Intraoperative evoked potential monitoring for detecting cerebral injury during adult aneurysm clipping surgery: a systematic review and meta-analysis of diagnostic test accuracy.

ABSTRACT:

Objectives

We aim to evaluate the diagnostic test accuracy (DTA) of intraoperative evoked potential (EP) monitoring to detect cerebral injury during clipping of cerebral aneurysms.

Design

Systematic review.

Data sources

Major electronic databases including MEDLINE, EMBASE, LILACS.

Eligibility criteria

We included studies that reported the DTA of intraoperative EP monitoring during intracranial aneurysm clipping procedures in adult patients.

Data extraction and synthesis

After quality assessment, we performed a meta-analysis using the bivariate random effects model, and calculated the possible range of DTA point estimates using a new best-case/worst-case scenario approach to quantify the impact of rescue intervention on DTA.

Results

A total of 35 s

SUBMITTER: Zhu F 

PROVIDER: S-EPMC6377512 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature