Physical Status Relationship - Time to Achieve Bromage Score 2 in Spinal Anesthesia Patients - IBS Recovery Room of Dr Iskak Tulungagung Hospital

Q: What does ASA Physical Status classification indicate in this study?

ASA Physical Status classification is used to assess a patient’s overall health and help predict potential intraoperative and postoperative complications related to spinal anesthesia.

Q: What is Bromage score 2, and why is it important here?

Bromage score 2 evaluates motor block recovery after spinal anesthesia. Achievement of score 2 indicates partial return of motor function, making it a key recovery endpoint.

Q: How was the relationship between ASA status and time to Bromage score 2 analyzed?

The study used a cross-sectional design and analyzed data with the Spearman Rho test at a 95% confidence level, resulting in a significant p-value of 0.017.

Sep 24, 2026

Uploaded by 8796093062539

Study analyzes how the American Society of Anesthesiologists (ASA) Physical Status relates to the time required to achieve Bromage score 2 for patients receiving spinal anesthesia in the recovery room of Dr. Iskak Tulungagung Hospital. A cross-sectional design included 250 spinal anesthesia patients, with 38 respondents selected by simple random sampling. Observation sheets collected data, and Spearman Rho testing used a 95% confidence level. Results show significant association (p=0.017) between ASA status and time to reach Bromage score 2, with many patients achieving the score in 120–149 minutes.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages9

Reading Time23 min

AccessFree to download

Background

Patient physical status assessment in anesthesia

Spinal anesthesia and recovery monitoring

Abstract

Background

Purpose

Methods

Results

Conclusion

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Physical Status Relationship American Society of Anesthesia (ASA) with Time to Achieve Bromage Score 2 in Spinal Anesthesia Patients in the IBS Recovery Room of Dr Iskak Tulungagung Hospital Novita Ana Anggraini1*, Annisa Ary Saifutri2, Nurma Afiani3, Rahmania Ambarika4 1,2,4 Universitas STRADA Indonesia, Kediri, Indonesia 3 Universitas Negeri Malang, Indonesia *[Corresponding author:](Corresponding author: phitaphita@gmail.com)[ ](Corresponding author: phitaphita@gmail.com)[phitaphita@gmail.com](Corresponding author: phitaphita@gmail.com) ABSTRACT Background: The American Society of Anesthesiologists (ASA) Physical Status classification is used to assess a patient’s overall health and predict potential complications related to spinal anesthesia. The Bromage score is commonly used to evaluate motor block recovery following spinal anesthesia, with the achievement of Bromage score 2 indicating partial motor function return. Purpose: This study aimed to analyze the relationship between ASA physical status and the time required to achieve Bromage score 2 in patients undergoing spinal anesthesia in the recovery room of Dr. Iskak Tulungagung Hospital. Methods: This research employed a cross-sectional design. The study population included all spinal anesthesia patients in the hospital’s recovery room, totaling 250 individuals. A sample of 38 respondents was selected using simple random sampling. Data were collected using observation sheets and analyzed with the Spearman Rho test at a 95% confidence level (α = 0.05) . Results: The results showed that the majority of respondents (57.9%) had an ASA status of 2, and most (60.5%) achieved Bromage score 2 within 120–149 minutes. Statistical analysis revealed a p-value of 0.017 (<0.05), indicating a significant relationship between ASA physical status and time to achieve Bromage score 2. Conclusion: Higher ASA classifications are associated with more severe systemic conditions, which may slow the body's response to anesthetic drugs, resulting in a longer time to reach motor recovery. Keywords: ASA physical status, bromage score, spinal anesthesia Received March 10, 2025; Revised May 12, 2025; Accepted July 3, 2025 DOI: [https://doi.org/10.30994/jnp.v8i4.871](https://doi.org/10.30994/jnp.v8i4.871) The Journal of Nursing Practice, its website, and the articles published there in are licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Copyright © 2025 Universitas STRADA Indonesia BACKGROUND Anesthesia is a branch of medical science that studies the management of patients who will undergo surgical procedures to numb feelings, such as pain, fear and discomfort experienced by the patient, so that the patient can feel comfortable and maintain the safety or life of the patient due to drugs from anesthesia. There are 3 types of anesthesia, namely, general anesthesia, local anesthesia and spinal anesthesia (Mangku, 2018) . Spinal anesthesia can provide satisfaction to the patient, both in terms of technique, speed of recovery and minimal side effects, has minimal influence on the respiratory system as long as the anesthetic block does not reach a high block, reduces the risk of aspiration and airway obstruction, poses little risk of hypoglycemia when the patient wakes up, the patient can eat immediately after surgery and can provide good muscle relaxation for lower abdominal and lower extremity operations (Triyono, 2017) . Before surgery, assessing the patient’s physical status is critical to identify any existing conditions that may affect anesthesia management and surgical outcomes. The American Society of Anesthesiologists (ASA) Physical Status Classification is widely used for this purpose. It provides a standardized, globally recognized system to evaluate a patient’s overall health and predict possible intraoperative and postoperative complications (Pramono, 2019; Triyono, 2017) . The ASA status integrates various factors such a

FAQs

What does ASA Physical Status classification indicate in this study?

ASA Physical Status classification is used to assess a patient’s overall health and help predict potential intraoperative and postoperative complications related to spinal anesthesia.

What is Bromage score 2, and why is it important here?

Bromage score 2 evaluates motor block recovery after spinal anesthesia. Achievement of score 2 indicates partial return of motor function, making it a key recovery endpoint.

How was the relationship between ASA status and time to Bromage score 2 analyzed?

The study used a cross-sectional design and analyzed data with the Spearman Rho test at a 95% confidence level, resulting in a significant p-value of 0.017.

Sep 24, 2026

Uploaded by 8796093062539