Summary of prognostic performance comparing PAD-scan, ABPI, ankle pressure, TBPI, toe pressure and TcPO2
No healing | ||||||||||||||||||
Sensitivity | CI (lower) | Cl (upper) | Specificity | CI (lower) | Cl (upper) | PPV | CI (lower) | Cl (upper) | NPV | CI (lower) | Cl (upper) | PDLR | CI (lower) | Cl (upper) | NDLR | CI (lower) | Cl (upper) | |
PAD-scan | ||||||||||||||||||
Monophasic, or absent, or any biphasic | 0.93 | 0.87 | 1.00 | 0.08 | 0.01 | 0.14 | 0.47 | 0.38 | 0.57 | 0.56 | 0.23 | 0.88 | 1.01 | 0.91 | 1.11 | 0.90 | 0.25 | 3.18 |
Monophasic or any biphasic with adverse features | 0.91 | 0.84 | 0.99 | 0.25 | 0.14 | 0.35 | 0.52 | 0.42 | 0.62 | 0.76 | 0.58 | 0.94 | 1.21 | 1.03 | 1.42 | 0.35 | 0.14 | 0.90 |
Monophasic or absent | 0.78 | 0.67 | 0.88 | 0.40 | 0.28 | 0.52 | 0.54 | 0.43 | 0.64 | 0.67 | 0.52 | 0.81 | 1.29 | 1.02 | 1.65 | 0.56 | 0.32 | 0.98 |
ABPI (n=110) | ||||||||||||||||||
≤0.9 or absent signal in both vessels | 0.39 | 0.25 | 0.52 | 0.64 | 0.52 | 0.76 | 0.46 | 0.31 | 0.62 | 0.57 | 0.45 | 0.68 | 1.08 | 0.66 | 1.75 | 0.95 | 0.72 | 1.28 |
≤0.7 or absent signal in both vessels | 0.29 | 0.16 | 0.41 | 0.74 | 0.63 | 0.85 | 0.47 | 0.29 | 0.65 | 0.56 | 0.45 | 0.67 | 1.09 | 0.59 | 2.01 | 0.97 | 0.77 | 1.22 |
≤0.5 or absent signal in both vessels | 0.22 | 0.11 | 0.34 | 0.80 | 0.70 | 0.90 | 0.48 | 0.27 | 0.68 | 0.56 | 0.46 | 0.67 | 1.14 | 0.55 | 2.36 | 0.97 | 0.79 | 1.17 |
≤0.3 or absent signal in both vessels | 0.12 | 0.03 | 0.21 | 0.92 | 0.85 | 0.99 | 0.55 | 0.25 | 0.84 | 0.57 | 0.47 | 0.66 | 1.49 | 0.48 | 4.60 | 0.96 | 0.84 | 1.09 |
Ankle pressure (n=110) | ||||||||||||||||||
≤90 mm Hg or absent signal in both vessels | 0.94 | 0.87 | 1.00 | 0.03 | 0.00 | 0.08 | 0.44 | 0.34 | 0.53 | 0.40 | 0.00 | 0.83 | 0.97 | 0.89 | 1.06 | 1.87 | 0.32 | 10.74 |
≤70 mm Hg or absent signal in both vessels | 0.88 | 0.79 | 0.97 | 0.07 | 0.00 | 0.13 | 0.43 | 0.33 | 0.53 | 0.40 | 0.10 | 0.70 | 0.94 | 0.83 | 1.06 | 1.87 | 0.56 | 6.25 |
≤50 mm Hg or absent signal in both vessels | 0.86 | 0.76 | 0.96 | 0.07 | 0.00 | 0.13 | 0.42 | 0.33 | 0.52 | 0.36 | 0.08 | 0.65 | 0.92 | 0.80 | 1.05 | 2.18 | 0.68 | 7.02 |
≤30 mm Hg or absent signal in both vessels | 0.84 | 0.73 | 0.94 | 0.11 | 0.03 | 0.19 | 0.43 | 0.33 | 0.53 | 0.47 | 0.21 | 0.72 | 0.95 | 0.81 | 1.10 | 1.42 | 0.55 | 3.65 |
TBPI (n=70) | ||||||||||||||||||
≤0.8 | 0.79 | 0.63 | 0.95 | 0.50 | 0.36 | 0.64 | 0.45 | 0.30 | 0.60 | 0.82 | 0.68 | 0.96 | 1.58 | 1.11 | 2.26 | 0.42 | 0.18 | 0.96 |
≤0.6 | 0.54 | 0.34 | 0.74 | 0.72 | 0.59 | 0.85 | 0.50 | 0.31 | 0.69 | 0.75 | 0.62 | 0.88 | 1.92 | 1.06 | 3.46 | 0.64 | 0.40 | 1.02 |
≤0.4 | 0.25 | 0.08 | 0.42 | 0.85 | 0.74 | 0.95 | 0.46 | 0.19 | 0.73 | 0.68 | 0.56 | 0.80 | 1.64 | 0.62 | 4.34 | 0.88 | 0.68 | 1.15 |
≤0.2 | 0.17 | 0.02 | 0.32 | 0.98 | 0.94 | 1.00 | 0.80 | 0.45 | 1.00 | 0.69 | 0.58 | 0.80 | 7.67 | 0.91 | 64.84 | 0.85 | 0.71 | 1.02 |
Toe pressure (n=70) | ||||||||||||||||||
≤80 mm Hg | 0.88 | 0.74 | 1.00 | 0.20 | 0.08 | 0.31 | 0.36 | 0.24 | 0.49 | 0.75 | 0.51 | 0.99 | 1.09 | 0.88 | 1.34 | 0.64 | 0.19 | 2.14 |
≤60 mm Hg | 0.71 | 0.53 | 0.89 | 0.39 | 0.25 | 0.53 | 0.38 | 0.24 | 0.52 | 0.72 | 0.54 | 0.90 | 1.16 | 0.82 | 1.64 | 0.75 | 0.36 | 1.53 |
≤40 mm Hg | 0.46 | 0.26 | 0.66 | 0.50 | 0.36 | 0.64 | 0.32 | 0.17 | 0.48 | 0.64 | 0.48 | 0.80 | 0.92 | 0.54 | 1.55 | 1.08 | 0.68 | 1.73 |
≤20 mm Hg | 0.25 | 0.08 | 0.42 | 0.61 | 0.47 | 0.75 | 0.25 | 0.08 | 0.42 | 0.61 | 0.47 | 0.75 | 0.64 | 0.29 | 1.40 | 1.23 | 0.89 | 1.71 |
TcPO2 (n=116) | ||||||||||||||||||
TcPO2 at rest (≤80 mm Hg) | 0.96 | 0.92 | 1.00 | 0.03 | 0.00 | 0.08 | 0.48 | 0.39 | 0.57 | 0.50 | 0.01 | 0.99 | 1.00 | 0.93 | 1.07 | 1.07 | 0.16 | 7.35 |
TcPO2 at rest (≤60 mm Hg) | 0.79 | 0.68 | 0.89 | 0.28 | 0.17 | 0.40 | 0.51 | 0.40 | 0.61 | 0.59 | 0.41 | 0.77 | 1.10 | 0.89 | 1.35 | 0.76 | 0.40 | 1.44 |
TcPO2 at rest (≤40 mm Hg) | 0.43 | 0.30 | 0.56 | 0.70 | 0.58 | 0.82 | 0.57 | 0.42 | 0.72 | 0.57 | 0.45 | 0.68 | 1.43 | 0.87 | 2.33 | 0.82 | 0.62 | 1.08 |
TcPO2 at rest (≤20 mm Hg) | 0.09 | 0.01 | 0.16 | 0.97 | 0.92 | 1.00 | 0.71 | 0.38 | 1.00 | 0.53 | 0.44 | 0.63 | 2.68 | 0.54 | 13.25 | 0.94 | 0.86 | 1.04 |
ABPI, ankle brachial pressure index; NDLR, negative diagnostic likelihood ratio; NPV, negative predictive value; PAD-scan, podiatry ankle duplex scan; PDLR, positive diagnostic likelihood ratio; PPV, positive predictive value; TBPI, toe brachial pressure index; TcPO2, transcutaneous pressure of oxygen.