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. 2024 Aug 20;50(9):1484–1495. doi: 10.1007/s00134-024-07574-6

Table 3.

Prognostic performance of pupillometry thresholds and NSE

Sample size,
n (%)
FPR,
% (95% CI)
Sensitivity,
% (95% CI)
PPV,
% (95% CI)
NPV,
% (95% CI)
qPLR < 4%
 t0 710 (100) 5 (3–7) 31 (25–36) 78 (70–86) 70 (68–71)
 t24 677 (95) 0 (0–1) 26 (21–32) 97 (92–100) 71 (69–72)
 t48 540 (76) 0 (0–1) 21 (16–26) 98 (93–100) 65 (64–67)
 t72 298 (42) 0 (0–0) 8 (4–12) 100 (100–100) 43 (42–44)
NPi ≤ 2
 t0 710 (100) 0 (0–0) 10 (6–13) 100 (100–100) 65 (64–66)
 t24 682 (96) 0 (0–0) 12 (8–17) 100 (100–100) 67 (66–67)
 t48 543 (76) 0 (0–0) 9 (5–13) 100 (100–100) 62 (61–63)
 t72 301 (42) 0 (0–0) 9 (5–13) 100 (100–100) 43 (42–44)
NSE > 60 μg/L
 48-h 625 (88) 2 (0–3) 39 (33–46) 95 (91–100) 70 (67–72)
48-h plasma NSE and pupillometry predicting outcome in unconscious patients, M < 3, at ≥ 72 h
 NSE > 60 μg/L 187 (26) 0 (0–0) 42 (35–51) 100 (100–100) 76 (70–82)
 NSE > 60 μg/L + qPLR < 4.0 187 (26) 0 (0–0) 55 (47–63) 100 (100–100) 73 (66–79)
 NSE > 60 μg/L + NPi ≤ 2.0 187 (26) 0 (0–0) 50 (42–58) 100 (100–100) 74 (68–81)
48-h plasma NSE and pupillometry predicting outcome in unconscious patients, M < 3, at ≥ 72 h (with extracerebral causes of death excluded)
 NSE > 60 μg/L 172 (24) 0 (0–0) 45 (37–53) 100 (100–100) 76 (69–82)
 NSE > 60 μg/L + qPLR < 4.0 172 (24) 0 (0–0) 58 (50–67) 100 (100–100) 72 (65–79)
 NSE > 60 μg/L + NPi ≤ 2.0 172 (24) 0 (0–0) 51 (43–60) 100 (100–100) 75 (68–82)

The prognostic probabilities of quantitative pupillometry thresholds, 48-h plasma neuron-specific enolase, and the combination in unconscious patients, M < 3, at ≥ 72 h, predicting unfavorable outcomes at follow-up

qPLR quantitatively assessed pupillary light reflex, NPi Neurological Pupil index, M Glasgow motor scale, FPR false-positive rate, PPV positive predictive value, NPV negative predictive value