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. 2023 Aug 2;80(9):914–923. doi: 10.1001/jamapsychiatry.2023.2345

Table 2. Univariable Analysis of the Association Between FST Items and THC Exposure.

SFST clue Participants with cluesa Unadjusted analysis Adjusted analysisb
Placebo (n = 63) THC (n = 121) OR (95% CI) P value 95% CI P value
Walk and Turn Test
Instructions 13 (20.6) 36 (30.0)c 1.65 (0.80-3.40) .18 0.76-3.58 .25
Balance 17 (27.0) 56 (46.3) 2.33 (1.20-4.52) .01 1.04-5.23 .04
Starts too soon 3 (4.8)d 10 (8.3) 1.77 (0.47-6.69) .40 0.45-6.92 .45
Stops when walking 20 (32.3)d 58 (47.9) 1.93 (1.02-3.67) .04 0.92-4.08 .10
Steps off line 8 (12.9)d 38 (31.4) 3.09 (1.34-7.13) .008 1.05-9.11 .04
Wrong number of steps 8 (12.9)d 29 (24.0) 2.13 (0.91-4.99) .08 0.82-5.54 .15
Misses heel to toe 9 (14.5)d 43 (35.5) 3.25 (1.46-7.22) .004 1.05-10.1 .03
Raises arm to balance 28 (45.2)d 67 (55.4) 1.51 (0.81-2.79) .19 0.79-2.88 .25
Improper turn 29 (46.8)d 60 (49.6) 1.12 (0.61-2.07) .72 0.61-2.07 .72
Total clues, median (IQR) 2.0 (1.0-3.0) 3.0 (2.0-4.0) 1.52 (1.22-1.88) <.001 1.17-1.98 <.001
≥2 WAT clues 35 (56.5)d 92 (76.0) 2.45 (1.27-4.70) .007 NA NA
One Leg Stand Test
Puts foot down 10 (16.1)d 43 (35.8)c 2.90 (1.34-6.29) .007 1.20-7.03 .01
Uses arms to balance 21 (33.9)d 57 (47.5)c 1.77 (0.93-3.34) .08 0.90-3.47 .11
Sways 35 (55.6) 102 (84.3) 4.29 (2.14-8.63) <.001 1.77-10.5 <.001
Hops 2 (3.2)d 10 (8.5)e 2.78 (0.59-13.1) .20 0.59-13.1 .20
Total clues, median (IQR) 1.0 (0.0-2.0) 2.0 (1.0-2.75) 1.84 (1.34-2.54) <.001 1.26-2.69 <.001
≥2 OLS clues 23 (37.1)d 69 (58.5)e 2.39 (1.27-4.49) .007 NA NA
≥2 WAT clues and ≥2 OLS clues 17 (27.9)d,f 56 (47.5)e 2.34 (1.20-4.55) .01 NA NA
Finger to Nose Test
Instructions 13 (20.6) 39 (32.2) 1.83 (0.89-3.76) .10 0.79-4.26 .23
Incorrect sequence 9 (14.3) 21 (17.4) 1.26 (0.54-2.94) .59 0.52-3.03 .69
Uses pad rather than finger 32 (50.8) 74 (61.2) 1.53 (0.83-2.82) .18 0.77-3.03 .31
Leaves finger on nose 8 (12.7) 15 (12.4) 0.97 (0.39-2.44) .95 0.39-2.44 .95
Eyelid tremor 45 (71.4) 91 (75.2) 1.21 (0.61-2.41) .58 0.60-2.47 .69
Body tremor 6 (9.5) 35 (28.9) 3.87 (1.53-9.78) .004 1.21-12.3 .02
Sways 22 (34.9) 77 (64.2)c 3.34 (1.76-6.32) <.001 1.39-8.02 .002
Total clues, median (IQR) 2.0 (1.0-3.0) 3.0 (2.0-4.0) 1.54 (1.21-1.95) .001 1.18-2.00 .001
Lack of Convergence
Instructions 3 (4.8) 10 (8.3) 1.80 (0.48-6.80) .38 0.48-6.80 .38
Eyes do not converge 31 (49.2) 83 (68.6) 2.25 (1.21-4.21) .01 1.10-4.61 .02
Pupillary diameter, median (IQR), mmg 5.0 (4.0-6.0) 5.5 (4.5-6.0) 1.31 (0.99-1.74) .06 NA NA
Total clues, median (IQR) 1.0 (0.0-1.0) 1.0 (0.0-1.0) 2.31 (1.27-4.20) .006 1.24-4.32 .007
Modified Romberg Balance Test
Instructions 20 (31.7) 35 (29.2)c 0.89 (0.46-1.71) .72 0.44-1.79 >.99
Internal clock, median (IQR), sh 34 (30-42) 32 (29-36) 0.96 (0.94-0.99) .004 NA NA
Internal clock not acceptable 34 (54.0) 49 (40.8)c 0.59 (0.32-1.09) .09 0.26-1.32 .45
Eyelid tremors 50 (79.4) 96 (79.3) 1.00 (0.47-2.12) >.99 0.47-2.12 >.99
Body tremors 17 (27.0) 32 (26.4) 0.97 (0.49-1.93) .94 0.48-1.95 >.99
Sways 40 (63.5) 87 (73.1)i 1.56 (0.81-3.01) .18 0.72-3.40 .45
Total clues, median, (IQR) 2.0 (2.0-3.0) 2.0 (2.0-3.0) 0.93 (0.70-1.24) .63 0.70-1.24 .63
Total clues for all tests, median (IQR) 8.0 (5.0-11.0) 11.0 (9.0-13.0) 1.23 (1.12-1.35) <.001 1.12-1.35 <.001

Abbreviations: FST, field sobriety test; NA, not applicable; OLS, One Leg Stand; OR, odds ratio; SFST, standardized field sobriety test; THC, Δ9-tetrahydrocannabinol; WAT, Walk and Turn.

a

Data are presented as the number (percentage) of participants who showed each clue unless otherwise indicated.

b

Adjusted 95% CIs and P values are based on the false discovery rate method.

c

n = 120.

d

n = 62.

e

n = 118.

f

n = 61.

g

Numeric variable (not included in the calculation of total clues).

h

Numeric variable for the participant’s estimate of when 30 seconds had passed (not included in the calculation of total clues).

i

n = 119.