Table 4 Diagnostic accuracy of sudden-onset and/or morphine-requiring acute abdominal pain signs in acute mesenteric ischemia
Population | AUROC (95%CI)a | Abdominal pain criteria | Sensitivity (95%CI)a | Specificity (95%CI)a | Positive likelihood ratio (95%CI)a | Negative likelihood ratio (95%CI)a |
|---|---|---|---|---|---|---|
Overall | 0.84 (0.77–0.91) | Sudden-onset | 0.73 (0.61–0.85) | 0.89 (0.83–0.96) | 6.90 (3.64–13.08) | 0.30 (0.19–0.47) |
Morphine-requiring | 0.63 (0.50–0.77) | 0.78 (0.69–0.87) | 2.84 (1.82–4.44) | 0.47 (0.32–0.69) | ||
1 factor | 0.88 (0.80–0.97) | 0.72 (0.62–0.81) | 3.13 (2.20–4.46) | 0.16 (0.07–0.35) | ||
2 factors | 0.48 (0.34–0.62) | 0.95 (0.91–1.00) | 10.22 (3.77–27.70) | 0.54 (0.42–0.71) | ||
Arterial AMI | 0.89 (0.82–0.96) | Sudden-onset | 0.88 (0.77–0.99) | 0.89 (0.83–0.96) | 8.33 (4.44–15.64) | 0.13 (0.05–0.33) |
Morphine-requiring | 0.68 (0.52–0.83) | 0.78 (0.69–0.87) | 3.03 (1.91–4.79) | 0.42 (0.25–0.69 | ||
1 factor | 0.97 (0.91–1.00) | 0.72 (0.62–0.81) | 3.44 (2.44–4.85) | 0.04 (0.006–0.28) | ||
2 factors | 0.59 (0.42–0.75) | 0.95 (0.91–1.00) | 12.50 (4.61–33.88) | 0.43 (0.29–0.65) | ||
Venous AMI | 0.75 (0.62–0.88) | Sudden-onset | 0.42 (0.20–0.64) | 0.89 (0.83–0.96) | 4.00 (1.77–8.96) | 0.65 (0.44–0.96) |
Morphine-requiring | 0.58 (0.36–0.80) | 0.78 (0.69–0.87) | 2.59 (1.49–4.50) | 0.54 (0.32–0.93) | ||
1 factor | 0.74 (0.54–0.93) | 0.72 (0.62–0.81) | 2.61 (1.69–4.02) | 0.37 (0.17–0.79) | ||
2 factors | 0.26 (0.07–0.46) | 0.95 (0.91–1.00) | 5.59 (1.66–18.89) | 0.77 (0.59–1.00) |