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Issue: No. 44 (2021)
Section: Article
Date Published: 25/12/2021
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Vo, N. H. P., Tran, V. D., Le, V. L., Vu, V. K. L., Nguyen, A. D., Dang, T. T., & Huynh, N. (2021). PRE-OPERATION PATIENT CLASSIFICATION USING ASA 2019 AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2021. Cantho Journal of Medicine and Pharmacy, 44, 57-63. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/1026

PRE-OPERATION PATIENT CLASSIFICATION USING ASA 2019 AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2021

Nguyen Hong Phuc Vo1, , Van Dang Tran2, Vu Linh Le2, Van Kim Long Vu2, Anh Duy Nguyen2, Thuy Tien Dang2, Nhu Huynh2
1 Can Tho University of Medicine and Pharmacy Hospital
2 Can Tho University of Medicine and Pharmacy

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Abstract

Background: ASA-PS classification has been applied to surgical patients all over the world preoperatively. The 2019 Amended ASA-PS was modified by new definitions, approved examples, especially definition for emergent patients. In Vietnam, there has not any independent study on ASAPS classification up to now. Objectives: determine the ratio of patients of each ASA class and determine patients’ underlying diseases. Materials and methods: This was a cross-sectional descriptive study, the sample size was ≥ 380, and the sampling method was convenience sampling. Results: There were 528 patients of both 5 emergent and elective operations included. The ratio of ASA were I (39.21%), II (33.52%), III (17.42%), I-E (6.06%), II-E (3.03%) and III-E (0.76%). None of the cases was classified as ASA IV/IV-E, V/V-E or VI. The most common patients’ health conditions were social alcohol drinker and current smoker. The most popular underlying diseases were diabetes mellitus, obesity, hypertension, cardiovascular diseases, mild respiratory diseases (history of asthma or pulmonary tuberculosis) and COPD. Conclusions: The ASA ratio were I (39.21%), II (33.52%), III (17.42%), I-E (6.06%), II-E (3.03%) and III-E (0.76%). Patients might have more than one health condition or underlying disease by pre-operative evaluation. 

Keywords

ASA-PS (American Society of Anesthesiologists Physical Status), patient classification

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