Correspondence  |   January 2018
Keep American Society of Anesthesiologists Physical Status Classification System Simple, Stupid
Author Notes
  • Hadassah – Hebrew University Medical Center, Jerusalem, Israel (A.A.). alex@avidan.co.il
  • (Accepted for publication September 28, 2017.)
    (Accepted for publication September 28, 2017.)×
Article Information
Correspondence
Correspondence   |   January 2018
Keep American Society of Anesthesiologists Physical Status Classification System Simple, Stupid
Anesthesiology 1 2018, Vol.128, 225-226. doi:10.1097/ALN.0000000000001947
Anesthesiology 1 2018, Vol.128, 225-226. doi:10.1097/ALN.0000000000001947
We read with great interest the paper of Hurwitz et al.1  that demonstrated more appropriate American Society of Anesthesiologists Physical Status Classification System scores (ASA scores) and reduced interrater variability when the subjective examples provided to the ASA score2  were used. We suspect, however, that routine use of these examples may hinder the universal application of the ASA score. First, the examples provided are not fully comprehensive, and they will need to be memorized and easily accessible. Perhaps a mobile app could be created to calculate the correct ASA score, but even this does not guarantee uniform application. Second, as Sweitzer3  emphasized in the accompanying editorial, the universal successful application of the ASA score is related to its simplicity. The ASA score has penetrated beyond anesthesia and even beyond human medicine.4  It may even be considered on a par with the Apgar score.5 
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