The Relationship Between ASA Physical Status and Body Mass Index (BMI) with Recovery Time of Consciousness in Postoperative Patients Under General Anesthesia at RSUD Cilacap

Recovery of consciousness after general anesthesia is an important aspect of postoperative patient care. Delayed recovery of consciousness can increase the risk of complications, including aspiration, hypoxemia, and hypercarbia. This research aims to analyze the relationship between ASA physical status and IMT with the time to regain consciousness in postoperative patients with general anesthesia at Cilacap Regional Hospital. This research uses a descriptive quantitative method with a correlation analysis design. The research sample consisted of 127 patients post-general anesthesia who were in the recovery room at Cilacap Regional Hospital, selected using the Taro Yamane formula. Primary data were obtained through direct observation and interviews, while secondary data were taken from patient medical records. Data analysis was performed using univariate and bivariate tests using the Chi-Square test. The results showed that most patients (63.8%) recovered consciousness within ?15 minutes, while 36.2% experienced a delayed recovery (>15 minutes). Bivariate analysis showed a significant relationship between ASA physical status and time to conscious recovery (p=0.00; contingency coefficient 0.426), as well as BMI and time to conscious recovery (p=0.00; contingency coefficient 0.464). Patients with higher ASA status and abnormal BMI tend to have a longer recovery time. The findings implicate the importance of pre-anesthesia evaluation based on ASA status and BMI to predict and mitigate the risk of delayed post-anesthesia recovery of consciousness. This research can be the basis for developing more specific clinical guidelines in the selection of anesthesia techniques and postoperative monitoring to improve the quality of health care.