{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:01:01Z","timestamp":1785193261734,"version":"3.55.0"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100003392","name":"Natural Science Foundation of Fujian Province","doi-asserted-by":"publisher","award":["2024J011121"],"award-info":[{"award-number":["2024J011121"]}],"id":[{"id":"10.13039\/501100003392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.pedn.2026.02.014","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T22:36:25Z","timestamp":1772577385000},"page":"279-287","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Factors influencing postoperative delirium in patients with congenital heart disease: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"88","author":[{"given":"Ye-Min","family":"Gong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi-Wen","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Xuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi-Yi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Li","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo-Ming","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Yi","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pedn.2026.02.014_bb0005","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.jpeds.2017.11.064","article-title":"Delirium is a common and early finding in patients in the pediatric cardiac intensive care unit","volume":"195","author":"Alvarez","year":"2018","journal-title":"The Journal of Pediatrics"},{"key":"10.1016\/j.pedn.2026.02.014_bb0010","series-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013"},{"issue":"7","key":"10.1016\/j.pedn.2026.02.014_bb0015","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/j.ijnurstu.2011.11.016","article-title":"Incidence and short-term consequences of delirium in critically ill patients: A prospective observational cohort study","volume":"49","author":"van den Boogaard","year":"2012","journal-title":"International Journal of Nursing Studies"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0020","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/jrsm.1230","article-title":"Basics of meta-analysis: I2 is not an absolute measure of heterogeneity","volume":"8","author":"Borenstein","year":"2017","journal-title":"Research Synthesis Methods"},{"key":"10.1016\/j.pedn.2026.02.014_bb0025","doi-asserted-by":"crossref","DOI":"10.1016\/j.micpath.2025.107615","article-title":"Effect of hypoxia on the mucus system and intragastric microecology in the gastrointestinal tract","volume":"205","author":"Chen","year":"2025","journal-title":"Microbial Pathogenesis"},{"issue":"18","key":"10.1016\/j.pedn.2026.02.014_bb0030","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1161\/CIRCULATIONAHA.123.066983","article-title":"Adult congenital heart disease","volume":"149","author":"Dellborg","year":"2024","journal-title":"Circulation"},{"key":"10.1016\/j.pedn.2026.02.014_bb0035","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.rmed.2016.08.010","article-title":"Molecular mechanisms underlying hyperoxia acute lung injury","volume":"119","author":"Dias-Freitas","year":"2016","journal-title":"Respiratory Medicine"},{"issue":"Pt A","key":"10.1016\/j.pedn.2026.02.014_bb0040","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.cct.2015.05.009","article-title":"Advances in the meta-analysis of heterogeneous clinical trials I: The inverse variance heterogeneity model","volume":"45","author":"Doi","year":"2015","journal-title":"Contemporary Clinical Trials"},{"issue":"5","key":"10.1016\/j.pedn.2026.02.014_bb0045","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.bja.2017.11.087","article-title":"Recommendations for the nomenclature of cognitive change associated with anaesthesia and surgery-2018","volume":"121","author":"Evered","year":"2018","journal-title":"British Journal of Anaesthesia"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0050","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s13052-024-01603-2","article-title":"Risk factors and incidence of postoperative delirium after cardiac surgery in children: A systematic review and meta-analysis","volume":"50","author":"Fu","year":"2024","journal-title":"Italian Journal of Pediatrics"},{"issue":"3","key":"10.1016\/j.pedn.2026.02.014_bb0055","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/S2352-4642(19)30402-X","article-title":"Global, regional, and national burden of congenital heart disease, 1990\u20132017: A systematic analysis for the global burden of Disease study 2017","volume":"4","author":"GBD 2017 Congenital Heart Disease Collaborators.","year":"2020","journal-title":"The Lancet. Child & Adolescent Health"},{"issue":"11","key":"10.1016\/j.pedn.2026.02.014_bb0060","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1097\/PCC.0000000000002777","article-title":"Characterizing sleep disruption and delirium in children after cardiac surgery: A feasibility study","volume":"22","author":"Gregory","year":"2021","journal-title":"Pediatric Critical Care Medicine"},{"key":"10.1016\/j.pedn.2026.02.014_bb0065","doi-asserted-by":"crossref","DOI":"10.1016\/j.lanwpc.2023.101002","article-title":"Failure to thrive in pediatric patients with congenital heart disease: A cross-sectional study of 13,256 patients","volume":"44","author":"He","year":"2024","journal-title":"The Lancet Regional Health \u2013 Western Pacific"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0070","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s12887-023-03843-3","article-title":"Evaluation of health-related quality of life in children with postoperative delirium after surgical repair of ventricular septal defect: Short- and mid-term follow-up","volume":"23","author":"Huang","year":"2023","journal-title":"BMC Pediatrics"},{"issue":"2","key":"10.1016\/j.pedn.2026.02.014_bb0075","doi-asserted-by":"crossref","DOI":"10.1016\/j.accpm.2025.101484","article-title":"Postoperative delirium after cardiac surgery associated with perioperative gut microbiota dysbiosis: Evidence from human and antibiotic-treated mouse model","volume":"44","author":"Huang","year":"2025","journal-title":"Anaesthesia, Critical Care & Pain Medicine"},{"issue":"5","key":"10.1016\/j.pedn.2026.02.014_bb0080","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1097\/PCC.0000000000003196","article-title":"Factors associated with delirium in children: A systematic review and meta-analysis","volume":"24","author":"Ista","year":"2023","journal-title":"Pediatric Critical Care Medicine"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0085","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1186\/s12871-023-02102-3","article-title":"Depth of anesthesia, temperature, and postoperative delirium in children and adolescents undergoing cardiac surgery","volume":"23","author":"K\u00f6ditz","year":"2023","journal-title":"BMC Anesthesiology"},{"issue":"10","key":"10.1016\/j.pedn.2026.02.014_bb0090","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1177\/08850666211066892","article-title":"Delirium in a tertiary pediatric cardiac intensive care unit: Risk factors and outcomes","volume":"37","author":"Koth","year":"2022","journal-title":"Journal of Intensive Care Medicine"},{"issue":"2","key":"10.1016\/j.pedn.2026.02.014_bb0095","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/PCC.0000000000001038","article-title":"Mind the heart: Delirium in children following cardiac surgery for congenital heart disease","volume":"18","author":"Leroy","year":"2017","journal-title":"Pediatric Critical Care Medicine"},{"key":"10.1016\/j.pedn.2026.02.014_bb0100","doi-asserted-by":"crossref","DOI":"10.1016\/j.iccn.2024.103717","article-title":"A nomogram for predicting postoperative delirium in pediatric patients following cardiopulmonary bypass: A prospective observational study","volume":"83","author":"Lin","year":"2024","journal-title":"Intensive & Critical Care Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0105","doi-asserted-by":"crossref","first-page":"23","DOI":"10.5761\/atcs.oa.23-00057","article-title":"Effect of optimizing regional cerebral oxygen saturation during infant cardiac surgery on the incidence of postoperative delirium: A retrospective study","volume":"30","author":"Liu","year":"2024","journal-title":"Annals of Thoracic and Cardiovascular Surgery"},{"key":"10.1016\/j.pedn.2026.02.014_bb0110","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2023.1308252","article-title":"Future directions in ventilator-induced lung injury associated cognitive impairment: A new sight","volume":"14","author":"Liu","year":"2023","journal-title":"Frontiers in Physiology"},{"issue":"3","key":"10.1016\/j.pedn.2026.02.014_bb0115","first-page":"232","article-title":"Risk factors for postoperative delirium in children with congenital heart disease: A prospective nested case-control study","volume":"24","author":"Lyu","year":"2022","journal-title":"Chinese Journal of Contemporary Pediatrics"},{"issue":"11","key":"10.1016\/j.pedn.2026.02.014_bb0120","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1002\/gps.4823","article-title":"Delirium pathophysiology: An updated hypothesis of the etiology of acute brain failure","volume":"33","author":"Maldonado","year":"2018","journal-title":"International Journal of Geriatric Psychiatry"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0125","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1007\/s00246-023-03297-5","article-title":"Risk factors and nomogram model of postoperative delirium in children with congenital heart disease: A single-center prospective study","volume":"45","author":"Mao","year":"2024","journal-title":"Pediatric Cardiology"},{"issue":"11","key":"10.1016\/j.pedn.2026.02.014_bb0130","doi-asserted-by":"crossref","first-page":"3910","DOI":"10.3390\/jcm14113910","article-title":"Ventilator-induced lung injury: The unseen challenge in acute respiratory distress syndrome management","volume":"14","author":"Merola","year":"2025","journal-title":"Journal of Clinical Medicine"},{"issue":"2","key":"10.1016\/j.pedn.2026.02.014_bb0135","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/PCC.0000000000000993","article-title":"Patterns of postoperative delirium in children","volume":"18","author":"Meyburg","year":"2017","journal-title":"Pediatric Critical Care Medicine"},{"issue":"3","key":"10.1016\/j.pedn.2026.02.014_bb0140","first-page":"152","article-title":"Delirium among pediatric patients admitted to open-heart surgery intensive care unit: A cross-sectional study investigating a common challenge and concern, and its inciting factors","volume":"23","author":"Mirzaaghayan","year":"2024","journal-title":"Current Journal of Neurology"},{"key":"10.1016\/j.pedn.2026.02.014_bb0145","series-title":"JBI manual for evidence synthesis","first-page":"219","article-title":"Chapter 7: Systematic reviews of etiology and risk","author":"Moola","year":"2020"},{"issue":"6","key":"10.1016\/j.pedn.2026.02.014_bb0150","doi-asserted-by":"crossref","first-page":"2323","DOI":"10.1016\/j.athoracsur.2021.11.017","article-title":"Assessment of current Society of Thoracic Surgeons data elements for adults with congenital heart disease","volume":"114","author":"Nelson","year":"2022","journal-title":"The Annals of Thoracic Surgery"},{"key":"10.1016\/j.pedn.2026.02.014_bb0155","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.pedn.2026.02.014_bb0160","article-title":"PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.pedn.2026.02.014_bb0165","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/PCC.0000000000001032","article-title":"Delirium in children after cardiac bypass surgery","volume":"18","author":"Patel","year":"2017","journal-title":"Pediatric Critical Care Medicine"},{"issue":"2","key":"10.1016\/j.pedn.2026.02.014_bb0170","doi-asserted-by":"crossref","first-page":"e74","DOI":"10.1097\/PCC.0000000000002873","article-title":"2022 Society of Critical Care Medicine clinical practice guidelines on prevention and management of pain, agitation, neuromuscular blockade, and delirium in critically ill pediatric patients with consideration of the ICU environment and early mobility","volume":"23","author":"Smith","year":"2022","journal-title":"Pediatric Critical Care Medicine"},{"key":"10.1016\/j.pedn.2026.02.014_bb0175","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnurstu.2022.104410","article-title":"The effect of the ABCDE\/ABCDEF bundle on delirium, functional outcomes, and quality of life in critically ill patients: A systematic review and meta-analysis","volume":"138","author":"Sosnowski","year":"2023","journal-title":"International Journal of Nursing Studies"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0180","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/PCC.0000000000002591","article-title":"Prevalence of ICU delirium in postoperative pediatric cardiac surgery patients","volume":"22","author":"Staveski","year":"2021","journal-title":"Pediatric Critical Care Medicine"},{"issue":"3","key":"10.1016\/j.pedn.2026.02.014_bb0185","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1097\/CCM.0b013e3182a66b76","article-title":"Cornell assessment of pediatric delirium: A valid, rapid, observational tool for screening delirium in the PICU","volume":"42","author":"Traube","year":"2014","journal-title":"Critical Care Medicine"},{"issue":"6","key":"10.1016\/j.pedn.2026.02.014_bb0190","doi-asserted-by":"crossref","DOI":"10.1016\/j.accpm.2024.101427","article-title":"Postoperative pain management in children: Guidance from the pain Committee of the European Society for Paediatric Anaesthesiology (ESPA pain management ladder initiative) part II","volume":"43","author":"Vittinghoff","year":"2024","journal-title":"Anaesthesia, Critical Care & Pain Medicine"},{"issue":"10","key":"10.1016\/j.pedn.2026.02.014_bb0195","first-page":"2256","article-title":"Improvement of heterogeneity testing methods in meta-analysis","volume":"12","author":"Wang","year":"2012","journal-title":"Science Technology and Engineering"},{"issue":"1","key":"10.1016\/j.pedn.2026.02.014_bb0200","article-title":"Analyzing the global burden of 11 subtypes of congenital birth defects: Trends, sociodemographic correlates, and outcomes from 1990 to 2021","volume":"57","author":"Yang","year":"2025","journal-title":"Annals of Medicine"},{"issue":"6","key":"10.1016\/j.pedn.2026.02.014_bb0205","first-page":"923","article-title":"Current status and influencing factors of delirium after extracorporeal circulation in children with congenital heart disease","volume":"38","author":"Yang","year":"2021","journal-title":"China Health Statistics"},{"key":"10.1016\/j.pedn.2026.02.014_bb0210","doi-asserted-by":"crossref","DOI":"10.1016\/j.cca.2023.117683","article-title":"Genetics of congenital heart disease","volume":"552","author":"Zhao","year":"2024","journal-title":"Clinica Chimica Acta"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326000758?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326000758?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:53:04Z","timestamp":1785192784000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596326000758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":42,"alternative-id":["S0882596326000758"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2026.02.014","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Factors influencing postoperative delirium in patients with congenital heart disease: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2026.02.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}