Zhang Weidong, Hu Wei, Diao Mengyuan
Fourth Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China.
Department of Critical Care Medicine, Hangzhou First People's Hospital, West Lake University School of Medicine, Hangzhou 310006, Zhejiang, China. Corresponding author: Diao Mengyuan, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2024 Dec;36(12):1325-1328. doi: 10.3760/cma.j.cn121430-20231116-00983.
In-hospital cardiac arrest (IHCA) is a critical medical issue threatening the survival and prognosis of hospitalized patients, characterized by high incidence, high mortality and poor prognosis. Early warning and intervention for IHCA are urgently needed. The early warning score (EWS) is developed as a point-of-care warning tool for early identification and intervention of hospitalized patients with deteriorating condition. In recent years, EWS has become one of the important methods for early warning of IHCA, especially EWS based on machine learning (ML) has shown great potential. This review mainly focuses on the traditional EWS and ML-based EWS, discusses the research status of EWS worldwide, and focuses on the research progress of EWS in early warning of IHCA.
院内心脏骤停(IHCA)是一个危及住院患者生存和预后的关键医学问题,其特点是发病率高、死亡率高且预后差。迫切需要对IHCA进行早期预警和干预。早期预警评分(EWS)是作为一种即时护理预警工具而开发的,用于对病情恶化的住院患者进行早期识别和干预。近年来,EWS已成为IHCA早期预警的重要方法之一,尤其是基于机器学习(ML)的EWS已显示出巨大潜力。本综述主要关注传统EWS和基于ML的EWS,讨论全球EWS的研究现状,并重点关注EWS在IHCA早期预警方面的研究进展。