{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T04:23:11Z","timestamp":1783570991843,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify the factors associated with postoperative complications within the first 24\u2009h among individuals who have undergone open\u2010heart surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The participants were 192 elective open\u2010heart surgery patients admitted to a university hospital in Bangkok, Thailand. Data were collected through data recording forms and questionnaires between August 2023 and February 2024, including the clinical frailty scale health questionnaire, serum creatinine assessment form, systemic immune\u2010inflammation index, vasoactive\u2010inotropic score, Society of Thoracic Surgeons risk score and the comprehensive complication index. Multiple regression was used to analyse the data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most of the participants (64.06%) were male with an average age of 63.14 (13.22) years. Almost a half of them (45.31%) were diagnosed with coronary artery disease. Frailty, kidney function, inflammation, the amount of packed red cells transfused, vasopressors and inotropes and operative risk were statistically significantly the factors affecting the severity of complications in patients after open\u2010heart surgery during the first 24\u2009h.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The factors associated with postoperative complications specifically within 24\u2009h after open\u2010heart surgery should be closely monitored, including frailty, kidney function, inflammation, the amount of packed red cells transfused, vasopressors and inotropes and operative risk in order to prevent the postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>All participants contributed to the conducting of this study by participating in a one\u2010day pre\u2010operation and post\u2010operation within 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