Table 3. Characteristics of tests performed 48 hours after PE diagnosis for predicting 30-day adverse events.
Systolic blood pressure normalization | Heart rate normalization | Cardiac troponin I normalization | Brain natriuretic peptide normalization | Echocardiography normalization | ||
---|---|---|---|---|---|---|
Measurement normalization, % (95% CI) |
82 (73–90) |
86 (77–92) |
78 (67–86) |
72 (61–81) |
33 (23–44) |
|
Sensitivity, % (95% CI) | Complicated course | 82 (48–97) |
91 (57–100) |
73 (39–93) |
82 (48–97) |
64 (32–88) |
All-cause mortality | 75 (36–96) |
100 | 63 (26–90) |
75 (36–96) |
75 (36–96) |
|
PE-related mortality | 60 (17–93) |
100 | 80 (30–99) |
80 (30–99) |
100 | |
Specificity, % (95% CI) | Complicated course | 92 (83–97) |
97 (90–100) |
85 (75–92) |
80 (68–88) |
32 (22–44) |
All-cause mortality | 88 (78–94) |
95 (87–98) |
82 (71–89) |
77 (65–85) |
34 (24–46) |
|
PE-related mortality | 85 (75–92) |
91 (82–96) |
81 (71–89) |
75 (64–84) |
35 (25–47) |
|
Positive predictive value, % (95% CI) | Complicated course | 60 (33–83) |
83 (51–97) |
42 (21–66) |
38 (20–59) |
12 85.5–24) |
All-cause mortality | 40 (17–67) |
67 (35–89) |
26 (10–51) |
25 (11–47) |
11 (4.4–22) |
|
PE-related mortality | 20 (5.3–49) |
42 (17–71) |
21 (7.0–46) |
17 (5.5–38) |
8.8 (3.3–20) |
|
Negative predictive value, % (95% CI) | Complicated course | 97 (89–100) |
99 (92–100) |
95 (86–99) |
97 (88–99) |
86 (66–95) |
All-cause mortality | 97 (89–100) |
100 | 95 (86–99) |
97 (88–99) |
93 (75–99) |
|
PE-related mortality | 97 (89–100) |
100 | 98 (91–100) |
98 (90–100) |
100 | |
Positive likelihood ratio (95% CI) | Complicated course | 10 (4.5–23) |
34 (8.5–134) |
4.9 (2.5–9.4) |
4.0 (2.4–6.9) |
0.9 (0.6–1.5) |
All-cause mortality | 6.4 (3.1–13) |
19 (7.4–50) |
3.4 (1.7–7.0) |
3.2 (1.8–5.7) |
1.1 (0.7–1.7) |
|
PE-related mortality | 4.0 (1.7–9.7) |
11 (5.6–23) |
4.3 (2.3–8.0) |
3.2 (1.8–5.7) |
1.5 (1.3–1.8) |
|
Negative likelihood ratio (95% CI) | Complicated course | 0.2 (0.1–0.7) |
0.1 (0.0–0.6) |
0.3 (0.1–0.8) |
0.2 (0.1–0.8) |
1.1 (0.5–2.6) |
All-cause mortality | 0.3 (0.1–0.9) |
0 | 0.5 (0.2–1.1) |
0.3 (0.1–1.1) |
0.7 (0.2–2.6) |
|
PE-related mortality | 0.5 (0.2–1.4) |
0 | 0.3 (0.0–1.4) |
0.3 (0.1–1.6) |
0 |
Abbreviations: CI, confidence interval; PE, pulmonary embolism.