A Comparative Study between Shape Scoring and ASA Grading For Anesthesia Risk Stratification
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
American Society of Anaesthesiologists (ASA) physical status is commonly used system to predict the incidence of intra- and postoperative complications in surgical patients. Silverman-Holt aggregate preoperative evaluation (SHAPE™) score is based on information learned from the patient history and physical examination overcomes limitations of ASA grading. Objective was to compare the efficacy of SHAPE scoring and ASA Grading in Anesthesia risk stratification in terms of Assessment of patient’s condition; risk assessment and intra-operative and postoperative complications/events. Patients admitted for elective or emergency surgeries to be done under general anaesthesia /regional were included and assessed with ASA and SHAPE scoring. The time duration for anaesthesia and surgery; any blood loss and replacement; any ICU stay ; Mean and SD caluculated for age, height, weight. Categorical data presented as number(percentage) and analysed with Chisquare test. Spearmans correlation co-efficient used to test the relationship between the Scoring systems. Comparison of Aspirin score and Blood loss in relation to S score was significant, Post op ICU admission of patients studied in relation to S score was also significant and Post op ventilation of patients studied in relation to S score was also significant. SHAPE scoring shows good correlation for intraoperative complication and postoperative ICU admission.
Authors and Affiliations
Bhavana B G, Ravi Madhusudhana, Naga Seshu Kumari Vasantha, Dinesh Krishnamurthy, Lakshmi K Swamy
Keywords
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- EP ID EP238867
- DOI 10.9790/0853-1611078285
- Views 85
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