Novita Purnamasari Assa, Dyah Kanya Wati, Ida Bagus Subanada
Background: Mortality predictions are very important to improving service quality at the PICU. Full outline of unresponsiveness (FOUR) is a new coma scale and is considered capable of affecting outcome and predicting mortality. This study aims to prove that FOUR scores have the ability to predict outcomes of critically ill patients in PICU. Methods: Prospective cohort study of 94 children aged 3 months - 18 years who were admitted to the PICU. Subjects were grouped into two and followed until outcome was obtained. Subject characteristics were presented descriptively. Bivariate analysis to assess the risk of death was made cross tabulation and calculated the size of the association in the form of Risk Ratio using Chi-Square test. Multivariate analysis by cox regression test. Result: Sample obtained were 94 subjects. There were 47 subjects with FOUR scores ?9 and 47 subjects with FOUR >9. FOUR score ?9 has a higher risk of death than FOUR score >9 in patients at UPIA [RR = 12.5 (95% CI 3.1-49.8; p <0.0001]. Multivariate analysis of FOUR score, type of disease, and age of the outcome of death in patients at PICU showed a FOUR ?9 risk of the outcome of death in patients at the PICU of 10.9 times with a 95% CI 2.6-46.6 (p value 0,001). Conclusion: This study concluded that FOUR scores have the ability to predict the outcome of critically ill patients in the Pediatric Intensive Care Unit. The FOUR ?9 score at the beginning of treatment is related to outcomes of death during treatment.