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Table 3 A, B and C. Accuracy of the ph-ICH score for the prediction of ICH and AIS/TIA/SM as well as ICH and AIS patients. Table A summarizes the results of AIS/TIA/SM patients and Table B of the AIS patients for the derivation cohort; Table C shows the results of AIS patients for the validation cohort

From: Probability assessment of intracerebral hemorrhage in prehospital emergency patients

A) Derivation cohort

ph-ICH score

SP ≥ 180 + NIHSS LOC ≥ 1 + NIHSSshort (sum of the following NIHSS items: LOC, following commands, visual field, motor weakness of arm or leg, sensory disturbance divided by 10)

Cohen’s d

(pooled SD)

1.2 (0.9)

ph-ICH score

Sensitivity

Specificity

PPV

NPV

+LR

No. of AIS/TIA/SM patients

No. of ICH patients

≥1.5

0.50

0.80

0.17

0.95

2.5

76 (19.8%)

16 (50.0%)

≥2.0

0.38

0.88

0.21

0.94

3.1

46 (12.0%)

12 (37.5%)

≥2.5

0.28

0.96

0.38

0.94

7.2

15 (3.9%)

9 (28.1%)

≥3.0

0.25

0.97

0.44

0.94

9.6

10 (2.6%)

8 (25.0%)

≥3.5

0.13

1.00

0.80

0.93

48.0

1 (0.3%)

4 (12.5%)

B) Derivation cohort

ph-ICH score

SP ≥ 180 + NIHSS LOC ≥ 1 + NIHSSshort (sum of the following NIHSS items: LOC, following commands, visual field, motor weakness of arm or leg, sensory disturbance divided by 10)

Cohen’s d

(pooled SD)

0.9 (0.9)

ph-ICH score

Sensitivity

Specificity

PPV

NPV

+LR

No. of AIS patients

No. of ICH patients

≥1.5

0.50

0.73

0.21

0.91

1.9

60 (26.8%)

16 (50.0%)

≥2.0

0.38

0.83

0.24

0.90

2.3

37 (16.5%)

12 (37.5%)

≥2.5

0.28

0.95

0.45

0.90

5.7

11 (4.9%)

9 (28.1%)

≥3.0

0.25

0.96

0.47

0.90

6.2

9 (4.0%)

8 (25.0%)

≥3.5

0.13

1.00

0.80

0.89

28.0

1 (0.4%)

4 (12.5%)

C) Validation cohort

ph-ICH score

SP ≥ 180 + NIHSS LOC ≥ 1 + NIHSSshort (sum of the following NIHSS items: LOC, following commands, visual field, motor weakness of arm or leg, sensory disturbance divided by 10)

Cohen’s d

(pooled SD)

1.4 (0.7)

ph-ICH score

Sensitivity

Specificity

PPV

NPV

+LR

No. of AIS patients

No. of ICH patients

≥1.5

0.52

0.87

0.34

0.93

3.9

33 (13.1%)

17 (51.5%)

≥2.0

0.39

0.94

0.46

0.92

6.6

15 (6.0%)

13 (39.4%)

≥2.5

0.24

0.98

0.62

0.91

12.2

5 (2.0%)

8 (24.2%)

≥3.0

0.12

1.00

1.00

0.90

n. a.

0

4 (12.1%)

≥3.5

0.03

1.00

1.00

0.89

n. a.

0

1 (3.0%)

  1. AIS Acute ischemic stroke, ICH Intracerebral hemorrhage, LOC Level of consciousness, +LR Positive likelihood ratio (sensitivity/(1-specificity)), n. a. Not available (division by 0), NIHSS National Institutes of Health Stroke Scale, No. Number, NPV Negative predictive value, ph-ICH score Prehospital-intracerebral hemorrhage score, PPV Positive predictive value, SD Standard deviation, SM Stroke mimic, SP Systolic blood pressure, TIA Transient ischemic attack