Table 3.
Sensitivity and specificity of peroneal CMAP reduction to diagnose critical illness myopathy and/or neuropathy
| Time of development | Sensitivity | Specificity | ||
| ICU day | (True-positive rate) | (True-negative rate) | ||
| Number (%) | Median (IQR) | |||
| 1. One peroneal CMAP reduced according to criterion A | 64 (69.6) | 3 (2–5) | 28/28 = 100% | 28/64 = 44% |
| 2. One peroneal CMAP reduced according to criterion B | 49 (53.3) | 4 (2–7) | 28/28 = 100% | 43/64 = 67% |
| 3. Both peroneal CMAPs reduced according to criterion A | 26 (28.3) | 6 (3–10) | 21/28 = 75% | 59/64 = 92% |
| 4. One peroneal CMAP reduced according to criterion A plus the contralateral peroneal CMAP reduced according to criterion B |
23 (25.0) | 6 (3–10) | 21/28 = 75% | 62/64 = 97% |
| 5. Both peroneal CMAPs reduced according to criterion B | 16 (17.4) | 6 (3.5–10) | 16/28 = 57% | 64/64 = 100% |
Criterion A = CMAP amplitude reduced by more than 25% of its initial value (at ICU admission) but less than two standard deviations (SDs) of its normal value. Criterion B = CMAP reduced by more than 2 SDs of its normal value. Note that the five categories are not mutually exclusive (for example, the 16 patients in category 5 are also included in category 2). CMAP, compound muscle action potential; ICU, intensive care unit; IQR, interquartile range.