The investigators are going to conduct a prospective observational cohort study in pediatric patients aged 28 days to 14 years old scheduled for elective cardiac surgery with cardiopulmonary bypass. The primary purpose of this study is to explore the effect of preoperative sleep disturbance on the incidence of postoperative delirium. Sleep status will be assessed using the Brief Infant Sleep Questionnaire(BISQ) and Children's Sleep Habits Questionnaire (CSHQ), and postoperative delirium status will be evaluated by Cornell assessment of pediatric delirium(CAPD). During the peri-operative period, children will wear actigraphs to record their sleep parameters.
Study Type
OBSERVATIONAL
Enrollment
435
This is a observational study and there is no intervention.
The incidence of postoperative delirium
Time frame: Postoperative 7 days
The proportions of subtypes of postoperative delirium( hypoactive, hyperactive, and mixed).
Time frame: Postoperative 7 days
Pain defined by the Face, Legs, Activity, Cry, and Consolability scale
The FLACC scale is a simple and effective tool used to assess pain in infants and non-verbal patients. It stands for Face, Legs, Activity, Cry, and Consolability. Each of these five items is scored on a scale of 0 to 2, with a higher score indicating a greater degree of pain. The total FLACC score, ranging from 0 to 10, provides a quick and reliable assessment of the patient's pain level.
Time frame: Postoperative 7 days
The incidence of postoperative Acute kidney injury
Time frame: Within postoperative 7 days.
Pulmonary complication
Time frame: Postoperative 7 days
The incidence of postoperative Liver dysfunction
Time frame: Postoperative 7 days
The duration of postoperative mechanical ventilation
The total hours needing mechanical ventilation support
Time frame: From the end of the surgery to discharge from the hospital,up to 30 days.
The length of intensive care unit stay
The time spent in the intensive care unit.
Time frame: From the end of the surgery to discharge from the hospital, up to 30 days.
The length of postoperative hospital stay
Time frame: From the end of the surgery to the day of discharge from the hospital, up to 30 days..
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