Table 3 Performance characteristics of the TIMI, GRACE, and HEART risk scales.

From: Comparison of heart, grace and TIMI scores to predict major adverse cardiac events from chest pain in a Spanish health care region

 

Accuracy(95%CI)

Sensitivity (95%CI)

Specificity (95%CI)

PPV (95%CI)

NPV (95%CI)

False Negative Rate

False positive rate

TIMI score

 TOTAL >  = 1

41.96 (36.46–47.6)

91.49 (79.62–97.63)

33.33 (27.74–39.3)

19.28 (14.32–25.08)

95.74 (89.46–98.83)

8.51 (2.37–20.38)

66.67 (60.7–72.26)

 TOTAL >  = 2

61.83 (56.23–67.2)

78.72 (64.34–89.3)

58.89 (52.76–64.82)

25 (18.25–32.78)

94.08 (89.39–97.13)

21.28 (10.7–35.66)

41.11 (35.18–47.24)

 TOTAL >  = 3

75.71 (70.6–80.33)

44.68 (30.17–59.88)

81.11 (75.92–85.6)

29.17 (19.05–41.07)

89.39 (84.84–92.95)

55.32 (40.12–69.83)

18.89 (14.4–24.08)

 TOTAL >  = 5

83.28 (78.71–87.22)

12.77 (4.83–25.74)

95.56 (92.37–97.68)

33.33 (13.34–59.01)

86.29 (81.86–89.98)

87.23 (74.26–95.17)

4.44 (2.32–7.63)

GRACE score

 TOTAL >  = 50

20.82 (16.48–25.71)

97.87 (88.71–99.95)

7.41 (4.58–11.21)

15.54 (11.61–20.18)

95.24 (76.18–99.88)

2.13 (0.05–11.29)

92.59 (88.79–95.42)

 TOTAL >  = 75

43.53 (38–49.19)

78.72 (64.34–89.3)

37.41 (31.62–43.48)

17.96 (12.97–23.9)

90.99 (84.06–95.59)

21.28 (10.7–35.66)

62.59 (56.52–68.38)

 TOTAL >  = 100

64.04(58.49–69.33)

57.45 (42.18–71.74)

65.19 (59.17–70.86)

22.31 (15.25–30.78)

89.8 (84.68–93.65)

42.55 (28.26–57.82)

34.81 (29.14–40.83)

 TOTAL >  = 109

68.45(63.03–73.53)

46.81 (32.11–61.92)

72.22 (66.47–77.48)

22.68 (14.79–32.3)

88.64 (83.68–92.51)

53.19 (38.08–67.89)

27.78 (22.52–33.53)

 TOTAL >  = 141

81.7 (77–85.8)

25.53 (13.94–40.35)

91.48 (87.49–94.52)

34.29 (19.13–52.21)

87.59 (83.16–91.2)

74.47 (59.65–86.06)

8.52 (5.48–12.51)

HEART score

 TOTAL >  = 1

18.3 (14.2–23)

100 (92.45–100)

4.07 (2.05–7.17)

15.36 (11.51–19.9)

100 (71.51–100)

0 (0–7.55)

95.93 (92.83–97.95)

 TOTAL >  = 2

26.81 (22.02–32.05)

100 (92.45–100)

14.07 (10.16–18.8)

16.85 (12.65–21.76)

100 (90.75–100)

0 (0–7.55)

85.93 (81.2–89.84)

 TOTAL >  = 3

37.85 (32.49–43.45)

97.87 (88.71–99.95)

27.41 (22.18–33.14)

19.01 (14.27–24.53)

98.67 (92.79–99.97)

2.13 (0.05–11.29)

72.59 (66.86–77.82)

 TOTAL >  = 4

54.26 (48.6–59.84)

87.23 (74.26–95.17)

48.52 (42.42–54.65)

22.78 (16.87–29.61)

95.62 (90.71–98.38)

12.77 (4.83–25.74)

51.48 (45.35–57.58)

 TOTAL >  = 7

81.7 (77–85.8)

29.79 (17.34–44.89)

90.74 (86.64–93.92)

35.9 (21.2–52.82)

88.13 (83.73–91.69)

70.21 (55.11–82.66)

9.26 (6.08–13.36)

  1. CI: confidence interval; PPV: positive predictive value; NPV: negative predictive value; TIMI score: low risk determined by score =  < 2, moderate risk determined by score =  < 4, and high risk determined by score >  = 5; GRACE score: low risk determined by score <  = 108, moderate risk determined by score >  = 109, and high risk determined by score >  = 141; HEART score: low risk determined by score =  < 3, moderate risk determined by score >  = 4, and high risk determined by score >  = 7.