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prognia.

Surgery and anaesthesia

ASA Physical Status Classification

2 inputsSurgery and anaesthesia

Pre-operative anaesthetic risk.

ASA Physical Status Classification calculator

Result

ASA 1

30-day peri-op mortality ~<0.1%

E-suffix doubles approximate mortality risk. Used for pre-operative documentation and anaesthetic planning.

ASA Grade

How to use it

  1. 1

    Assign based on systemic disease burden. Focus on chronic conditions, not surgical diagnosis. Age alone is not a criterion.

  2. 2

    Emergency surgery adds 'E'. ASA IIIE vs. ASA III: emergency surgery almost doubles peri-operative risk.

  3. 3

    Widely required for consent and audit. Anaesthetist assigns ASA at pre-operative assessment.

When to use it

Pre-operative consent
ASA is part of surgical consent documentation in most jurisdictions.
Triage for surgical urgency
ASA IV–V: benefits and risks must be carefully weighed; senior involvement.
Audit and benchmarking
NCEPOD classification combined with ASA for mortality audits.

A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.

At a glance

Specialty
Surgery and anaesthesia
Inputs
2
Type
Points score

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