Cochrane · systematic review · CD015089
Head impulse, nystagmus, and test of skew examination for diagnosing central causes of acute vestibular syndrome
Gottlieb, M, Peksa, GD, Carlson, JN · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
9
No studies
1
Included studies
NR
No studies 1 · 9.1%Ungraded 1 · 9.1%Very low 2 · 18.2%Low 3 · 27.3%Moderate 4 · 36.4%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
What is the diagnostic accuracy of HINTS and HINTS Plus for diagnosing a central cause of acute vestibular syndrome?
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Clinical HINTS | no estimate extracted | 12 studies · 1890 participants | Low Downgraded: imprecision, inconsistency |
Video‐assisted HINTS | no estimate extracted | 3 studies · 199 participants | Very low Downgraded: imprecision, inconsistency |
Clinical HINTS Plus | no estimate extracted | 5 studies · 451 participants | Low Downgraded: imprecision, inconsistency |
Video‐assisted HINTS Plus | no estimate extracted | 2 studies · 163 participants | Moderate Downgraded: imprecision |
Secondary objectives for HINTS subcomponents | no estimate extracted | NR | No studies |
Head impulse | no estimate extracted | 9 studies · 905 participants | Low Downgraded: imprecision, inconsistency |
Video head impulse | no estimate extracted | 3 studies · 239 participants | Very low Downgraded: imprecision, inconsistency |
Nystagmus | no estimate extracted | 9 studies · 1128 participants | Moderate Downgraded: imprecision, inconsistency |
Test of skew | no estimate extracted | 10 studies · 1313 participants | Moderate Downgraded: imprecision, inconsistency |
Investigation of heterogeneity and sensitivity analyses | no estimate extracted | 95 participants | Moderate Downgraded: imprecision, inconsistency |
Conclusions | no estimate extracted | 94 participants | Ungraded |