A Gray Zone Assigned to Inconclusive Results of Quantitative Diagnostic Tests: Application to the Use of Brain Natriuretic Peptide for Diagnosis of Heart Failure in Acute Dyspneic Patients
Author(s) -
Joël Coste,
Patrick Jourdain,
J. Pouchot
Publication year - 2006
Publication title -
clinical chemistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.705
H-Index - 218
eISSN - 1530-8561
pISSN - 0009-9147
DOI - 10.1373/clinchem.2006.072280
Subject(s) - medicine , heart failure , brain natriuretic peptide , emergency department , cardiology , natriuretic peptide , cutoff , clinical practice , acute decompensated heart failure , heart disease , physical therapy , physics , quantum mechanics , psychiatry
Most quantitative diagnostic tests do not perfectly differentiate between persons with and without a given disease. We present a simple method to construct a 3-zone partition for quantitative tests results, including positive and negative zones and a gray zone between, and we describe its use in the diagnosis of heart failure by brain natriuretic peptide (BNP) measurement in acute dyspneic patients.
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