Evidence map›Paper›PMID 40621610›Full record

ReviewBiomedical engineering letters2025

Early warning score and feasible complementary approach using artificial intelligence-based bio-signal monitoring system: a review.

Dogeun Park, Kwangsub So, Sunil Kumar Prabhakar, Chulho Kim, Jae Jun Lee, Jong-Hee Sohn, Jong-Ho Kim, Sang-Hwa Lee, Dong-Ok Won

Abstract readReview
In one paragraph

Review in Biomedical engineering letters, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

9 authors.

Dogeun Park *Department of Artificial Intelligence Convergence, College of Information Science, Hallym University, 1, Hallymdaehak-gil, Chuncheon, Gangwon-do 24252 Republic of Korea.
Kwangsub So *Department of Artificial Intelligence Convergence, College of Information Science, Hallym University, 1, Hallymdaehak-gil, Chuncheon, Gangwon-do 24252 Republic of Korea.
Sunil Kumar PrabhakarDepartment of Artificial Intelligence Convergence, College of Information Science, Hallym University, 1, Hallymdaehak-gil, Chuncheon, Gangwon-do 24252 Republic of Korea.
Chulho KimDepartment of Neurology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, 24253 Republic of Korea.
Jae Jun LeeDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, 24253 Republic of Korea.
Jong-Hee SohnDepartment of Neurology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, 24253 Republic of Korea.
Jong-Ho KimDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, 24253 Republic of Korea.
Sang-Hwa LeeDepartment of Neurology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, 24253 Republic of Korea.
Dong-Ok WonDepartment of Artificial Intelligence Convergence, College of Information Science, Hallym University, 1, Hallymdaehak-gil, Chuncheon, Gangwon-do 24252 Republic of Korea.ORCID 0000-0002-2839-6524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early warning score (EWS) have become an essential component of patient safety strategies in healthcare environments worldwide. These systems aim to identify patients at risk of clinical deterioration by evaluating vital signs and other physiological parameters, enabling timely intervention by rapid response teams. Despite proven benefits and widespread adoption, conventional EWS have limitations that may affect their ability to effectively detect and respond to patient deterioration. There is growing interest in integrating continuous multimodal monitoring technologies and advanced analytics, particularly artificial intelligence (AI) and machine learning (ML)-based approaches, to address these limitations and enhance EWS performance. This review provides a comprehensive overview of the current state and potential future directions of AI-based bio-signal monitoring in early warning system. It examines emerging trends and techniques in AI and ML for bio-signal analysis, exploring the possibilities and potential applications of various bio-signals such as electroencephalography, electrocardiography, electromyography in early warning system. However, significant challenges exist in developing and implementing AI-based bio-signal monitoring systems in early warning system, including data acquisition strategies, data quality and standardization, interpretability and explainability, validation and regulatory approval, integration into clinical workflows, and ethical and legal considerations. Addressing these challenges requires a multidisciplinary approach involving close collaboration between healthcare professionals, data scientists, engineers, and other stakeholders. Future research should focus on developing advanced data fusion techniques, personalized adaptive models, real-time and continuous monitoring, explainable and reliable AI, and regulatory and ethical frameworks. By addressing these challenges and opportunities, the integration of AI and bio-signals into early warning systems can enhance patient monitoring and clinical decision support, ultimately improving healthcare quality and safety. In conclusion, integrating AI and bio-signals into the early warning system represents a promising approach to improve patient care outcomes and support clinical decision-making. As research in this field continues to evolve, it is crucial to develop safe, effective, and ethically responsible solutions that can be seamlessly integrated into clinical practice, harnessing the power of innovative technology to enhance patient care and improve individual and population health and well-being.

Indexed as

Artificial intelligenceDeep learningEarly warning scoreEarly warning systemsMachine learningMultimodal bio-signalsPatient deteriorationRapid response team

Identifiers

PMID40621610
PMCPMC12226448

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.