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. 2017 Sep 1;7(9):e016893. doi: 10.1136/bmjopen-2017-016893

Table 2.

Cut-off points for prediction of acute large vessel occlusion

Cut-off point Sensitivity Specificity Positive predictive value Negative predictive value Accuracy J
sNIHSS-EMS
 5 74.8 (69.4–79.7) 73.4 (69.1–77.4) 66.4 (59.0–69.5) 81.9 (77.8–85.6) 74.0 0.482
 6* 70.3 (64.7–75.5) 80.7 (76.8–84.3) 70.1 (64.5–75.3) 80.9 (76.9–84.4) 76.7 0.511
 7 65.2 (59.4–70.6) 85.8 (82.2–88.9) 74.7 (68.9–79.9) 79.3 (75.4–82.8) 77.7 0.510
NIHSS
 8 72.4 (66.9–77.5) 80.7 (76.8–84.3) 70.7 (65.2–75.8) 82.0 (78.1–85.4) 77.5 0.531
 9* 69.3 (63.7–74.6) 85.4 (81.8–88.5) 75.3 (69.7–80.3) 81.2 (77.4–84.6) 79.1 0.547
 10 65.9 (60.1–71.3) 88.0 (84.7–90.9) 78.0 (72.2–83.0) 80.0 (76.2–83.5) 79.4 0.539

Data are % (95% CI). J indicates Youden index.

*Indicates the optimal cut-off according to the Youden index.

NIHSS, NIH Stroke Scale; sNIHSS-EMS, shortened NIHSS for emergency medical services.