I think ASA classification needs to be revised and updated because there are many important factors like patient's age and difficult airway that affects so much and increse the risk of the Anesthesia and operation risk on the patients are not included or considered in the classification .
Yes, in addition to age and difficulty breathing, we have to consider the frailty score when we update the ASA classification. However, with these modifications, it will be a complex score, which may lead to misinterpretation and mismanagement. it is better to have a computer generate scores like EUROS sore which will overcome most of the problems.
No, I do not agree!
ASA score (classification) is excellent and simple to put the patient in some risk degree. ASA (in this moment, and last 50 years) very good define patients' status for the anesthesia according to the systemic diseases. Implementing anything else in ASA clasification, will make missconseptions in ranging patients for the risk during surgery. Any immplementation of additional detailes or immplementing computer generating "diagnose", will destroy any real estimation of patients from anesthesiologist. Computer estimating is very popular in these days, but it is very stupid to beleive that machine (especially in anesthesiology!) could predict risks for the patients and anesthesiologists! Secondly, making some new "guidelineses" and "classifications", or something similar, will destroy one very simple, but very effective classifications, and will produce many useless or complicated classifications which no one will have benefit. That because, no! Do not change ASA classification!
Thank you so much my dear professors for your valuable comments regarding my question
My best regards and respect for you all
My dear professor Nikola Bradic ;
How can we still depend on a classification since 50 years ago without change according to your answer.
All what I ask is to make a revision and fixing it. It's really missing many risky factors.
In fact, the ASA classification provides a useful general assessment of patient physical health. However, it doesn't incorporate surgical risk scores, limiting its ability to fully predict perioperative risks alone. It was primarily designed to assess a patient's physical health and require.
I suggest updating ASA classification to reflect more patient-specific risks, while also concern about losing its simplicity and reliability.
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