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Table 3 Predictive values of pupil diameter variations for insufficient analgesia (BPS)

From: Pupillary reflex measurement predicts insufficient analgesia before endotracheal suctioning in critically ill patients

 

10 mA tetanic stimulation

20 mA tetanic stimulation

40 mA tetanic stimulation

Best cutoffs for pupil diameter variation (%)

1

5

13

Sensitivity

0.69 (0.55 – 0.84)

0.85 (0.74 – 0.96)

0.85 (0.74 – 0.96)

Specificity

0.67 (0.52 – 0.81)

0.74 (0.61 – 0.88)

0.78 (0.65 – 0.91)

Positive predictive value

0.50 (0.35 – 0.66)

0.61 (0.46 – 0.76)

0.65 (0.50 – 0.80)

Negative predictive value

0.82 (0.70 – 0.94)

0.91 (0.82 – 1.00)

0.91 (0.83 – 1.00)

Youden index

0.36

0.59

0.62

  1. All data except Youden index were 95% confidence interval. BPS Behavioral Pain Scale.