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Table 5 Test characteristics of rules with different prediction scores for mortality in the retrospective and prospective sets of patients hospitalized with CAP

From: Scored minor criteria for severe community-acquired pneumonia predicted better

Rule

No. Present or score

Sensitivity (%)

Specificity (%)

PPV (%)

NPV (%)

Youden’s index

Retrospective cohort (n = 1230)

IDSA/ATS minor criteria

 

≥ 0

100

0

1.3

0

0

 

≥ 1

87.5

53.7

2.4

99.7

0.41

 

≥ 2

62.5

86.5

5.7

99.4

0.49

 

≥ 3

37.5

96

11.1

99.1

0.34

 

≥ 4

12.5

98.8

12.5

98.8

0.11

 

≥ 5

12.5

99.8

50

98.9

0.12

Scored minor criteria

 

≥ 0

100

0

1.3

0

0

 

≥ 1

87.5

53.7

2.4

99.7

0.41

 

≥ 2

75

85.5

6.4

99.6

0.61

 

≥ 3

62.5

93.2

10.9

99.5

0.56

 

≥ 4

37.5

97

14

99.2

0.35

 

≥ 5

25

98.5

18.2

99

0.24

 

≥ 6

6.3

99.5

14.3

98.8

0.06

 

≥ 7

6.3

99.8

33.3

98.8

0.06

Prospective cohort (n = 1749)

IDSA/ATS minor criteria

 

≥ 0

100

0

4.5

0

0

 

≥ 1

97.5

42.6

7.4

99.7

0.40

 

≥ 2

89.9

64.9

10.8

99.3

0.55

 

≥ 3

72.2

76.6

12.7

98.3

0.49

 

≥ 4

36.7

90.5

15.5

96.8

0.27

 

≥ 5

22.8

97.8

33.3

96.4

0.21

Scored minor criteria

 

≥ 0

100

0

4.5

0

0

 

≥ 1

97.5

42.6

7.4

99.7

0.40

 

≥ 2

92.4

63.6

10.7

99.4

0.56

 

≥ 3

87.3

69.0

11.8

99.1

0.56

 

≥ 4

78.5

75.4

13.1

98.7

0.54

 

≥ 5

59.5

88.3

19.4

97.9

0.48

 

≥ 6

35.4

95.6

27.7

96.9

0.31

 

≥ 7

26.6

95.6

32.3

96.6

0.22

 

≥ 8

22.8

97.8

33.3

96.4

0.21

  1. NOTE: CAP: Community-acquired pneumonia. PPV: Positive predictive value. NPV: Negative predictive value. IDSA/ATS: The Infectious Disease Society of America and the American Thoracic Society