Introduction: The ASA score has the disadvantage of being subjective, and various authors have disputed its inter-individual concordance rate. The goal of this study is to see if the ABCK and ASA scores are in agreement.
Methods: It is a descriptive study that took place in three Kinshasa hospitals from December 1, 2013 to August 30, 2014: Hôpital de l'amitié sino-congolaise, Hôpital Saint Joseph, and Hôpital Marie Biamba Mutombo. ASA and ABCK scores were used to evaluate all patients hospitalised for pre-anaesthesia consultation during the study period. All pregnant women and children were excluded from the study.
All participants gave their informed consent. The kappa of Cohen test was used to measure the new score's conformance to the ASA score.
Results: A total of 768 patients were investigated, with 449 women and 319 men. The sex ratio favoured women by 1.4. The average age of the participants was 39.4 16.8 years. The most common consequences during and after surgery operations were low blood pressure and anaemia, which were generally detected in stages 3 and 4 for the two scores.
For the two scores, blood transfusions were common in stages 3 and 4. In both groups, mortality increases with patient stage (ASA: X2 = 25.98; p 0.001 and ABCK: X2 = 29.70; p 0.001). The score had no effect on the likelihood of mortality (p = 0.31 according to Fisher for class 3 and X2 = 0.52; p = 0.24 for class 4). Furthermore, ABCK and ASA had remarkable agreement, with a Kappa of 0.86 (p 0.001).
Conclusion: Even if there is a link between ABCK and ASA, a larger investigation with patients from obstetrics and paediatric surgery who were not included in this study would be very interesting to generalise the effects of this new score.Author(S) Details
I. M. Bula-Bula
Department of Anaesthesia and resuscitation, University of Kinshasa Teaching Hospital, Democratic Republic of Congo.
P. Kabuni
Department of Anaesthesia and resuscitation, University of Kinshasa Teaching Hospital, Democratic Republic of Congo.
J. Kimbien
Unit of Anaesthesia, Hôpital Saint Joseph, Democratic Republic of Congo.
A. Sikyala
Unit of Anaesthesia, Hôpital de l’Amitié Sino-Congolaise, Democratic Republic of Congo.
M. Ilunga
Department of Anaesthesia and resuscitation, University of Kinshasa Teaching Hospital, Democratic Republic of Congo.
J. Athombo
Unit of Anaesthesia, Hôpital Marie Biamba Mutombo, Democratic Republic of Congo.
P. Kimpanga
School of Public Health, University of Kinshasa, Democratic Republic of Congo.
F. Lepira
Department of Medicine, University of Kinshasa Teaching Hospital, Democratic Republic of Congo.
M. Mbuyi
Department of Medicine, University of Kinshasa Teaching Hospital, Democratic Republic of Congo.
M. Kilembe
Department of Anaesthesia and resuscitation, University of Kinshasa Teaching Hospital, Democratic Republic of Congo.
View Book:- https://stm.bookpi.org/RDMMR-V12/article/view/4674
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