Principales limitaciones de la clasificación ASA del estado físico. Estudio de la variabilidad interobservador.
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| Title: | Principales limitaciones de la clasificación ASA del estado físico. Estudio de la variabilidad interobservador. |
|---|---|
| Alternate Title: | Main limitations of the ASA physical status classification. Study of interobserver variability. |
| Authors: | Martínez-Lapido, Maite1, Mato-Búa, Rocío2 bua@gmail.com, Taboada-Muñiz, Manuel3, Vilar-Castro, Anxo2, López-López, David2, Nieto-Mouronte, Carlos M.2 |
| Source: | Revista Mexicana de Anestesiología. ene-mar2026, Vol. 49 Issue 1, p14-18. 5p. |
| Subjects: | ANESTHESIOLOGISTS, VARIABILITY (Psychometrics), HUMAN physiology, SUBJECTIVITY, AMERICAN Society of Anesthesiologists, PREOPERATIVE care, SCIENTIFIC observation, QUANTITATIVE research |
| Abstract (English): | The ASA classification is used by healthcare professionals all around the world to assess the physical condition of a patient prior to surgery. Two of its limitations are subjectivity and interobserver variability. The aim of this study is to analyze the interobserver variability of the scale between anesthesiologists at two Spanish hospitals, in A Coruña and in Ferrol. An observational and descriptive study was carried out in these hospitals, using an anonymous, voluntary and unpaid survey. The survey consisted of 10 fictitious clinical cases. A total of 68 responses were recorded. Data analysis revealed a low level of agreement between evaluators and a median of 50% correct responses, with the highest rate of correct responses on cases category ASA 3. The rate of correct answers was similar to that found in previous studies, although interobserver variability was higher. The clinical cases with the greatest discrepancy in responses were those related to acute pathologies and life-threatening emergencies. The consulted anesthesiologists propose a series of improvements in the definition, such as standardizing the scale by including the patient's current physical condition or frailty scales. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La clasificación ASA es una escala utilizada por profesionales sanitarios de todo el mundo, evalúa estado físico del paciente previo a una intervención quirúrgica. Entre sus principales limitaciones se encuentran la subjetividad y la variabilidad interobservador. El objetivo de este estudio es analizar la variabilidad interobservador de la escala entre anestesiólogos españoles, de los hospitales de A Coruña y Ferrol. Se llevó a cabo un estudio observacional y descriptivo, a través de una encuesta anónima, voluntaria y no remunerada. Se registraron un total de 68 respuestas. Se demostró un bajo nivel de concordancia entre evaluadores y una mediana de 50% de respuestas correctas, siendo la categoría ASA 3 la que presentó mayor tasa de aciertos. La tasa de aciertos fue similar a la hallada en estudios previos, aunque la variabilidad interobservador sí resultó ser superior. Los casos clínicos con mayor discrepancia de respuestas fueron aquellos relacionados con patologías agudas y urgencias vitales. Los anestesiólogos consultados proponen una serie de mejoras en la definición, como inclusión del estado físico actual del paciente o escalas de fragilidad. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Items | – Name: Title Label: Title Group: Ti Data: Principales limitaciones de la clasificación ASA del estado físico. Estudio de la variabilidad interobservador. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Main limitations of the ASA physical status classification. Study of interobserver variability. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Martínez-Lapido%2C+Maite%22">Martínez-Lapido, Maite</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Mato-Búa%2C+Rocío%22">Mato-Búa, Rocío</searchLink><relatesTo>2</relatesTo><i> bua@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Taboada-Muñiz%2C+Manuel%22">Taboada-Muñiz, Manuel</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Vilar-Castro%2C+Anxo%22">Vilar-Castro, Anxo</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22López-López%2C+David%22">López-López, David</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Nieto-Mouronte%2C+Carlos+M%2E%22">Nieto-Mouronte, Carlos M.</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Mexicana+de+Anestesiología%22">Revista Mexicana de Anestesiología</searchLink>. ene-mar2026, Vol. 49 Issue 1, p14-18. 5p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22ANESTHESIOLOGISTS%22">ANESTHESIOLOGISTS</searchLink><br /><searchLink fieldCode="DE" term="%22VARIABILITY+%28Psychometrics%29%22">VARIABILITY (Psychometrics)</searchLink><br /><searchLink fieldCode="DE" term="%22HUMAN+physiology%22">HUMAN physiology</searchLink><br /><searchLink fieldCode="DE" term="%22SUBJECTIVITY%22">SUBJECTIVITY</searchLink><br /><searchLink fieldCode="DE" term="%22AMERICAN+Society+of+Anesthesiologists%22">AMERICAN Society of Anesthesiologists</searchLink><br /><searchLink fieldCode="DE" term="%22PREOPERATIVE+care%22">PREOPERATIVE care</searchLink><br /><searchLink fieldCode="DE" term="%22SCIENTIFIC+observation%22">SCIENTIFIC observation</searchLink><br /><searchLink fieldCode="DE" term="%22QUANTITATIVE+research%22">QUANTITATIVE research</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: The ASA classification is used by healthcare professionals all around the world to assess the physical condition of a patient prior to surgery. Two of its limitations are subjectivity and interobserver variability. The aim of this study is to analyze the interobserver variability of the scale between anesthesiologists at two Spanish hospitals, in A Coruña and in Ferrol. An observational and descriptive study was carried out in these hospitals, using an anonymous, voluntary and unpaid survey. The survey consisted of 10 fictitious clinical cases. A total of 68 responses were recorded. Data analysis revealed a low level of agreement between evaluators and a median of 50% correct responses, with the highest rate of correct responses on cases category ASA 3. The rate of correct answers was similar to that found in previous studies, although interobserver variability was higher. The clinical cases with the greatest discrepancy in responses were those related to acute pathologies and life-threatening emergencies. The consulted anesthesiologists propose a series of improvements in the definition, such as standardizing the scale by including the patient's current physical condition or frailty scales. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: La clasificación ASA es una escala utilizada por profesionales sanitarios de todo el mundo, evalúa estado físico del paciente previo a una intervención quirúrgica. Entre sus principales limitaciones se encuentran la subjetividad y la variabilidad interobservador. El objetivo de este estudio es analizar la variabilidad interobservador de la escala entre anestesiólogos españoles, de los hospitales de A Coruña y Ferrol. Se llevó a cabo un estudio observacional y descriptivo, a través de una encuesta anónima, voluntaria y no remunerada. Se registraron un total de 68 respuestas. Se demostró un bajo nivel de concordancia entre evaluadores y una mediana de 50% de respuestas correctas, siendo la categoría ASA 3 la que presentó mayor tasa de aciertos. La tasa de aciertos fue similar a la hallada en estudios previos, aunque la variabilidad interobservador sí resultó ser superior. Los casos clínicos con mayor discrepancia de respuestas fueron aquellos relacionados con patologías agudas y urgencias vitales. Los anestesiólogos consultados proponen una serie de mejoras en la definición, como inclusión del estado físico actual del paciente o escalas de fragilidad. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35366/122380 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 5 StartPage: 14 Subjects: – SubjectFull: ANESTHESIOLOGISTS Type: general – SubjectFull: VARIABILITY (Psychometrics) Type: general – SubjectFull: HUMAN physiology Type: general – SubjectFull: SUBJECTIVITY Type: general – SubjectFull: AMERICAN Society of Anesthesiologists Type: general – SubjectFull: PREOPERATIVE care Type: general – SubjectFull: SCIENTIFIC observation Type: general – SubjectFull: QUANTITATIVE research Type: general Titles: – TitleFull: Principales limitaciones de la clasificación ASA del estado físico. Estudio de la variabilidad interobservador. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Martínez-Lapido, Maite – PersonEntity: Name: NameFull: Mato-Búa, Rocío – PersonEntity: Name: NameFull: Taboada-Muñiz, Manuel – PersonEntity: Name: NameFull: Vilar-Castro, Anxo – PersonEntity: Name: NameFull: López-López, David – PersonEntity: Name: NameFull: Nieto-Mouronte, Carlos M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene-mar2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 04847903 Numbering: – Type: volume Value: 49 – Type: issue Value: 1 Titles: – TitleFull: Revista Mexicana de Anestesiología Type: main |
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