# Association of bundled care interventions in improving outcomes for pediatric patients with congenital heart disease: a retrospective clinical evaluation

## TL;DR

This study shows that a structured care approach improves outcomes for children with heart defects by enhancing oxygen levels and quality of life.

## Contribution

The study introduces a bundled care model that integrates multidisciplinary interventions for pediatric congenital heart disease patients.

## Key findings

- Bundled care improved oxygenation levels significantly compared to conventional care.
- Quality of life was enhanced across all dimensions in the bundled care group.
- Fewer adverse events and postoperative complications were observed with bundled care.

## Abstract

Congenital heart disease (CHD) in pediatric patients requires comprehensive care to address complex medical and psychological needs. Traditional approaches may lack the structure and coordination to optimize recovery fully. This study evaluates the association of Bundled Care Interventions, a structured multidisciplinary approach, in improving clinical outcomes and quality of life in pediatric CHD patients.

A retrospective evaluation was conducted at our hospital from January 2021 to December 2023. Pediatric patients (n = 136) under 14 years of age diagnosed with CHD were included, with 70 receiving Bundled Care Interventions (observation group) and 66 receiving conventional care (control group). The bundled care model included preoperative education, optimized intraoperative management, personalized postoperative rehabilitation, home-based care, and medication management. Primary outcome measures included oxygenation status, quality of life, adverse events, and complications. Statistical analyses were performed using independent t-tests and chi-square tests.

Patients in the Bundled Care Interventions group showed significant improvements in oxygenation (PaO2 and FiO2; p < 0.001) and quality of life across all dimensions (p < 0.001) compared to the control group. Additionally, adverse event incidence was lower in the observation group (4.29% vs. 15.2%; p = 0.031), as was the incidence of postoperative complications (5.71% vs. 18.2%; p = 0.024).

Bundled Care Interventions might improve oxygenation levels, enhance quality of life, and reduce adverse events and complications in pediatric CHD patients. This structured, multidisciplinary approach could offer a promising model for optimizing clinical outcomes and supporting comprehensive rehabilitation in this vulnerable population.