Table 3.
Diagnostic accuracy of telemedicine visit evaluation
| Diagnostic accuracy | Complications (in-hospital telemedicine) |
In-hospital telemedicine |
Third home-based telemedicine |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Lagophthalmos |
Ptosis |
Drooping lips |
Classified severity | Classified frequency | Classified severity | Classified frequency | Treatment decision | ||||
| Signs | S&S | Signs | S&S | Signs | S&S | ||||||
| n= | 82 videos | 77 videos | 82 videos | 77 videos | 82 videos | 77 videos | 82 videos | 38 patients | 39 patients | ||
| Sensitivity, % | 67 (35–90) | 100 (74–100) | 75 (35–97) | 75 (35–97) | 38 (9–76) | 75 (35–97) | 62 (44–78 | 63 (44–79) | 83 (62–95) | 82 (60–95) | 83 (63–95) |
| Specificity, % | 94 (86–98) | 64 (52–75) | 93 (85–98) | 49 (37–61) | 99 (93–100) | 73 (61–83) | 79 (65–90) | 78 (64–89) | 73 (45–92) | 69 (41–89) | 80 (52–96) |
| PPV, % | 67 (42–85) | 32 (26–40) | 55 (32–75) | 14 (9–20) | 75 (26–96) | 23 (15–34) | 68 (53–80) | 65 (50–77) | 83 (66.8–92) | 78 (63–88) | 87 (71–95) |
| NPV, % | 94.3 (88–97) | 100 | 97 (91–99) | 95 (84–98) | 94 (89.5–96.2) | 96 (89–99) | 75 (65–82) | 77 (67–84) | 73 (52–88) | 73 (52–88) | 75 (54–88) |
|
Positive LR |
11.7 (4.2–32.8) | 2.8 (2–3.8) | 11.1 (4.4–28.3) | 1.5 (0.9–2.3) | 27.8 (3.3–236.4) | 2.8 (1.6–4.8) | 3 (1.6–5.5) | 2.8 (1.6–5.1) | 3.1 (1.3–7.3) | 2.6 (1.2–5.6) | 4.2 (1.5–11.7) |
|
Negative LR |
0.4 (0.2–0.8) | 0 | 0.3 (0.1–0.9) | 0.5 (0.2–1.8) | 0.6 (0.4–1.1) | 0.3 (0.1–1.2) | 0.5 (0.3–0.8) | 0.5 (0.3–0.8) | 0.2 (0.1–0.6) | 0.3 (0.1–0.7) | 0.2 (0.1–0.5) |
| Accuracy, % | 90 (82–96) | 70 (58–79) | 92 (83–97) | 51 (40–62) | 93 (85–97) | 73 (62–82) | 72 (61–81) | 72 (61–81) | 79 (63–90) | 76 (60–89) | 82 (67–93) |
(95% confidence interval).
n = number of samples, S&S = sign and symptom, PPV = positive predictive value, NPV = negative predictive value, LR = likelihood ratio.