{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T03:45:20Z","timestamp":1786506320094,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T00:00:00Z","timestamp":1668902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81500220"],"award-info":[{"award-number":["81500220"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Postoperative delirium (POD) is a common complication after cardiac surgery (CS), with symptoms like attention disorders and even delays patients' recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the impact of preoperative on\u2010site visits in the cardiac care unit (CCU) on POD after CS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Patients admitted to the CCU with extracorporeal CS were included in the visiting or non\u2010visiting group according to whether they were on visiting week. The visiting group received a preoperative visit from a nurse\u2010led multidisciplinary visiting team (including CCU nurses and physicians) 1\u2009week before surgery in addition to standard care. The non\u2010visiting group received standard care like unstructured information from the CS team and anesthesiologists and so on. The Confusion Assessment Method for the ICU (CAM\u2010ICU) and the Intensive Care Delirium Screening Checklist (ICDSC) were used to evaluate the POD severity. The incidence, occurrence and duration of POD, as well as the CCU length of stay, postoperative mechanical ventilation duration and length of hospital stay were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 735 participants (369 in the visited group and 366 in the unvisited group) were included in this study. Preoperative on\u2010site visits were associated with a decreased POD incidence (odds ratio [OR]: 0.524, 95% CI: 0.336\u20130.817), an improved POD severity (OR: 0.578, 95% CI: 0.359\u20130.932) and a shortening POD duration (OR: 0.972, 95% CI: 0.951\u20130.994). There was a significant difference between the visiting and non\u2010visiting groups in the mechanical ventilation duration (OR: 0.987, 95% CI: 0.978\u20130.996).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preoperative on\u2010site visits are associated with a reduction in the incidence, duration, and severity of POD, as well as the mechanical ventilation duration of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>This study found that preoperative on\u2010site visits were associated with the onset, duration, severity and duration of mechanical ventilation of POD. Although many factors influence the occurrence of POD, a multidisciplinary visiting team led by a nurse (including CCU nurses and physicians) can provide early nursing interventions through preoperative visits, better obtain postoperative cooperation from patients, establish a good nurse\u2013patient relationship and provide better health services to patients. In a realistic CCU setting, nurses and physicians can act as educators, assessing patients before surgery, enhancing preoperative education, improving patient familiarity with the CCU environment and teaching sign language communication skills when patients are mechanically ventilated. These findings can therefore provide the basis for effective clinical care to prevent postoperative POD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12862","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T03:09:32Z","timestamp":1669000172000},"page":"689-697","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Association between preoperative on\u2010site <scp>CCU<\/scp> visits and postoperative delirium in patients undergoing cardiac surgery: A retrospective cohort study"],"prefix":"10.1111","volume":"28","author":[{"given":"Beibei","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Cardiac Care Unit The First Affiliated Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Cardiac Care Unit The First Affiliated 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