There is only fair interrater reliability in ASA PS score assignment for adult polytrauma patients between anesthesiologists and trauma surgeons, highlighting a need for modified guidelines to improve consistency.
This study demonstrates fair interrater reliability beyond that expected by chance of the ASA PS scores among anesthesiologists and trauma surgeons when assessing adult polytrauma patients. Although the ASA PS is used in some trauma risk stratification models, discrepancies of ASA PS scores assigned to trauma cases exist. Future modifications of the ASA PS guidelines should aim to improve the interrater reliability of ASA PS scores in trauma patients. Further studies are warranted to determine the value of the ASA PS score as a trauma prognostic metric.
Kuza et al. (Thu,) studied this question.