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Updated: Sep 17, 2025
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Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
Published on: March 14, 2018
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[Early warning scores: a rapid umbrella review]
Peter Nydahl1,2, Marie-Madlen Jeitziner3, Susanne Krotsetis4
1Pflegewissenschaft und -entwicklung, Institut für Pflegewissenschaft und -praxis, Universitätsklinikum Schleswig-Holstein, UKSH Haus V40, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland. Peter.Nydahl@uksh.de.
Medizinische Klinik, Intensivmedizin Und Notfallmedizin
|June 27, 2025
Summary
Early warning scores (EWS) effectively reduce risks in high-risk hospital populations, but implementation requires significant resources. Widespread introduction is not generally recommended; focus on high-risk areas first.
Area of Science:
- Critical care medicine
- Patient monitoring systems
- Health services research
Context:
- Early warning scores (EWS) are vital for monitoring hospitalized patients.
- EWS aim to improve outcomes like mortality and sepsis through timely interventions.
- Optimal implementation areas for EWS remain unclear.
Purpose:
- To conduct a rapid umbrella review of systematic reviews and meta-analyses on Early Warning Scores (EWS).
- To identify the most appropriate settings and patient populations for EWS implementation.
- To evaluate the effectiveness and resource requirements of EWS.
Summary:
- A review of 44 systematic reviews and 15 meta-analyses identified 57 EWS versions across diverse settings.
- EWS show effectiveness in high-risk groups (emergency departments, geriatrics, surgery) but require substantial resources.
- Heterogeneous results and evidence levels necessitate a cautious approach to EWS introduction.
Impact:
- EWS implementation is most effective in specific high-risk patient populations.
- Resource allocation (staff, structures, processes) is crucial for successful EWS implementation.
- Electronic aids and artificial intelligence can significantly support EWS implementation and quality improvement.
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