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IDENTIFYING PREOPERATIVE PHYSICAL STATUS AND UNDERLYING DISEASES USING 2019 AMENDED ASA-PS CLASSIFICATION
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Background: ASA classification has been applied all over the world in premedication. 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 ASA- PS classification up to now. The addition of “E” denotes emergency surgery. Objectives: To determine the ratio of patients in each ASA class, their underlying diseases and complications that might happen intraoperative as well as postoperative. Materials and methods: This cross-sectional descriptive study was conducted at Anesthesiology Department of Can Tho University of Medicine and Pharmacy Hospital from January 2021 to December 2021, the sample size was ≥ 420, and the sampling method was convenience sampling. The sample included 528 patients of both emergent and elective operations included. Results: The ratios of ASA were I (39.21%), II (33.52%), III (17.42%), IE (6.06%), IIE (3.03%) and IIIE (0.76%). None of the cases was classified as ASA IV/IVE, V/VE or VI. The most common patients’ health conditions were social alcohol drinkers and current smokers. The most popular underlying diseases were diabetes mellitus, obesity, hypertension, CAD, mild respiratory diseases (history of asthma or mycobacterium tuberculosis) and COPD. Conclusions: The result showed that patients who came for operations were classified from ASA I to ASA III, IE to IIIE. The ASA I group was the most common. Patients might have more than one health condition or underlying diseases. The intraoperative complications belonged to cardiovascular diseases and respiratory diseases, they were all cured and there was no need for intensive care.
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ASA-PS (American Society of Anesthesiologists), preoperative classification, underlying diseases, intraoperative complications, postoperative complications
Tài liệu tham khảo
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