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. 2018 Dec 12;2018(12):CD012669. doi: 10.1002/14651858.CD012669.pub2

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