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Table 3 Posttest probabilities for ROSC, SHA, and SHD for a sample of population prevalence, determined using POCUS

From: Prognostic accuracy of point-of-care ultrasound in patients with pulseless electrical activity: a systematic review and meta-analysis

Pretest probability

Posttest probability after the presence of cardiac activity on POCUS

Posttest probability after the absence of cardiac activity on POCUS

False positive*

False negative*

ROSC (sensitivity: 0.86, specificity: 0.64)

0.1

0.21

0.02

324

14

0.25

0.44

0.07

270

35

0.5

0.71

0.17

180

70

0.75

0.88

0.39

90

105

SHA (sensitivity: 0.89, specificity: 0.73)

0.1

0.27

0.02

243

11

0.25

0.52

0.05

203

28

0.5

0.77

0.13

135

55

0.75

0.91

0.31

68

83

SHD (sensitivity: 0.79, specificity: 0.58)

0.1

0.15

0.04

378

21

0.25

0.35

0.12

315

53

0.5

0.62

0.29

210

105

0.75

0.83

0.55

105

158

  1. ROSC Return of spontaneous circulation, SHA Survival to admission, SHD Survival to discharge, POCUS Point-of-care ultrasound
  2. *Number of false positives and negatives in 1000 hypothetical cases