Table 4.
Cutoff, ng/L | No. of Operations | Sensitivity, % | Specificity, % | LR+ | LR− | Posttest Probability, % | |||
---|---|---|---|---|---|---|---|---|---|
TP | FN | TN | FP | ||||||
MACCE | |||||||||
Conventional cTnT | |||||||||
200 | 70 | 22 | 393 | 264 | 72 | 60 | 1.78 | 0.48 | 19 |
400 | 38 | 54 | 569 | 88 | 42 | 87 | 3.34 | 0.66 | 31 |
600 | 22 | 70 | 625 | 32 | 28 | 94 | 5.03 | 0.76 | 41 |
800 | 16 | 76 | 639 | 18 | 19 | 97 | 7.30 | 0.84 | 50 |
1000 | 12 | 80 | 648 | 9 | 13 | 99 | 9.74 | 0.88 | 57 |
1200 | 12 | 80 | 653 | 4 | 10 | 99 | 12.81 | 0.91 | 64 |
1400 | 9 | 83 | 654 | 3 | 7 | 100 | 15.52 | 0.93 | 68 |
High‐sensitivity cTnT | |||||||||
200 | 108 | 6 | 193 | 666 | 95 | 22 | 1.21 | 0.22 | 14 |
400 | 76 | 38 | 604 | 255 | 68 | 71 | 2.33 | 0.45 | 24 |
600 | 53 | 61 | 771 | 88 | 43 | 89 | 4.11 | 0.63 | 36 |
800 | 39 | 75 | 825 | 34 | 26 | 96 | 6.83 | 0.77 | 48 |
1000 | 26 | 88 | 843 | 16 | 18 | 98 | 9.89 | 0.84 | 57 |
1200 | 19 | 95 | 850 | 9 | 13 | 99 | 12.75 | 0.88 | 63 |
1400 | 11 | 103 | 854 | 5 | 10 | 99 | 15.40 | 0.90 | 68 |
Safety composite | |||||||||
Conventional cTnT | |||||||||
200 | 94 | 52 | 363 | 240 | 62 | 60 | 1.57 | 0.62 | 25 |
400 | 50 | 96 | 527 | 76 | 35 | 88 | 3.06 | 0.73 | 39 |
600 | 30 | 116 | 579 | 24 | 23 | 95 | 5.03 | 0.80 | 51 |
800 | 23 | 123 | 592 | 11 | 15 | 98 | 8.44 | 0.87 | 64 |
1000 | 15 | 131 | 597 | 6 | 10 | 99 | 12.70 | 0.90 | 73 |
1200 | 14 | 132 | 601 | 2 | 7 | 100 | 19.27 | 0.93 | 80 |
1400 | 11 | 135 | 602 | 1 | 5 | 100 | 26.28 | 0.95 | 85 |
High‐sensitivity cTnT | |||||||||
200 | 144 | 9 | 190 | 630 | 93 | 22 | 1.19 | 0.34 | 20 |
400 | 92 | 61 | 581 | 239 | 63 | 72 | 2.22 | 0.52 | 32 |
600 | 64 | 89 | 743 | 77 | 40 | 90 | 4.01 | 0.67 | 46 |
800 | 45 | 108 | 792 | 28 | 24 | 97 | 7.00 | 0.79 | 60 |
1000 | 29 | 124 | 807 | 13 | 16 | 98 | 10.59 | 0.85 | 69 |
1200 | 22 | 131 | 814 | 6 | 11 | 99 | 15.32 | 0.90 | 76 |
1400 | 13 | 140 | 817 | 3 | 8 | 100 | 20.55 | 0.92 | 81 |
Sensitivity, specificity, and posttest probability are fitted. Fitted posttest probability of a positive test corresponds to the positive predictive value. cTnT indicates cardiac troponin T; FN, false negative; FP, false positive; LR+, fitted positive likelihood ratio that corresponds to a troponin value above the cutoff; LR−, fitted negative likelihood ratio for a troponin value below or equal to the cutoff; MACCE, major adverse cardiac or cerebrovascular event; TN, true negative; and TP, true positive.