Table 3

LVO prediction scale thresholds selected for high positive likelihood ratios and low negative likelihood ratios.

Scale thresholdSensitivity %
(95% CI)
Specificity %
(95% CI)
PLR
(95% CI)
NLR
(95% CI)
PPV %
(95% CI)
NPV %
(95% CI)
% Of all patients
Scale thresholds with a PLR 95% CI ≥5.0 and the lowest simultaneous NLR
 SAVE=430 (24 to 36)97 (95 to 98)8.56 (5.16 to 14.20)0.73 (0.67 to 0.79)81 (71 to 88)74 (70 to 77)12
 EMSA=636 (30 to 43)96 (94 to 98)9.39 (5.86 to 15)0.67 (0.60 to 0.73)82 (73 to 89)76 (72 to 79)14
 FAST-ED≥630 (25 to 37)97 (95 to 98)9.98 (5.58 to 17.00)0.72 (0.66 to 0.78)83 (73 to 90)74 (71 to 77)12
 mNIHSS≥1053 (46 to 59)92 (89 to 94)6.30 (5.49 to 8.65)0.52 (0.46 to 0.60)75 (68 to 82)80 (76 to 83)23
 NIHSS≥1638 (32 to 45)95 (93 to 97)8.20 (5.33 to 12.60)0.65 (0.59 to 0.72)80 (72 to 87)76 (72 to 79)16
 RACE≥822 (17 to 28)98 (97 to 99)12.30 (6.18 to 24.50)0.79 (0.74 to 0.85)86 (75 to 93)72 (69 to 76)9
Scale thresholds with a NLR 95% CI ≤0.5 and the highest simultaneous PLR
 SAVE ≥278 (73 to 83)63 (59 to 68)2.14 (1.87 to 2.45)0.34 (0.27 to 0.44)51 (46 to 56)86 (82 to 89)50
 CPSS≥284 (79 to 88)52 (47 to 56)1.73 (1.56 to 1.93)0.31 (0.23 to 0.42)46 (41 to 51)87 (82 to 90)60
 C-STAT≥172 (66 to 77)70 (66 to 74)2.40 (2.05 to 2.80)0.40 (0.33 to 0.50)54 (48 to 59)84 (80 to 87)44
 EMSA≥473 (67 to 79)70 (66 to 74)2.47 (2.11 to 2.89)0.38 (0.31 to 0.48)55 (49 to 60)84 (80 to 88)44
 FAST-ED≥372 (66 to 77)79 (75 to 83)3.44 (2.85 to 4.16)0.36 (0.29 to 0.44)63 (57 to 68)85 (82 to 88)38
 G-FAST≥372 (66 to 77)72 (68 to 76)2.57 (2.18 to 3.02)0.39 (0.32 to 0.48)56 (50 to 61)84 (80 to 87)42
 mNIHSS≥667 (61 to 73)79 (75 to 83)3.22 (2.66 to 3.91)0.41 (0.34 to 0.50)61 (55 to 67)83 (80 to 87)36
 NIHSS≥967 (61 to 73)81 (78 to 85)3.59 (2.92 to 4.40)0.41 (0.34 to 0.49)64 (57 to 70)83 (80 to 87)34
 PASS≥189 (84 to 93)43 (39 to 48)1.56 (1.43 to 1.71)0.26 (0.18 to 0.38)43 (39 to 48)89 (84 to 93)67
 RACE≥277 (71 to 82)64 (60 to 68)2.14 (1.87 to 2.46)0.36 (0.29 to 0.46)51 (46 to 56)85 (81 to 89)49
 VAN=172 (66 to 77)77 (73 to 81)3.17 (2.64 to 3.79)0.37 (0.30 to 0.45)61 (55 to 66)85 (81 to 88)39
 3I-SS≥184 (79 to 88)45 (41 to 50)1.53 (1.39 to 1.68)0.36 (0.27 to 0.49)43 (38 to 47)85 (80 to 89)64
  • CPSS, Cincinnati Prehospital Stroke Scale; C-STAT, Cincinnati Stroke Triage Assessment Tool; EMSA Emergency Medical Stroke Assessment; FAST-ED, Field Assessment Stroke Triage for Emergency Destination; G-FAST, Gaze-Face-Arm-Speech-Time; 3I-SS, three item Stroke Scale; LVO, large vessel occlusion; mNIHSS, modified National Institutes of Health Stroke Scale; NLR, negative likelihood ratio; NPV, negative predictive value; PASS, Prehospital Acute Stroke Severity; PLR, positive likelihood ratio; PPV, positive predictive value; RACE, Rapid Arterial Occlusion Evaluation; SAVE, Speech Arm Vision Eyes; VAN, Vision Aphasia Neglect.