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31. Biomedizinische und klinimetrische Ansätze in der Ursachenforschung beim perioperativen Risiko: Erstellung einer deutschen ASA-Klassifikation

Perioperative risk research: biomedical and clinimetric aspects

  • B. Wissenschaftliches Programm
  • I. Hauptthemen E. Perioperatives Risiko — Kontroversen zur Pathogenese
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Langenbecks Archiv für Chirurgie Aims and scope Submit manuscript

Summary

Perioperative risk research with biomedical (biochemical, physiological) methods must grow up as a main topic in surgical research. However, operative risk has also to be analysed with methods of clinimetrics, such as formal (objective) decision making and epidemiology. Only by this way a convincing practical dimension is added to basic scientific statements. ASA-classification of the preoperative physical status is a global index for estimating the operative risk. It contains objective findings, subjective impressions and the final clinical judgement. For this reason it is so flexible. For a multicentre trial on perioperative risk and histamine an empirical index was constructed using both the ASA-classification and the Mannheim-Munich risk check list.

Zusammenfassung

Ursachenforschung beim perioperativen Risiko mit biomedizinischen (biochemischen, physiologischen) Methoden muss ein Schwerpunkt in der Chirurgie werden. Perioperatives Risiko muss auch mit den Methoden der Klinimetrie, wie objektiver Entscheidungsfindung und Epidemiologie analysiert werden. Nur so kommt zum wissenschaftlichen Ansatz auch eine überzeugende praktische Dimension. Die ASA-Klassifikation ist ein globaler Index zur präoperativen Risikoeinschätzung. Sie enthält objektive Befunde, den subjektiven Eindruck und das abschliessende klinische Urteil. Gerade deshalb ist sie so flexibel. Für die Mainz-Marburger multizentrische Studie über Perioperatives Risiko und Histamin" wurde ein empirischer Index aus ASA-Klassifikation und Mannheim-Münchner Risikocheckliste konstruiert.

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Authors and Affiliations

  1. Institut für Theoretische Chirurgie, Zentrum für Operative Medizin I, Philipps-Universität, D-3550, Marburg

    W. Lorenz & Ch. Ohmann

  2. Klinik für Anästhesiologie, Johannes Gutenberg-Universität, D-6500, Mainz

    W. Dick

  3. Klinik für Allgemeinchirurgie, Johannes Gutenberg-Universität, D-6500, Mainz

    Th. Junginger

  4. Institut für Anästhesiologie, Ludwig-Maximilians-Universität München, Abteilung Innenstadt, D-8000, München

    A. Doenicke

  5. Klinik für Allgemeinchirurgie, Zentrum für Operative Medizin 1, Philipps-Universität, D-3550, Marburg

    M. Rothmund

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Lorenz, W., Dick, W., Junginger, T. et al. 31. Biomedizinische und klinimetrische Ansätze in der Ursachenforschung beim perioperativen Risiko: Erstellung einer deutschen ASA-Klassifikation. Langenbecks Arch Chiv 372, 199–209 (1987). https://doi.org/10.1007/BF01297815

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