Table 6

Estimates of one eligible study of sensitivity and specificity of serum prolactin value (three times baseline within one hour of collapse) in detecting GTCS from non-cardiac non-convulsive syncope

SensitivitySpecificity
Study(true positives + false negatives)SensitivityStudy(false positives + true negatives)Specificity
18 Anzola 199317/2471%18 Anzola 199311/1385%
SN = 0.71 (95%CI (0.49 to 0.87))SP = 0.85 (95%CI (0.55 to 0.98))
+ve Likelihood ratio = 4.60 (1.25 to 16.90) (Lr+ve >5, strong diagnostic evidence)−ve Likelihood ratio = 0.35 (0.18 to 0.67) (Lr−ve <0.1 = convincing evidence)
Post-test probability = 90% chance of a GTCS if test positive (RULE IN DIAGNOSIS of GTCS)Post-test probability = 39% chance of GTCS event if test negative (RULE OUT DIAGNOSIS of GTCS)