Risk Stratification to Predict Perioperative Mortality in Children

Features| May 2024 Risk Stratification to Predict Perioperative Mortality in Children Debnath Chatterjee, MD, FAAP, FASA; Debnath Chatterjee, MD, FAAP, FASA Search for other works by this author on: This Site PubMed Google Scholar Viviane Nasr, MD, MPH, FASA Viviane Nasr, MD, MPH, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor May 2024, Vol. 88, 22–23. https://doi.org/10.1097/01.ASM.0001016828.76901.44 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation Debnath Chatterjee, Viviane Nasr; Risk Stratification to Predict Perioperative Mortality in Children. ASA Monitor 2024; 88:22–23 doi: https://doi.org/10.1097/01.ASM.0001016828.76901.44 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: child, stratification, surgical mortality, surgical procedures, operative, pediatrics Perioperative risk stratification is an integral part of informed consent and medical decision-making processes. It also guides resource allocation and appropriate escalation of care, such as transfer to intensive care settings or tertiary-care hospitals. Fortunately, the incidence of perioperative mortality in children is extremely low. While the ASA Physical Status Classification System (ASA PS) is commonly used to characterize the patient's preoperative status, it is a subjective score that does not take into account the complexity of the planned surgical procedure. A recent study examining pediatric-adapted examples of ASA PS demonstrated only moderate interrater reliability among pediatric anesthesiologists (Anesth Analg 2021;132:807-17). Pediatric perioperative mortality can be roughly predicted based on the child's comorbidities, physical status at the time of surgery, and the intrinsic risk of the surgical procedure (Anesthesiology 2019;130:971-80). Over the last decade, several risk stratification models have been developed to predict major perioperative adverse... You do not currently have access to this content.