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Table 2 Sensitivity, specificity, PPV and NPVa stratified by priority level using Medical Index and RETTS-A (n = 1278)

From: A comparison of two emergency medical dispatch protocols with respect to accuracy

Priority level

Sensitivity

Specificity

PPV

NPV

Medical Index (n = 634)

 1

82.6% (76.6–87.3)

59.0% (54.3–63.5)

47.2% (76.6–87.3)

52.8% (47.5–58.0)

 2

49.7% (42.2–52.5)

38.7% (34.3–43.4)

66.1%(60.3–71.4)

33.9% (28.6–39.7)

 3

14.1% (8.0–24.0)

98.9% (97.7–99.5)

62.5% (38.6–81.5)

37.5% (18.5–61.4)

RETTS-A (n = 644)

 Red

54.0% (44.3–63.4)

83.6% (80.3–86.5)

37.8% (30.2–45.9)

62.2% (54.1–69.8)

 Red+Orangeb

78.9% (74.9–82.5)

48.0% (41.1–54.9)

77.4% (73.3–81.0)

22.6% (19.0–26.7)

 Orange

53.2% (47.9–53.9)

57.0% (51.4–62.5)

59.0% (53.4–64.3)

41.0% (35.7–46.6)

 Yellow

45.5% (37.6–53.6)

82.6% (79.0–85.6)

48.4% (40.6–56.2)

56.9% (48.9–64.5)

 Green

9.4% (4.1–2.3)

95.1% (93.0–96.6)

13.9% (6.1–28.7)

86.1% (71.3–93.9)

  1. 95% confidence intervals in ()
  2. aSensitivity was calculated as true positives/(true positives + false negatives); Specificity as true negatives/(false positives + true negatives); Positive predictive value (PPV) as true positives/(true positives + false positives); Negative predictive value (NPV) as true negatives/(true negatives + false negatives)
  3. bAlternative analysis where RETTS-A was converted from a four graded to a three graded priority protocol. The conversion was made by merging the two highest priority levels in to one single priority level (red + orange)