The role of ASA and Goldman scoring systems in predicting of open cholecystectomy surgery

The purpose of this study was to assess the relation between the patient's physical status in regard with ASA and Goldman scoring with the incidence of complication and mortality following open cholecystectomy surgery in order to identify the best scoring system in predicting the outcome of the surgery in this group of patients. The records of all the patients undergoing open surgery in a tertiary teaching hospital during the years 1997 and 2006 were enrolled in this retrospective, cross sectional study. The patient's records were reviewed to calculate the patient's physical status in ASA and Goldman scoring system. Hundred forty one patients were enrolled in this study, 86 (61%) of which were female. There was a significant relation between ASA and Goldman scores and also between ASA and Goldman score, and the fetal complications. This correlation was highly significant for ASA scores less than 2. Seven deaths were reported in the first 4 weeks after the surgery; all of them had ASA and Goldman scores of higher than 2. Goldman can predict the possibility of developing cardiovascular related mortality and morbidity following the operation; ASA, however, is the best predictor of the patient's postoperative prognosis.