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Date Published: 30/03/2023
Online Published: 30/03/2023
Abstract Views: 148
Views PDF: 74
DOI: https://doi.org/10.58490/ctump.2023i5.641
Issue
No. 5 (2023)
Section
Article
How to Cite
Le, L. V., Phan, K. H., Pham, K. A. T., Nguyen, A. D., Lam, K. T., & Vo, N. H. P. (2023). IDENTIFYING PREOPERATIVE PHYSICAL STATUS AND UNDERLYING DISEASES USING 2019 AMENDED ASA-PS CLASSIFICATION. Cantho Journal of Medicine and Pharmacy, 5, 57-64. https://doi.org/10.58490/ctump.2023i5.641

IDENTIFYING PREOPERATIVE PHYSICAL STATUS AND UNDERLYING DISEASES USING 2019 AMENDED ASA-PS CLASSIFICATION

Linh Vu Le1,2,, Kim Hue Phan1, Kieu Anh Tho Pham1, Anh Duy Nguyen2, Kim Tuyen Lam1, Nguyen Hong Phuc Vo1,2
1 Can Tho University of Medicine and Pharmacy
2 Can Tho University of Medicine and Pharmacy Hospital

Main Article Content

Abstract

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.

Article Details

Keywords

ASA-PS (American Society of Anesthesiologists), preoperative classification, underlying diseases, intraoperative complications, postoperative complications

References

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