Key result
Pediatric ASA-PS scoring shows strong concordance between independent anesthetists but moderate agreement with case anesthetists.
Why the study?
Following the 2020 release of pediatric-specific case examples for the ASA-PS classification, the study aimed to explore inter-rater reliability in ASA-PS scoring in the pediatric population.
What is the inter-rater reliability of the pediatric-specific ASA-PS classification system?
Population
364 patients at a quaternary pediatric hospital
Comparison
Scores by the case anesthetist vs two independent consultant anesthetists using 2020 ASA guidance
Design
Single-center retrospective study
Authors
Loading...
Suggests caution in interpreting single-provider pediatric ASA-PS scores; supports standardized training to improve reliability.
What is the inter-rater reliability of the pediatric-specific ASA-PS classification system?
Moderate inter-rater variability exists in pediatric ASA-PS scoring, with case anesthetists frequently underscoring patients, highlighting the need for specific guidance to improve reliability.
Liu et al. (2026) studied this question. The inter-rater reliability of ASA-PS scores in pediatric patients showed strong concordance (weighted kappa 0.76) between independent anesthetists but only moderate (0.5) with the case anesthetist.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: