ASA Physical Status Classification for Chronic Kidney Disease Stage 3
CKD stage 3 most commonly maps to ASA III when chronic kidney disease is considered a severe systemic disease. [1][2]
Core Recommendation
- ASA III is used for severe systemic disease that is not life-threatening. [1]
- ASA examples for systemic severity include chronic kidney disease with GFR <44 mL/min. [1][2]
Medication Selection Algorithm
Not applicable.
Key Evidence Supporting This Recommendation
- Published ASA example mapping used in perioperative anesthesia classification projects identifies chronic kidney disease (GFR <44 mL/min) under ASA III. [2]
Monotherapy Versus Combination Therapy
Not applicable.
Important Clarifications or Nuances
- ASA physical status classification does not use CKD “stage” as the sole criterion. [1]
- ASA example criteria use GFR thresholds (including GFR <44 mL/min) to illustrate severity. [1][2]
Treatment Initiation Thresholds
Not applicable.
Common Pitfalls to Avoid
- Using CKD “stage” alone as a fixed one-to-one ASA label can misclassify patients when GFR is above or below the ASA example severity threshold. [1]
Target Blood Pressure
Not applicable.