Extracted data on the value of the radiological diagnosis of skull fracture in the assessment of ICH in MHI. These figures were used to estimate the sensitivity and specificity of the diagnosis skull fracture for the diagnosis of ICH. The sROCs of these data are shown in figure 1
First author (reference) | Publication year | ED/AD | n | Design | Severity | Modality | No of skull radiographs | NCTs | LOC/P TA (%) | CT (%) | TPR | FPR |
Royal College28 | 1981 | ED | 5850 | P | 13–15 | X | 5850 | <50 | <50 | 0.7500 | 0.0133 | |
Dacey27 | 1986 | AD | 610 | P | 13–15 | X | 583 | 68 | 100 | 11 | 0.7222 | 0.0817 |
Kraus26 | 1988 | AD | 2402 | R | 13–15 | X | 2402 | <50 | <50 | 0.3876 | 0.0854 | |
Gorman29 | 1987 | ED | 12395 | P | 0–15 | X | 5484 | 15 | <50 | 0.7273 | 0.0362 | |
Masters30 | 1987 | 7035 | P | 0–15 | X | 4068 | <50 | <50 | 0.5556 | 0.0174 | ||
Livingston5 | 1991 | ED | 138 | R | 14–15 | X | 71 | 75 | 75 | 54 | 0.4286 | 0.0313 |
Shackford19 | 1992 | ED | 2766 | R | 13–15 | X | 423 | 2166 | 100 | 78 | 0.6082 | 0.2708 |
Stein20 | 1992 | ED | 1538 | R | 13–15 | CT | 1538 | 100 | 100 | 0.6034 | 0.0649 | |
Borczuk22 | 1995 | ED | 1448 | R | 13–15 | CT | 1448 | 80 | 100 | 0.1319 | 0.0052 | |
Dunham21 | 1996 | ED | 2032 | R | 13–15 | CT | 2032 | 100 | 100 | 0.2734 | 0.0436 | |
Gomez31 | 1996 | ED | 2484 | R | 13–15 | CT | 1784 | 187 | 28 | 7.5 | 0.5581 | 0.0106 |
Ingebrigtsen17 | 1996 | AD | 91 | R | 13–15 | CT | 88 | 100 | 97 | 0.2500 | 0.0750 | |
Arienta32 | 1997 | ED | 9830 | R | 13–15 | X | 6724 | 969 | 10 | 9.8 | 0.5484 | 0.0083 |
ED=Emergency department AD=admitted patients; R=retrospective; P=prospective; X=plain skull radiography