• Users Online: 186
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2018  |  Volume : 5  |  Issue : 3  |  Page : 65-68

Can preoperative haemoglobin concentration and patients’ age predict American Society of Anesthesiologists’ scores?

1 Department of Anaesthesia, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
2 Department of Haematology & Blood Transfusion, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
3 Department of Haematology, Kaduna State University, Kaduna, Kaduna State, Nigeria

Correspondence Address:
Dr. Saidu Y Yakubu
Department of Anaesthesia, Ahmadu Bello University, Zaria, Kaduna State
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssajm.ssajm_22_18

Rights and Permissions

Introduction The latest version of the American Society of Anesthesiologists (ASA) score approved by the ASA House of Delegates in 2014 is used preoperatively to assess patients’ physical status (PS) before administration of anaesthesia and surgery. The ASA score does not take into consideration the patients’ age, gender or results of laboratory investigations. This study was to determine any relationship between preoperative haemoglobin (Hb) concentration, age and ASA scores. Materials and Methods Clinical records of 205 patients who had elective surgeries in a tertiary hospital for more than a period of six months were analysed for patients’ ages, gender, Hb concentrations and ASA scores, retrospectively. Data were analysed using SPSS version 20.0 with level of significance set at P ≤ 0.05. Results There were 205 patients who had surgeries during the period under review with females making up 110 (53.7%). The mean Hb and ages were 12.0 ± 1.7 g/dl and 32.2 ± 19.0 years, respectively. The median (interquartile range [IQR]) ASA-PS score was 2 (0). Most of the patients were anaemic (N = 105, 51.2%), whereas 12 (5.9%) were ≥65 years. The distribution of ASA-PS scores varied significantly across age categories (KWH statistic = 25.313, df = 4, P = <0.001). Post hoc analyses revealed that ≥65-year-olds had comparable ASA-PS scores to the ≤1 year category but higher scores compared to the 2–12-, 13–18- and 19–64-years categories. Anaemic patients had higher mean rank ASA-PS scores compared to those without anaemia (111.50 vs. 94.07, MWU statistic = 4357.000, P = 0.013). Spearman correlation analyses for ASA/Hb and ASA/age were ρ = –0.161, P = 0.021 and ρ = 0.257, P = <0.001, respectively. Multiple ordinal regression analyses to predict ASA-PS scores from Hb and age were negative with Hb (estimate = –0.261, P = 0.004) but positive with age (estimate = 0.036, P = <0.001). Conclusion Higher preoperative Hb is associated with lower ASA-PS score; older patients are more likely to have higher ASA-PS scores.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded187    
    Comments [Add]    

Recommend this journal