The HINTS and HINTS Plus examinations had good sensitivity and reasonable specificity for diagnosing a central cause for AVS in the emergency department when performed by trained clinicians. Overall, the evidence was of low certainty. There were limited data for the role of video-assistance or specific subgroups. Future research should include more high-quality studies of the HINTS and HINTS Plus examination; assessment of inter-rater reliability across users; accuracy across different providers, specialties, and experience; and direct comparison with no HINTS or MRI to assess the effect on clinical care.
Keyphrases
- emergency department
- palliative care
- healthcare
- magnetic resonance imaging
- liver failure
- electronic health record
- quality improvement
- big data
- case report
- computed tomography
- respiratory failure
- magnetic resonance
- drug induced
- machine learning
- current status
- case control
- high intensity
- optical coherence tomography
- clinical evaluation