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Table 3 Estimates and 95% confidence interval (95% CI) of sensitivity, specificity, positive predictive value, negative predictive value, and Youden’s index for COVID-19 clinical diagnosis against real-time reverse transcriptase-polymerase chain reaction (RT-PCR) in all COVID-19 cases, and by gender and age

From: Comparison of clinician diagnosis of COVID-19 with real time polymerase chain reaction in an adult-representative population in Sweden

 

All COVID-19 cases

N = 6,560

Estimate (95% CI)

Gender

Age groups

Males

n = 19,394

Estimate (95% CI)

Females

n = 23,227

Estimate (95% CI)

 ≤ 30 years

n = 2,760

Estimate (95% CI)

31–44 years

n = 8,855

Estimate (95% CI)

45–60 years

n = 12,167

Estimate (95% CI)

 > 60 years

n = 18,839

Estimate (95% CI)

Sensitivity

0.78 (0.77–0.80)

0.79 (0.77–0.81)

0.78 (0.76–0.79)

0.69 (0.64–0.74)

0.73 (0.70–0.75)

0.80 (0.78–0.82)

0.85 (0.82–0.87)

Specificity

0.93 (0.93–0.93)

0.94 (0.94–0.94)

0.92 (0.92–0.93)

0.91 (0.89–0.92)

0.91 (0.91–0.92)

0.91 (0.91–0.92)

0.96 (0.95–0.96)

PPV

0.54 (0.53–0.55)

0.57 (0.56–0.59)

0.51 (0.50–0.53)

0.53 (0.48–0.57)

0.54 (0.52–0.57)

0.57 (0.55–0.59)

0.50 (0.47–0.52)

NPV

0.98 (0.98–0.98)

0.98 (0.98–0.98)

0.98 (0.97–0.98)

0.95 (0.94–0.96)

0.96 (0.95–0.96)

0.97 (0.97–0.97)

0.99 (0.99–0.99)

Youden’s index1

0.71 (0.70–0.72)

0.73 (0.71–0.75)

0.70 (0.68–0.72)

0.60 (0.55–0.65)

0.64 (0.61–0.67)

0.71 (0.69–0.73)

0.81 (0.79–0.83)

  1. NPV: negative predictive value. PPV: positive predictive value
  2. 1 Sensitivity + specificity—1