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The area under the curve (AUC) for C-CHEWS scores fell in an acceptable range of 0.956 (95% CI: 0.869 to 0.992), suggesting an optimal accuracy for identifying early warning signs of a cardiopulmonary arrest among patients in the pediatric cardiac intensive care unit (PCICU). B Introduction: b In children, cardiac arrest is the most common cause of death after congenital cardiac surgery. B Conclusions: b The C-CHEWS tool provides a standardized assessment and approach to deteriorating congenital cardiac surgery patients in recognizing early postoperative warning signs. [Extracted from the article]