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The role of pediatric nurses in managing post-vascular surgery complications in children

Xinyu Yao1, Linlin Zhang2

  • 1Vascular Surgery, Jilin university first hospital, Jilin 130000, China.

Journal of Pediatric Nursing
|November 22, 2025
PubMed

Insights

Specialized nurse-led care significantly reduces surgical site infections and deep vein thrombosis in pediatric vascular surgery patients, leading to shorter hospital stays and faster ambulation.

Area of Science:

  • Pediatric Vascular Surgery
  • Nursing Care
  • Patient Outcomes

Background:

  • Pediatric vascular surgery presents unique postoperative challenges.
  • Specialized nursing care is essential for preventing complications.
  • This study investigates the impact of nurse-led interventions on patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of nurse-led interventions in pediatric vascular surgery.
  • To compare outcomes between standard care and specialized nursing care.
  • To identify key factors influencing postoperative complications.

Main Methods:

  • A prospective cohort study involving 312 pediatric vascular surgery patients.
  • Comparison of a standard care group with a nurse-led intervention group (lower nurse-to-patient ratio, enhanced monitoring, early mobilization).
  • Primary outcomes: surgical site infections (SSI), deep vein thrombosis (DVT), length of stay (LOS), time to ambulation.

Main Results:

  • The nurse-led group demonstrated significantly lower SSI (9.6% vs 21.5%) and DVT rates (6.4% vs 18.1%).
  • Improved outcomes include reduced time to ambulation (7.95 vs 15.83 hours) and shorter hospital LOS (5.44 vs 6.61 days).
  • Catheter duration decreased, while dressing changes increased; catheter days and 24-h pain scores were key SSI predictors.

Conclusions:

  • Nurse-led interventions, featuring optimized staffing and specialized protocols, significantly decrease complications in pediatric vascular surgery.
  • These findings support investment in specialized nursing programs to improve surgical outcomes.
  • Optimized nursing care is crucial for enhancing recovery and reducing adverse events in pediatric vascular surgery patients.
Abstract

Keywords:
Deep vein thrombosisNurse-led interventionsNursing carePediatric vascular surgeryPostoperative complicationsSurgical site infection

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