Summary of findings 2. Investigation of heterogeneity.
Investigation of heterogeneity | Number of studies | Summary sensitivity (95% CI) | Summary specificity (95% CI) | Chi2a | P valueb |
Reference standard | |||||
Single CT | 25 | 0.75 (0.63 to 0.84) |
0.97 (0.93 to 0.98) |
0.18 (overall) | 0.9160 (overall) |
CT plus laparotomy | 7 | 0.73 (0.58 to 0.84) |
0.95 (0.87 to 0.98) |
||
Target condition | |||||
Limited to free fluid/free air | 22 | 0.78 (0.68 to 0.85) |
0.97 (0.96 to 0.99) |
9.10 (overall) 0.06 (sensitivity) 8.08 (specificity) |
0.0106 (overall) 0.8100 (sensitivity) 0.0045 (specificity) |
Free fluid/free air and organ injuries/vascular lesions |
7 | 0.80 (0.73 to 0.85) |
0.88 (0.70 to 0.96) |
||
Age of participant | |||||
Children | 10 | 0.63 (0.46 to 0.77) |
0.91 (0.81 to 0.96) |
7.32 (overall) 54.91 (sensitivity) 19.88 (specificity) |
0.0258 (overall) 0.0000 (sensitivity) 0.0000 (specificity) |
Adults/mixed | 24 | 0.78 (0.69 to 0.84) |
0.97 (0.96 to 0.99) |
||
Type of injury | |||||
Abdominal injury | 27 | 0.68 (0.59 to 0.75) |
0.95 (0.92 to 0.97) |
17.36 (overall) 13.22 (sensitivity) 5.39 (specificity) |
0.0002 (overall) 0.0003 (sensitivity) 0.0202 (specificity) |
Thoracic injury | 4 | 0.96 (0.88 to 0.99) |
0.99 (0.97 to 1.00) |
||
aLarge values of the Chi2 statistic indicate that test performance may be associated with the particular covariate. bP values < 0.05 indicate statistical evidence that sensitivity and/or specificity differ between the examined groups. |
Abbreviations
CI: confidence interval CT: computed tomography