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. 2021 Oct 19;6(4):714–719. doi: 10.1002/epi4.12540

TABLE 2.

Predictive value of a 2‐week posttreatment outpatient prolonged EEGs to detect ongoing infantile spasms

Ongoing IS Sensitivity Specificity PPV NPV NLR
Yes No
% (n) (95% CI) (95% CI) (95% CI) (95% CI) (95% CI)
Hypsarrhythmia Yes 13.5% (5) 0% (0) 0.38 (0.14, 0.68) 1.00 (0.86, 1.00) 1.00 (0.48, 1.00) 0.75 (0.57, 0.89) 0.62 (0.40, 0.95)
No 21.6% (8) 64.9% (24)
Electroclinical spasms Yes 24.3% (9) 0% (0) 0.69 (0.39, 0.91) 1.00 (0.86, 1.00) 1.00 (0.66, 1.00) 0.86 (0.67, 0.96) 0.31 (0.14, 0.70)
No 10.8% (4) 64.9% (24)
Positive EEG a for IS features Yes 29.7% (11) 0% (0) 0.85 (0.55, 0.98) 1.00 (0.86, 1.00) 1.00 (0.72, 1.00) 0.92 (0.75, 0.99) 0.15 (0.04, 0.55)
No 5.4% (2) 64.9% (24)
Positive EEG a and 2‐week clinical assessment Yes 35.1% (13) 0%. (0) 1.00 (0.75, 1.00) 1.00 (0.86, 1.00) 1.00 (0.75, 1.00) 1.00 (0.86, 1.00) 0.00 (0.00, 0.00)
No 0% (0) 64.9% (24)
Positive EEG a during 1st hour Yes 21.6% (8) 0% (0) 0.62 (0.32, 0.86) 1.00 (0.86, 1.00) 1.00 (0.63, 1.00) 0.83 (0.64, 0.94) 0.38 (0.19, 0.76)
No 13.5% (5) 64.9% (24)

Abbreviations: EEG, electroencephalogram; IS, infantile spasms; NLR, negative likelihood ratio; NPV, negative predictive value; PPV, positive predictive value.

a

Positive EEG = presence of hypsarrhythmia, modified hypsarrhythmia, and/or electroclinical spasms.