From: Providing surgery in a war-torn context: the Médecins Sans Frontières experience in Syria
Class 1: | → Patient in apparent good health notwithstanding his surgical problem |
→ Limitations on activity: none | |
→ Limitations on activity: none | |
→ Excluded: persons at extremes of age (very young, very old) | |
Class 2: | → Patient with mild systemic disease (e.g., mild hypertension, mild-moderate anaemia) |
→ Patient’s health: disease of one body system | |
→ Status of underlying disease: well controlled | |
→ Limitations on activity: none | |
→ Danger of death: none | |
Class 3: | → Patient with systemic disease severe enough to limit activity but not incapacitating |
→ Patient’s health: disease of more than one body system or one major system | |
→ Limitations on activity: present but not incapacitated | |
→ Danger of death: no immediate danger | |
Class 4: | → Patient with severe incapacitating disease that is a constant threat to life |
→ Patient’s health: poor, with at least one severe disease | |
→ Status of underlying disease: poorly controlled or end-stage | |
→ Limitations on activity: incapacitated | |
→ Danger of death: possible | |
Class 5: | → Moribund patient not expected to survive 24 h with or without surgery |
→ Patient’s health: very poor, moribund | |
→ Limitations on activity: incapacitated | |
→ Danger of death: imminent | |
Class 6: | → A declared brain-dead patient whose organs are being removed for donor purposes |