.1186/s12911‐016‐0267‐6 – ident: e_1_2_7_11_2 doi: 10.1016/j.jamcollsurg.2005.02.002 – ident: e_1_2_7_15_2 doi: 10.4103/0019‐5049.79879 – ident: e_1_2_7_2_2 doi: 10.1097/01.sla.0000216508.95556.cc – ident: e_1_2_7_7_2 doi: 10.1016/S0016‐5107(00)14079‐9 – ident: e_1_2_7_10_2 doi: 10.1097/00000658‐200108000‐00007 – ident: e_1_2_7_3_2 doi: 10.1111/j.1365‐2044.1995.tb04554.x – ident: e_1_2_7_6_2 – ident: e_1_2_7_4_2 doi: 10.1016/S0090‐4295(03)00570‐3 – ident: e_1_2_7_12_2 doi: 10.1016/S1010‐7940(97)01150‐0 – ident: e_1_2_7_8_2 doi: 10.1213/ANE.0000000000000740 – ident: e_1_2_7_14_2 doi: 10.1097/ALN.0000000000001541 – ident: e_1_2_7_13_2 doi: 10.1093/bja/77.2.217 – ident: e_1_2_7_5_2 doi: 10.1016/j.jss.2008.08.013 |
SSID | ssj0017606 |
Score | 2.3171718 |
Snippet | Background
The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used... The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used to estimate... Abstract Background The American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often... BackgroundThe American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used... BACKGROUNDThe American Society of Anesthesiologists (ASA) physical classification system was developed for assessing anaesthetic risk, but is often also used... |
SourceID | proquest crossref pubmed wiley springer |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 1997 |
SubjectTerms | Abdominal Surgery Cardiac Surgery Classification Evaluation Fatalities General Surgery Medical personnel Medicine Medicine & Public Health Original Scientific Report Patients Quality Risk Summaries Surgery Thoracic Surgery Vascular Surgery |
SummonAdditionalLinks | – databaseName: ProQuest Central dbid: BENPR link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwhV1LS8NAEF60XryI4iu-iOBJWUz2lQQPYtWiIkVai97C7mYDRUlqYxH_vbN51BZRz3kN3-zMfLszmUHoSHPw-5GfYMaowiwES5dpKDBJ_cTjJpWBLKstuuJmwO6e-XN94FbUZZWNTywddZJre0Z-CptjRqnwfXo-esN2apTNrtYjNBbREvGZTdMuta-7D71pHiEQXp2tZBiYDG3yml7ZRpQIW8gVgJwELG0-Mv2gmzOp0nkiW0aizipaqSmke1HpfA0tmGwdnV1ZLle4w8y9ta0prSN7_XSr_3BT4Jnuff6B-5Nx6elwb1i8uA9VT9ViAw0614-XN7gejIA1g3COwY4kUWmQJjqEkM0VhzirEgm2FZko4Z7iRtpgb2TqKZokUpkw0r5WUWQ0YXQTtbI8M9vI5UJJRjWTQAWZoMAXeOhL7UfwIOxfiYOOG1DiUdX_Ip52Oi4RjAHB2CIYUwftNbDFtSkU8bfiHHQ4vQyL2GYmZGbySXVPwEnIAwdtVXBPv0aAwEWCCQedNPjPvPx3UUipov-Fjp_u-u2OZ4cu7_wt_y5aBroUVsW6e6j1Pp6YfaAk7-qgXndfXMjX1g priority: 102 providerName: ProQuest |
Title | Deaths in Incorrectly Identified Low-Surgical-Risk Patients |
URI | https://link.springer.com/article/10.1007/s00268-017-4427-3 https://onlinelibrary.wiley.com/doi/abs/10.1007%2Fs00268-017-4427-3 https://www.ncbi.nlm.nih.gov/pubmed/29299646 https://www.proquest.com/docview/1984336113 https://search.proquest.com/docview/1984752857 |
Volume | 42 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3dT9swED9Bkaa9AGMblEGVSXva5CrxRxJrTy20Y7BVCFate4psx5FQUYpIK8T--p3zJRCbJp7y4MR2znfnn_07nwE-GIF-XwYp4ZxpwmO0dJXFIaFZkPrCZipSZbTFJDyZ8tOZmK0Bbbcu8nm_YSRLR92edXOrBRd3FWG1FA1jHTaEy_fVgY3Bl19no5Y7iEK_Zig5QfTCGi7zb5U8no2eQMwH9Ohj8FrOPuOt6kRgUSYtdEEn8_5qqfvm99OUjs_4sW3YrMGoN6i05xWs2XwHXnyv6fbX8PnYAcTCu8q9ry7fpfOO1_dedbg3Q_DqfVvckcvVbek-ycVVMffOq0StxRuYjkc_jk5IfdsCMRwxAkHjVFRnUZaaGHGA0AInb50qNFhpZSp8LaxyCMKqzNcsTZW2sTSB0VJaQzl7C518kds98ESoFWeGK8SXPGQIQkQcKBNI_BAXxbQLHxupJzdVUo2kTZ9ciiNBcSROHAnrwkEzLkltX0USyJgzFgYBFr9vi9EyHN2hcrtYVe9EgsYi6sJuNZ5taxRRoQx52IVPzaA8qPzfXaGlDvy_08nP08vh2Hc3Oe8_q4l38BIhWVwFBB9AZ3m7socIe5a6B-vRLOqhto-Hw0mv1np8DkeT8wssndLBH6nn9v4 |
link.rule.ids | 315,786,790,12083,21416,27955,27956,31752,31753,33777,33778,41114,41556,42183,42625,43343,43838,52144,52267,74100,74657 |
linkProvider | Springer Nature |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwhV1ZT9wwEB61y0P7gkClJeVKJZ5AVhNfScQD4lotdFkhDsGbZTuOtKLKAmGF-PeMcyygqu1zrtE3npnPnskMwKYV6PezOCecM0N4ipaui1QSWsR5JFyhE11XW4zk4Iqf3Iib9sCtassqO59YO-p8Yv0Z-U_cHHPGZByz3bt74qdG-exqO0LjI8z5lptpD-b2j0Zn57M8QiKjNlvJCTIZ1uU1o7qNKJW-kCtBOSla2vvI9AfdfJMqfU9k60jUX4D5lkKGe43OF-GDK7_AzqHnclU4LsNj35rSO7Lfz2HzH26BPDMcTp7IxfSh9nTkfFzdhmdNT9VqCa76R5cHA9IORiCWYzgnaEeamiIpcptiyBZGYJw1uUbbylyWi8gIp32wd7qIDMtzbVya2diaLHOWcvYVeuWkdMsQCmk0Z5ZrpIJcMuQLIo21jTN8EPevNICtDhR11_S_ULNOxzWCChFUHkHFAljtYFOtKVTqVXEB_JhdxkXsMxO6dJNpc08iaCqSAL41cM--RpHAZZLLALY7_N-8_O-i0FpF_xdaXZ9c7PcjP3T5-7_l34BPg8vToRoej36twGekTmlTuLsKvceHqVtDevJo1ts1-AK5QNrM |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwhV1bS9xAFD5UC-KLVOol1WoKPlUGk7kloQ_F27JrRcQL7tswM5nAYsmuGxfpv--ZXLaKaJ83mxy-mXO-b3JOzgHYswLjfhbnhHNmCE_R03WRSkKLOI-EK3Si62qLC9m_5WdDMWzrn6q2rLKLiXWgzsfWvyM_wMMxZ0zGMTso2rKIy5Pez8kD8ROkfKa1HaexAB-RJSM_xiEZzg9fcSKjNm_JCWoa1mU4o7qhKJW-pCtBiyn63EuOeiU8nyVNX0rampN6n2ClFZPhYbP6q_DBlZ_hx4lXdVU4KsOBb1LpQ9rvP2HzRW6BijM8Hz-R69m0jnnkalTdh5dNd9VqDW57pzfHfdKOSCCWI7ET9ChNTZEUuU2RvIURyLgm1-hlmctyERnhtKd9p4vIsDzXxqWZja3JMmcpZ-uwWI5LtwmhkEZzZrlGUcglQ-Ug0ljbOMM_4kmWBvC9A0VNmk4Yat7zuEZQIYLKI6hYANsdbKp1ikr9W8IAvs1_xu3scxS6dONZc00iaCqSADYauOdPoyjlMsllAPsd_s9u_rYptF6i_xut7s6uj3qRH7_85X37d2EJN586H1z82oJl1FBpU8G7DYuP05n7ijrl0ezUG_AvV8fdiQ |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Deaths+in+Incorrectly+Identified+Low%E2%80%90Surgical%E2%80%90Risk+Patients&rft.jtitle=World+journal+of+surgery&rft.au=Jones%2C+C.+R.&rft.au=McCulloch%2C+G.+A.+J.&rft.au=Ludbrook%2C+G.&rft.au=Babidge%2C+W.+J.&rft.date=2018-07-01&rft.pub=Springer+International+Publishing&rft.issn=0364-2313&rft.eissn=1432-2323&rft.volume=42&rft.issue=7&rft.spage=1997&rft.epage=2000&rft_id=info:doi/10.1007%2Fs00268-017-4427-3&rft.externalDBID=10.1007%252Fs00268-017-4427-3&rft.externalDocID=WJSBF08833 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0364-2313&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0364-2313&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0364-2313&client=summon |