ASA Mortality

grade Status fisik (%)

Tidak ada gangguan organik, biokimia dan
psikiatri. Misal: penderita dengan herinia
ingunalis tanpa kelainan lain, orang tua sehat,
I bayi muda yang sehat 0,05
Gangguan sistemik ringan sampai sedang yang
bukan diseababkan oleh penyakit yang akan
dibedah. Misal: penderita dengan obesitas,
penderita dengan bronkitis dan penderita
dengan diabetes mellitus ringan yang akan
II mengalami appendiktomi 0,4
Penyakit sistemik berat; misalnya penderita
diabetes mellitus dengan komplikasi pembuluh
III darah dan datang dengan appendisitis akut. 4,5
Penyakit/gangguan sistemik berat yang
menbahayakan jiwa yang tidak selalu dapat
diperbaiki dengan pembedahan, misalnya :
IV insufisiensi koroner atau infark miokard 25
Keadaan terminal dengan kemungkinan hidup
kecil, pembedahan dilakukan sebagai pilihan
terakhir. Misal: penderita syok berat karena
perdarahan akibat kehamilan di luar rahim
V pecah.
ASA PS Preoperative Health
Comments, Examples
Category Status

*ASA PS classifications from the American Society of Anesthesiologists

No organic, physiologic, or psychiatric disturbance; excludes the very

ASA PS 1 Normal healthy patient
young and very old; healthy with good exercise tolerance

No functional limitations; has a well-controlled disease of one body system;

Patients with mild systemic controlled hypertension or diabetes without systemic effects, cigarette
ASA PS 2
disease smoking without chronic obstructive pulmonary disease (COPD); mild
obesity, pregnancy

Some functional limitation; has a controlled disease of more than one body
system or one major system; no immediate danger of death; controlled
Patients with severe
ASA PS 3 congestive heart failure (CHF), stable angina, old heart attack, poorly
systemic disease
controlled hypertension, morbid obesity, chronic renal failure;
bronchospastic disease with intermittent symptoms

Patients with severe Has at least one severe disease that is poorly controlled or at end stage;
ASA PS 4 systemic disease that is a possible risk of death; unstable angina, symptomatic COPD, symptomatic
constant threat to life CHF, hepatorenal failure

Moribund patients who are Not expected to survive > 24 hours without surgery; imminent risk of death;
ASA PS 5 not expected to survive multiorgan failure, sepsis syndrome with hemodynamic instability,
without the operation hypothermia, poorly controlled coagulopathy

A declared brain-dead
patient who organs are
ASA PS 6
being removed for donor
purposes