ArticleFrontiers in pediatrics2025
Based on C-CHEWS study on the application value of comprehensive perioperative nursing based on scoring in critically ill children with pediatric cardiovascular surgery.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To assess the association of comprehensive perioperative nursing, including early identification based on the Children's Cardiovascular Early Warning Scale (C-CHEWS score), with outcomes in critically ill children undergoing pediatric cardiovascular surgery in an observational setting. Methods: This study analyzed data from 120 children with congenital heart disease admitted to the Department of Pediatric Cardiovascular Surgery between March 2020 and March 2022. Patients were categorized based on the type of nursing care received: routine care or nursing care incorporating C-CHEWS scoring. The length of hospital stay, pediatric intensive care unit (ICU) monitoring time, disease control status (death, deterioration, and stability), quality of life, incidence of adverse events, and family members' satisfaction were recorded and analyzed. Results: The observed ICU monitoring time and hospitalization duration were significantly shorter in the comprehensive care group ( Conclusion: The comprehensive perioperative nursing approach, which included the C-CHEWS score, was associated with earlier identification of clinical deterioration, reduced adverse events, and improved family satisfaction in critically ill children undergoing pediatric cardiovascular surgery. These findings support the potential for broader adoption of this nursing model in clinical practice.
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