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All Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
Ika Ainur Rofi’ah
Universitas Bina Sehat PPNI Mojokerto
Health Professions Nursing Public Health Other

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ASSOCIATION OF AGE AND FOUR SCORE WITH ICU LENGTH OF STAY IN POST-CRANIOTOMY PATIENTS AT SAKINAH HOSPITAL MOJOKERTO Rudi Hariyono; Ika Ainur Rofi’ah
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/804

Abstract

This study aimed to analyze the association factors between age, FOUR Score, and ICU  length  of  stay  among  post-craniotomy  patients  treated  at  Sakinah  Hospital.  A cross-sectional study was conducted from 01 October to 12 December 2025 involving adult  post-craniotomy  patients  admitted  consecutively  to  the  ICU.  Eligible participants  were  ≥18  years  old,  intubated  postoperatively,  and  had  a  completed FOUR  Score  assessment.  Fisher’s  Exact  Test  and  relative  risk  (RR)  with  95% confidence intervals (CI) were applied to examine associations between age, FOUR Score, and ICU LOS. A significance level of p < 0.05 was used. 29 patients, 58.6% were aged ≥53 years and 62.1% experienced prolonged ICU stay. A FOUR Score ≤10 was observed in 58.6% of the cohort. Lower FOUR Scores were strongly associated with prolonged ICU stay (p < 0.000; RR = 9.7; 95% CI: 1.4–63.8). Older age also demonstrated a significant association with extended LOS (p = 0.018; RR = 2.47; 95% CI: 1–7.7). Both advanced age and lower FOUR Scores were significant  associated with prolonged ICU stay among post-craniotomy patients. These findings underscore the  utility  of  integrating  neurological  scoring  with  demographic  risk  profiling  to support early prognostication and guide resource allocation in neurosurgical critical care.
Co-Authors Rudi Hariyono