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. 2026 Jul 3;26:257. doi: 10.1186/s12873-026-01675-9

Table 2.

Diagnostic performance metrics of the HINTS and HINTS Plus tests

Variables Sensitivity
(95% CI)
Specificity
(95% CI)
+LR
(95% CI)
-LR
(95% CI)
PPV
(95% CI)
NPV
(95% CI)
Accuracy
(95% CI)
HINTS-Plus 80.65% (68.63–89.58) 82.63% (77.18–87.24) 4.64 (3.42–6.29) 0.23 (0.14–0.38) 54.95% (47.37–62.3) 94.2% (90.69–96.44) 82.21% (77.39–86.38)
Head impulse 70.97% (58.05–81.8) 87.29% (82.35–91.26) 5.58 (3.85–8.08) 0.33 (0.22–0.49) 59.46% (50.32–67.99) 91.96% (88.55–94.43) 83.89% (79.22–87.88)
Nystagmus 37.1% (25.16–50.31) 97.46% (94.55–99.06) 14.59 (6.21–34.27) 0.65 (0.54–0.79) 79.31% (62.01-90) 85.5% (82.95–87.73) 84.9% (80.32–88.77)
Test of skew 37.1% (25.16–50.31) 92.80% (88.72–95.75) 5.15 (2.94–9.03) 0.68 (0.56–0.83) 57.5% (43.57–70.34) 84.88% (82.22–87.21) 81.21% (76.3-85.48)
Hearing loss

4.84%

(1.01–13.5)

97.88% (95.13–99.31) 2.28 (0.56–9.28) 0.97 (0.91–1.03) 37.5% (12.85–70.95) 79.66% (78.68–80.6) 78.52% (73.42–83.05)
HINTS 79.03% (66.82–88.34) 83.9% (78.58–88.35) 4.91 (3.57–6.75) 0.25 (0.15–0.41) 56.32% (48.4-63.93) 93.84% (90.35–96.12) 82.89% (78.12–86.98)