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83, specificity 0.53, positive-predictive-value 0.07, negative-predictive-value 0.99. Results were insensitive to more strict likelihood categorizations and were similar for other PP thresholds between 10- and 25-mm Hg. Using fasciotomy as the reference standard, the same PP threshold had diagnostic sensitivity 0.50, specificity 0.50, positive-predictive-value 0.04, negative-predictive-value 0.96. CONCLUSION No value of PP from 10-30 mm Hg had acceptable diagnostic performance, regardless of which reference diagnostic standard was used. T