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ASA Physical Status Classification

The ASA Score is a global measure used to assess a patient's physical status before surgery. It ranges from Class I for a completely healthy patient to Class V for a moribund patient not expected to live 24 hours. The score considers factors like existing medical conditions, the severity of diseases, and how much of a threat diseases pose to life. Modifiers are sometimes added to indicate emergency cases, pregnancy, or organ retrieval from brain-dead patients. The ASA Score provides a useful overview of a patient's general health and surgical risk.

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734 views2 pages

ASA Physical Status Classification

The ASA Score is a global measure used to assess a patient's physical status before surgery. It ranges from Class I for a completely healthy patient to Class V for a moribund patient not expected to live 24 hours. The score considers factors like existing medical conditions, the severity of diseases, and how much of a threat diseases pose to life. Modifiers are sometimes added to indicate emergency cases, pregnancy, or organ retrieval from brain-dead patients. The ASA Score provides a useful overview of a patient's general health and surgical risk.

Uploaded by

HUSAM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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American Society of

Anesthesiologists (ASA)
Score
American Society of Anesthesiologists (ASA) Score is a
global score that assesses the physical status of patients
before surgery.
It is sometimed refereed to as ASA-PS, because it is a
measure of ‘physical status’.
ASA 1 A normal healthy patient.
ASA 2 A patient with mild systemic disease.
ASA 3 A patient with severe systemic disease.
ASA 4 A patient with severe systemic disease that is a
constant threat to life.
ASA 5 A moribund patient who is not expected to
survive
There are modifications – the addition of “E” for an
emergency, the addition of  “P” for pregnancy, and ASA 6
for organ retrieval in brain-dead patients.
The ASA Score is a useful global measure of health.

Table 1. ASA Scores.

Class Physical status Example

I A completely healthy patient A fit patient with an inguinal hernia

II A patient with mild systemic Essential hypertension, mild diabetes


disease without end
organ damage

III A patient with severe systemic Angina, moderate to severe COPD


disease
that is not incapacitating

IV A patient with incapacitating Advanced COPD, cardiac failure


disease that
is a constant threat to life

V A moribund patient who is not Ruptured aortic aneurysm, massive


expected pulmonary
to live 24 hours with or without embolism
surgery

E Emergency case  

Table 2. CEPOD Scores

Grade 1 Elective
Operation at time to suit both surgeon and patient

Grade 2 Scheduled
Operation within 24 hours. Delayed operation after resuscitation

Grade 3 Urgent
Operation between 1 and 3 weeks. Early surgery preferred, but not
life saving

Grade 4 Emergency
Operation within 1 hour. Immediate operation or resuscitation
simultaneous with surgical treatment

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