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. 2011 Feb 16;3(2):34–39. doi: 10.4253/wjge.v3.i2.34

Table 1.

American society of anesthesiologists physical status classification system

ASA PS Health status Comments-examples
1 Normal healthy patient No organic, physiological or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance
2 Patients with mild systemic disease No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy
3 Patients with severe systemic disease Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms
4 Patients with severe systemic disease that is a constant threat to life Has at least one severe disease that is poorly controlled or at end stage; possible risk of death; unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure
5 Moribund patients who are not expected to survive without the operation Not expected to survive > 24 h without surgery; imminent risk of death; multiorgan failure, sepsis syndrome with hemodynamic instability, hypothermia, poorly controlled coagulopathy
6 A declared brain-dead patient who organs are being removed for donor purposes

ASA: American society of anesthesiologists.