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. 2023 Apr 21;18(4):e0284523. doi: 10.1371/journal.pone.0284523

Table 4. Diagnostic parameters of hs-cTnT thresholds for inpatient mortality.

Hs-cTnT (ng/L) Sensitivity 95% CI Specificity 95% CI PPV 95% CI NPV 95% CI +LR 95% CI -LR 95% CI
3 100 93–100 5 2–10 28 21–35 100 59–100 1.05 1.0–1.1 0 -
5 100 93–100 13 8–20 30 23–37 100 81–100 1.15 1.1–1.2 0 -
10 94 84–99 39 31–48 36 28–45 95 86–99 1.55 1.3–1.8 0.15 0.05–0.5
14 (Normal) 92 81–98 45 37–54 38 29–47 94 85–98 1.68 1.4–2.0 0.17 0.07–0.5
20 86 74–94 55 46–63 41 32–51 92 84–97 1.92 1.5–2.4 0.25 0.1–0.5
23 (Youden) 84 71–93 61 53–69 44 34–55 91 84–96 2.19 1.7–2.8 0.26 0.1–0.5
25 78 65–89 64 56–72 44 34–55 89 81–94 2.20 1.7–2.9 0.34 0.2–0.6
30 69 54–81 67 59–75 43 32–55 86 78–92 2.09 1.5–2.8 0.47 0.3–0.7
35 65 50–78 68 59–76 42 31–54 84 76–90 2.01 1.5–2.8 0.52 0.4–0.8
40 59 44–72 72 64–79 44 32–56 83 75–89 2.11 1.5–3.0 0.57 0.4–0.8
45 57 42–71 74 66–81 45 32–58 83 75–89 2.21 1.5–3.2 0.58 0.4–0.8
50 45 31–60 79 71–85 43 30–58 80 72–86 2.10 1.4–3.3 0.70 0.5–0.9
55 41 28–56 79 71–85 41 28–56 79 71–85 1.92 1.2–3.0 0.75 0.6–1.0
60 41 28–56 81 74–88 45 30–60 79 72–86 2.22 1.4–3.6 0.72 0.6–0.9

CI: Confidence interval; hs-cTnT: High sensitivity cardiac troponin T; +LR: Positive likelihood ratio; -LR: Negative likelihood ratio; NPV: Negative predictive value; PPV: Positive predictive value. Normal denotes the hs-cTnT threshold derived from the 99th percentile of healthy individuals widely used in clinical practice for detecting cardiac injury. Youden denotes the optimal threshold based on the receiver operating characteristics curve shown in Fig 3.