Critical reading of the ASA status score: analysis of a survey carried out during a SARANF congress

Auteur(s): Bula-Bula Médard, Kamanda R , Mukuna Patrick, Lepira François, Mbuyi Mwamba , Babakazo Diambalula Pélagie, Kimpanga Prince, Kilembe Manzanza
Nom de la revue/Journal: Rev. Afr. Anesth. Med urgence (RAMUR)
Volume: 21
Numéro: 2
Année: 2016
pages: 47-50

Résumé

Introduction The ASA score is a good predictor of perioperative mortality. Only it is subjective and has a low rate of interindividual agreement. Changes made him could they solve the problem of low concordance maligned him? This study critically analyzes the new classification. Method A survey was conducted among anesthesiologists attending the congress of the saranf 2015 in Niamey. A questionnaire on understanding the concepts describing the different classes of the SAA was given to participants at the conference. Their responses were collected and analyzed. Results In total, 44 respondents participated in this study. The sex ratio was 2.4 in men favors. The average age was 38 ± 11 years. A difference was found between respondents in the comparison of the definition of ASA Class 1 with that of health according to WHO, and a statistical difference was observed between respondents who advocated the existence and those not advocated the existence of psychic stress preoperatively. By cons, it was not observed a statistical difference between respondents in the understanding of other concepts to differentiate between different classes of the ASA: moderate angina chest and incipient heart failure were indiscriminately considered affections disabling or not, and the woman with a pregnancy was considered either ASA 2 or not. Finally, the number of respondents who found the similarity or difference between debilitating and incapacitating qualifications was the same, 11 respondents in each of two groups. Conclusion This study shows the existence of a discrepancy in the understanding of elements the definition of ASA classes. This may be related to the absence of an operational definition of these concepts.