Diagnostic accuracy of ancillary tests for death by neurologic criteria: a systematic review and meta-analysis

Can J AnaesthPublished Systematic review and meta-analysis of diagnostic accuracy studies

Authors' conclusion

Studies assessing ancillary test diagnostic accuracy have an unclear or high risk of bias.

Study context

Population
Patients with clinically diagnosed or clinically suspected death by neurologic criteria (determination by neurologic criteria (DNC)) who underwent ancillary testing; pediatric-only studies excluded137 records
Comparison
Ancillary tests for DNC vs reference standards
Outcome
Pooled sensitivity, clinically diagnosed DNC (n = 8,891)
Methodological detailshierarchical Bayesian models with diffuse priors, QUADAS-2 risk of bias assessment
  • Hierarchical Bayesian models with diffuse priors
  • QUADAS-2 risk of bias assessment

Pooled result

As reported in the abstract

GroupSensitivity (range)
Ancillary tests0.82-0.93

Ancillary tests

Sensitivity (range)0.82-0.93

Further pooled results

OutcomeValues
Pooled sensitivity and specificity, clinically suspected DNC (n = 2,732)Ancillary tests sensitivity (range) 0.81 and 1.00 · specificity (range) 0.87 and 1.00

Risk of bias (QUADAS-2)

Studies with low risk of bias in all QUADAS-2 domains
1 (0.7%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Diagnostic accuracy of ancillary tests for death by neurologic criteria: a systematic review and meta-analysis. Can J Anaesth. Published 8 May 2023. doi:10.1007/s12630-023-02426-1

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