PICO | Subgroup | Outcomes | Author (year) | Sensitivity (95% CI) | Specificity (95% CI) |
---|---|---|---|---|---|
Does presence of cardiac activity on pre-hospital POCUS predict clinical outcomes during cardiac arrest | Initial cardiac arrest rhythm | ||||
PEA | SHA | Aichinger (2012) | 1.00 (0.25–1.00) | 0.70 (0.35–0.93) | |
Breitkreutz (2010) | 0.95 (0.77–1.00) | 0.41 (0.24–0.61) | |||
Asystole | SHA | Aichinger (2012) | 0.50 (0.13–0.99) | 1.00 (0.81–1.00) | |
Breitkreutz (2010) | 0.69 (0.39–0.91) | 0.83 (0.62–0.95) | |||
VF/VT | SHA | Aichinger (2012) | 1.00 (0.15–1.00) | 0.67 (0.30–0.93) | |
Definition of cardiac activity | |||||
Unspecified cardiac activity | SHA | Breitkreutz (2010) | 0.86 (0.70–0.94) | 0.60 (0.47–0.725) | |
Any movement of the myocardium | SHA | Aichinger (2012) | 0.80 (0.31–0.97) | 0.84 (0.68–0.93) | |
Does presence of cardiac activity on in-hospital (ICU & ED) POCUS predict clinical outcomes of cardiac arrest patients | Initial cardiac arrest rhythm | ||||
PEA | ROSC | Chardoli (2012) | 1.00 (0.81–1.00) | 0.33 (0.18–0.52) | |
Kim (2016) | 1.00 (0.54–1.00) | 0.50 (0.01–0.99) | |||
Salen (2005) | 1.00 (0.63–1.00) | 0.88 (0.70–0.98) | |||
Tomruk (2012) | 0.43 (0.26–0.61) | 0.76 (0.56–0.90) | |||
SHA | Cureton (2012) | 0.80 (0.28–0.99) | 0.80 (0.69–0.89) | ||
Cebicci (2014) | 0.93 (0.82–0.99) | 0.93 (0.78–0.99) | |||
Blaivas (2001) | 1.00 (0.74–1.00) | 0.77 (0.56 – 0.91) | |||
Chua (2017) | 0.67 (0.22–0.96) | 0.88 (0.68–0.97) | |||
Salen (2001) | 0.89 (0.52–1.00) | 0.50 (0.35–0.65) | |||
Asystole | ROSC | Kim (2016) | 0.0 (0.0–0.16) | 1.00 (0.81–1.00) | |
Salen (2005) | 0.0 | 1.00 (0.90–1.00) | |||
Tomruk (2012) | 0.11 (0.03–0.26) | 0.97 (0.87–1.00) | |||
SHA | Cebicci (2014) | 1.00 (0.15–1.00) | 1.00 (0.98–1.00) | ||
Blaivas (2001) | 0.0 | 1.00 (0.94–1.00) | |||
Chua (2017) | 0.67 (0.30–0.93) | 0.85 (0.72–0.94) | |||
Salen (2001) | 0.0 (0.0–0.98) | 0.91 (0.77–0.98) | |||
VF/VT | ROSC | Kim (2016) | 1.00 (0.03–100) | 0.0 | |
Tomruk (2012) | 0.0 (0.0–0.60) | 1.00 (0.40–1.00) | |||
SHA | Cebbici (2014) | 0.94 (0.79–0.99) | 0.62 (0.32–0.86) | ||
Blaivas (2001) | 1.00 (0.63–1.00) | 0.88 (0.76–0.95) | |||
Salen (2001) | 1.00 (0.29–1.00) | 0.50 (0.16–0.84) | |||
Definition of cardiac activity | |||||
Unspecified cardiac activity | ROSC | Lien (2018) | 0.62 (0.50–0.73) | 0.98 (0.95–100) | |
Bolvardi (2016) | 0.73 (0.60–0.84) | 0.92 (0.85–0.96) | |||
SHA | Breitkreutz (2010) | 0.86 (0.70–0.94) | 0.60 (0.47–0.73) | ||
Cebbici (2014) | 0.94 (0.86–0.97) | 0.98 (0.95–0.99) | |||
Chua (2017) | 0.72 (0.48–0.88) | 0.84 (0.75–0.91) | |||
SHD | Lien (2018) | 0.48 (0.28–0.69) | 0.77 (0.69–0.83) | ||
Any movement of the myocardium | ROSC | Gaspari (2016) | 0.64 (0.57–0.70) | 0.78 (0.74–0.81) | |
Thandar (2023) | 0.52 (0.33–0.71) | 0.95 (0.86–0.98) | |||
SHA | Aichinger (2012) | 0.80 (0.31–0.97) | 0.84 (0.68–0.93) | ||
Blaivas (2001) | 0.98 (0.71–1.00) | 0.91 (0.85–0.95) | |||
Gaspari (2016) | 0.67 (0.58–0.75) | 0.73 (0.69–0.76) | |||
Thandar (2023) | 0.31 (0.13–0.57) | 0.84 (0.77–0.89) | |||
SHD | Gaspari (2016) | 0.77 (0.48–0.92) | 0.68 (0.64–0.71) | ||
Thandar (2023) | 0.50 (0.06–0.94) | 0.83 (0.73–0.90) | |||
Zengin (2016) | 0.40 (0.10–0.80) | 0.77 (0.67–0.84) | |||
Any atrial, valvular or ventricular Movement | ROSC | Chardoli (2012) | 1.00 (0.81–1.00) | 0.33 (0.18–0.52) | |
Hayhurst (2010) | 0.92 (0.59–0.99) | 0.76 (0.60–0.87) | |||
Kim (2016) | 0.25 (0.11–0.45) | 0.95 (0.75–1.00) | |||
Salen (2005) | 0.94 (0.49–1.00) | 0.94 (0.85–0.98) | |||
Masoumi (2021) | 0.61 (0.44–0.75) | 0.82 (0.74–0.88) | |||
Ozen (2016) | 0.95 (0.85–0.98) | 0.70 (0.58–0.80) | |||
Tomruk (2012) | 0.26 (0.17–0.37) | 0.89 (0.80–0.95) | |||
SHA | Hayhurst (2010) | 0.80 (0.31–0.97) | 0.64 (0.50–0.77) | ||
Masoumi (2021) | 0.75 (0.52–0.89) | 0.79 (0.71–0.85) | |||
Ozen (2016) | 0.98 (0.86–1.00) | 0.60 (0.49–0.70) | |||
SHD | Tayal (2003) | 1.00 (0.59–1.00) | 0.62 (0.32–0.86) | ||
Masoumi (2021) | 0.85 (0.42–0.99) | 0.74 (0.66–0.81) | |||
Organized cardiac activity | ROSC | Atkinson (2019) | 0.34 (0.21–0.49) | 0.96 (0.91–0.99) | |
Flato (2015) | 0.53 (0.35–0.70) | 0.38 (0.13–0.68) | |||
SHA | Atkinson (2019) | 0.39 (0.20–0.62) | 0.91 (0.86–0.95) | ||
Cureton (2012) | 0.86 (0.42–0.98) | 0.91 (0.85–0.95) | |||
SHD | Atkinson (2019) | 0.67 (0.09–0.99) | 0.89 (0.84–0.93) | ||
Flato (2015) | 1.00 (0.54–1.00) | 0.51 (0.35–0.67) | |||
Does level of POCUS training influence the ability to predict clinical outcomes of cardiac arrest | Inexperienced | ROSC | Lien (2018) | 0.62 (0.50–0.73) | 0.98 (0.95–100) |
Thandar (2023) | 0.52 (0.33–0.71) | 0.95 (0.86–0.98) | |||
Tomruk (2012) | 0.26 (0.17–0.37) | 0.89 (0.80–0.95) | |||
SHA | Aichinger (2012) | 0.80 (0.31–0.97) | 0.84 (0.68–0.93) | ||
Blaivas (2001) | 0.98 (0.71–1.00) | 0.91 (0.85–0.95) | |||
Chua (2012) | 0.72 (0.48–0.88) | 0.84 (0.75–0.91) | |||
Salen (2001) | 0.85 (0.55–0.96) | 0.67 (0.56–0.76) | |||
Thandar (2023) | 0.31 (0.13–0.57) | 0.84 (0.77–0.89) | |||
SHD | Lien (2018) | 0.48 (0.28–0.69) | 0.77 (0.69–0.83) | ||
Thandar (2023) | 0.50 (0.06–0.94) | 0.83 (0.73–0.90) | |||
Zengin (2016) | 0.40 (0.10–0.80) | 0.77 (0.67–0.84) | |||
Tayal (2003) | 1.00 (0.59–1.00) | 0.62 (0.32–0.86) | |||
Experienced | ROSC | Atkinson (2019) | 0.34 (0.21–0.49) | 0.96 (0.91–0.99) | |
Masoumi (2021) | 0.61 (0.44–0.75) | 0.82 (0.74–0.88) | |||
Hayhurst (2010) | 0.92 (0.59–0.99) | 0.76 (0.60–0.87) | |||
Kim (2016) | 0.25 (0.11–0.45) | 0.95 (0.75–1.00) | |||
Ozen (2016) | 0.95 (0.85–0.98) | 0.70 (0.58–0.80) | |||
Gaspari (2016) | 0.64 (0.57–0.70) | 0.78 (0.74–0.81) | |||
SHA | Atkinson (2019) | 0.39 (0.20–0.62) | 0.91 (0.86–0.95) | ||
Cureton (2012) | 0.86 (0.42–0.98) | 0.91 (0.85–0.95) | |||
Masoumi (2021) | 0.75 (0.52–0.89) | 0.79 (0.71–0.85) | |||
Gaspari (2016) | 0.67 (0.58–0.75) | 0.73 (0.69–0.76) | |||
Hayhurst (2010) | 0.80 (0.31–0.97) | 0.64 (0.50–0.77) | |||
Cebbici (2014) | 0.94 (0.86–0.97) | 0.98 (0.95–0.99) | |||
SHD | Atkinson (2019) | 0.67 (0.09–0.99) | 0.89 (0.84–0.93) | ||
Masoumi (2021) | 0.85 (0.42–0.99) | 0.74 (0.66–0.81) | |||
Gaspari (2016) | 0.77 (0.48–0.92) | 0.68 (0.64–0.71) | |||
Flato (2015) | 1.00 (0.54–1.00) | 0.51 (0.35–0.67) |