ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Cardiology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1605731
Based on C-CHEWS Study on the application value of comprehensive perioperative nursing based on scoring in critically ill children with pediatric cardiovascular surgery
Provisionally accepted
- Anhui Provincial Children’s Hospital, Hefei, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
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 (P<0.05). Disease control rates were higher in the comprehensive care group (76.67%) compared to the routine care group (30.0%) (P<0.05). Quality of life scores at discharge were improved in the comprehensive care group (P<0.05). The incidence of adverse events was lower in the comprehensive care group (10.00%) compared to the routine care group (46.67%) (P<0.05). Family satisfaction with nursing care was higher in the comprehensive care group (96.67%) compared to the routine care group (70.0%) (P<0.05). 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.
Keywords: C-CHEWS score, Comprehensive nursing, cardiovascular surgery, Critically ill children,, Early identification
Received: 03 Apr 2025; Accepted: 28 Jul 2025.
Copyright: © 2025 Li, Mao, Niu and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Feifei Li, Anhui Provincial Children’s Hospital, Hefei, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.