Abstract
The effect of patient fitness on perioperative and post-discharge complications has been reviewed in 6565 consecutive day cases. American Society of Anesthesiology (ASA) classification class III patients had a significantly higher incidence of complications (5.98%) than combined ASA I and II patients (2.48%). Most complications were directly related to the surgery performed. The increased incidence of complications in ASA III patients was partly due to increased medically-related complications but also to a disproportionately high incidence of post-discharge surgical complications in patients undergoing lens extraction under local anaesthetic. Too few ASA III patients underwent general anaesthesia in this series to provide a reliable measure of the influence of anaesthesia on medically-related complications in less fit patients.
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