Evidence map›Paper›PMID 40457275›Full record

SynthesisBMC medical informatics and decision making2025

AI-Powered early warning systems for clinical deterioration significantly improve patient outcomes: a meta-analysis.

Shixin Yuan, Zihuan Yang, Junjie Li, Changde Wu, Songqiao Liu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shixin YuanSchool of Medicine, Southeast University, Nanjing, Jiangsu, 210009, China.
Zihuan YangSchool of Medicine, Southeast University, Nanjing, Jiangsu, 210009, China.
Junjie LiSchool of Medicine, Southeast University, Nanjing, Jiangsu, 210009, China.
Changde WuSchool of Medicine, Southeast University, Nanjing, Jiangsu, 210009, China. njwu163@163.com.
Songqiao LiuSchool of Medicine, Southeast University, Nanjing, Jiangsu, 210009, China. liusongqiao@ymail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical deterioration is often preceded by subtle physiological changes that, if unheeded, can lead to adverse patient outcomes. The precision of traditional scoring systems in detecting these precursors has limitations, prompting the exploration of AI-based predictive models as a means to enhance predictive accuracy and, consequently, patient outcomes.

methodsA systematic review and meta-analysis were conducted in accordance with PRISMA guidelines. Databases including PubMed, and Web of Science were searched for relevant studies as of April 8, 2024. Studies were selected based on predefined criteria, specifically targeting AI-based models designed to predict in-hospital clinical deterioration.

resultsA total of five studies met the inclusion criteria, all of which underwent prospective clinical validation. These studies demonstrated that AI-based models significantly reduced in-hospital and 30-day mortality rates. Although a downward trend in ICU transfers was observed, the results were not statistically significant. Additionally, the use of AI models shortened overall hospital stays but resulted in a significant increase in ICU length of stay.

conclusionThe findings suggest that AI-based early warning models positively impact patient outcomes in real-world clinical settings. Despite the potential benefits, the effectiveness and real-world applicability of these models require further research. Challenges such as clinician adherence to AI warnings remain to be addressed.

Indexed as

Artificial IntelligenceClinical DeteriorationEarly Warning ScoreOutcome Assessment, Health CareHospital MortalityHumansIntensive Care UnitsArtificial intelligenceClinical deteriorationMortalityPatient outcomes

Identifiers

PMID40457275
PMCPMC12131336

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.