Table 1

Critical appraisal

Study designRelevance (applicability)Validity (risk of bias)
DomainReference standardPatient selectionIndex testReference standardFlow and timingRemarksOverall risk of bias
Weinberg36 Prospective observational studyAge <25 years, urban centre.CTHighLowLowUnclearNot only skullAt risk of bias
fractures were assessed.
Convenience
Sample.
Unclear interval
between POCUS and CT
Riera37 Prospective observational studyAge <18 years,CTHighLowLowLowConvenience sampleAt risk of bias
Tertiary care centre and trauma level one centre.
Parri35 Prospective observational studyAge <18 years.CTLowLowLowLowLow risk of bias
Rabiner38 Prospective observational studyAge <21 years, trauma level two centre.CTHighLowLowLowConvenience sampleAt risk of bias
Choi39 Prospective observational studyAge <4 years, tertiary care centre and trauma level I centre.CTHighLowLowLowConvenience sampleAt risk of bias
Parri40 Multicentre prospective observational studyAge <2 years.CTHighLowLowLowConvenience sampleAt risk of bias
Masaeli34 Prospective cross-sectional studyAge <18 years, tertiary care centre.CTLowLowLowLowLow risk of bias
  • POCUS, point-of-care ultrasound.