Abstract
Background: In this prospective study of 859 surgical patients in a tertiary research hospital, we examined the association between ASA physical status classification and Intraoperative Therapeutic Intervention Score (I-TIS). Methodology: All patients were assigned by ASA classification before the operation and received a value of 1-4 points for I-TIS score during surgical procedures. Surgical complexity was also classified and correlation with I-TIS was examined. Results: The correlation coefficient of the ASA with I-TIS was r=0.55 (p25 and surgical complexity of major plus were admitted to the intensive care unit. Two of them were followed up six hours and the other three stayed more than 24 hours in the intensive care unit. Conclusions: Itâs concluded that I-TIS score may be validated for our surgical patients but this assessment may show variability among institutions. The ASA classification is the most valued and widely used scoring system for evaluation of perioperative risk in surgical patients. It is simple, easy and also a useful tool to assist descriptions of workload and âanesthetic riskâ for analysis and research purposes.
Highlights
It’s inevitable that perioperative morbidity and mortality are influenced by the patient’s health status, the complexity of the surgical procedures and success of the anesthetic management
Perioperative assessment of the patients is a topic which is commonly discussed in anesthesiology society to define the comorbidities and other risk factors affecting the postoperative status of the patients [6]
In 2009, a report from the Centers for Disease Control and Prevention claimed that more than 34 million ambulatory surgical visits were performed in the United States annually, and the reported safety profile of outpatient surgery has historically been excellent [8]
Summary
It’s inevitable that perioperative morbidity and mortality are influenced by the patient’s health status, the complexity of the surgical procedures and success of the anesthetic management. There are many risk assessment scores for surgical patients but most of these are presented for the evaluation of complexity of surgery [3]. In this prospective study of 859 surgical patients in a tertiary research hospital, we examined the association between ASA physical status classification and Intraoperative Therapeutic Intervention Score (I-TIS). Five patients (ASA IV) with I-TIS score>25 and surgical complexity of major plus were admitted to the intensive care unit. The ASA classification is the most valued and widely used scoring system for evaluation of perioperative risk in surgical patients. It is simple, easy and a useful tool to assist descriptions of workload and ‘anesthetic risk’ for analysis and research purposes
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