Table 2 Baseline patient characteristics stratified by the concordance of ASA classes given by surgeons and anesthesiologists.

From: Discordant American Society of Anesthesiologists Physical Status Classification between anesthesiologists and surgeons and its correlation with adverse patient outcomes

 

Overall (n = 46,284)

Concordant ASA class (n = 31,186)

Discordant ASA class (n = 15,098)

p value1

Surgeon ASA lower (n = 11,985)

p value2

Anesthesiologist ASA class lower (n = 3113)

p value3

Male sex, no. (%)

21,474 (46.4)

14,312 (46.0)

7162 (47.4)

0.0002

5670 (47.3)

0.0072

1492 (47.9)

0.031

Age (time of surgery), mean (SD)

58.0 (16.0)

59.0 (16.0)

56.0 (17.0)

< 0.0001

56.0 (17.0)

< 0.0001

54.0 (16.0)

< 0.0001

Race, no. (%)

Chinese

34,560 (74.7)

23,814 (76.4)

10,746 (71.2)

< 0.0001

8463 (70.6)

< 0.0001

2283 (73.3)

< 0.0001

Indian

4459 (9.6)

2793 (9.0)

1666 (11.0)

 

1336 (11.2)

 

330 (10.6)

 

Malay

4111 (8.9)

2558 (8.2)

1553 (10.3)

 

1306 (10.9)

 

247 (7.9)

 

Others

3154 (6.8)

2021 (6.5)

1133 (7.5)

 

880 (7.3)

 

253 (8.1)

 

Creatinine > 2 mg/dl, no. (%)

2281 (4.9)

1507 (4.8)

774 (5.1)

0.18

722 (6.0)

< 0.0001

52 (1.7)

< 0.0001

Diabetes mellitus on Insulin, no. (%)

1750 (3.8)

1025 (3.3)

725 (4.8)

< 0.0001

681 (5.7)

< 0.0001

44 (1.4)

< 0.0001

History of Congestive heart failure, no. (%)

1065 (2.3)

608 (2.0)

457 (3.0)

< 0.0001

432 (3.6)

< 0.0001

25 (0.8)

< 0.0001

History of Cerebrovascular accident, no. (%)

1529 (3.3)

799 (2.7)

730 (4.8)

< 0.0001

683 (5.7)

< 0.0001

47 (1.5)

0.00039

History of Ischemic heart disease, no. (%)

4635 (10.0)

2500 (8.0)

2135 (14.1)

< 0.0001

1970 (16.4)

< 0.0001

165 (5.3)

< 0.0001

History of Hypertension, no. (%)

19,225 (41.5)

13,591 (43.6)

5634 (37.3)

< 0.0001

5070 (42.3)

0.021

564 (18.1)

< 0.0001

History of Smoking, no. (%)

4327 (9.4)

2672 (8.6)

1655 (11.0)

< 0.0001

1434 (12.0)

< 0.0001

221 (7.1)

0.0055

Surgical specialty, no. (%)

Orthopedics

14,523 (31.4)

10,472 (33.6)

4051 (26.8)

< 0.0001

2958 (24.7)

< 0.0001

1093 (35.1)

< 0.0001

General surgery

11,294 (24.4)

7501 (24.1)

3793 (25.1)

 

3062 (25.6)

 

731 (23.5)

 

Urology

6403 (13.8)

4472 (14.3)

1931 (12.8)

 

1503 (12.5)

 

428 (13.8)

 

Obstetrics and gynecology

4799 (10.4)

2803 (9.0)

1996 (13.2)

 

1826 (15.2)

 

170 (5.7)

 

Otorhinolaryngology

2844 (6.1)

1817 (5.8)

1027 (6.8)

 

876 (7.3)

 

151 (4.9)

 

Vascular

2146 (4.6)

1418 (4.6)

728 (4.8)

 

582 (4.9)

 

146 (4.7)

 

Plastics

1468 (3.2)

942 (3.0)

526 (3.5)

 

388 (3.2)

 

138 (4.4)

 

Neurosurgery

730 (1.6)

399 (1.3)

331 (2.2)

 

231 (1.9)

 

100 (3.2)

 

Others

2077 (4.5)

1362 (4.4)

715 (4.7)

 

559 (4.7)

 

156 (5.01)

 
  1. Descriptive statistics for the ASA concordant and discordant groups. 79.4% of patients with discordant classes (11,985/15,098) had a lower ASA class assigned by the surgeon, and 20.6% (3113/15,098) had a lower ASA class assigned by the anesthesiologist.
  2. 1p value for difference between ASA concordant and discordant patients.
  3. 2p value for difference between ASA concordant patients and those classified lower by the surgeon.
  4. 3pvalue for difference between ASA concordant patients and those classified lower by the anesthesiologist.