Table 3 Pooled estimates for prognostic accuracy of MRI with abnormal lesions for DNS diagnosis by subgroup.

From: Early neuroimaging and delayed neurological sequelae in carbon monoxide poisoning: a systematic review and meta-analysis

Characteristics

N*

Pooled SEN (95% CI)

Pooled SPE (95% CI)

Pooled PLR (95% CI)

Pooled NLR (95% CI)

Pooled DOR (95% CI)

Pooled symmetric AUC (SE)

Q (SE)

Sample size

≥ 100

5

0.710 (0.644–0.769)

0.851 (0.825–0.875)

4.302 (2.861–6.470)

0.364 (0.284–0.467)

11.917 (6.201–22.904)

0.880 (0.117)

0.710 (0.099)

< 100

3

0.700 (0.506–0.853)

0.824 (0.758–0.878)

3.901 (2.614–5.821)

0.375 (0.217–0.647)

10.845 (4.489–26.200)

0.849 (0.078)

0.780 (0.073)

Inclusion criteria

Any level of COHb

5

0.672 (0.579–0.757)

0.823 (0.788–0.855)

3.706 (2.668–5.146)

0.413 (0.318–0.537)

9.245 (5.319–16.067)

0.781 (0.103)

0.720 (0.088)

Clinical sign and symptom

3

0.744 (0.656–0.819)

0.884 (0.848–0.913)

5.526 (3.410–8.954)

0.293 (0.216–0.397)

22.980 (13.555–38.653)

0.864 (0.098)

0.795 (0.096)

Timing of imaging examination

≤ 72 h

4

0.706 (0.627–0.777)

0.852 (0.822-.879)

4.195 (2.290–7.684)

0.391 (0.064–0.578)

10.797 (3.973–29.344)

0.756 (0.175)

0.698 (0.146)

Unclear

4

0.714 (0.605–0.808)

0.843 (0.797–0.882)

4.496 (3.312–6.102)

0.340 (0.242–0.478)

13.999 (7.791–25.155)

0.853 (0.076)

0.784 (0.072)

Hyperbaric oxygen therapy

≥ 80%

5

0.710 (0.633–0.778)

0.849 (0.819–0.875)

4.145 (2.507–6.852)

0.379 (0.269–0.534)

11.263 (4.785–26.512)

0.810 (0.099)

0.745 (0.087)

< 80%

3

0.707 (0.590–0.806)

0.849 (0.800–0.891)

4.646 (3.312–6.516)

0.346 (0.243–0.493)

13.999 (7.517–26.072)

0.843 (0.141)

0.774 (0.131)

Quality of study

High quality

6

0.706 (0.641–0.766)

0.855 (0.826–0.878)

4.437 (2.954–6.664)

0.369 (0.288–0.474)

12.023 (6.301–22.940)

0.773 (0.133)

0.713 (0.112)

Low quality

2

0.737 (0.488–0.909)

0.802 (0.711–0.875)

3.705 (2.293–5.985)

0.334 (0.157–0.711)

11.202 (3.596–34.892)

  1. AUC area under curve, CI confidence interval, CT computed tomography, MRI magnetic resonance imaging, NLR negative likelihood ratio, OR odds ratio, PLR positive likelihood ratio, Q* the maximum joint sensitivity and specificity on a symmetric summary receiver operating characteristic curve, SEN sensitivity, SPE specificity.
  2. *The reference list of included studies in each subgroup can be found in Supplemental Table S5.