Table 3.
Receiver operating characteristic curve analyses and diagnostic performance of the evaluated scoring systems to predict in-hospital mortality in patients with Fournier gangrene
Scoring system | Cutoff score | AUROC | 95% CI | p value | Sensitivity | Specificity | PPV | NPV |
---|---|---|---|---|---|---|---|---|
FGSI | > 9 | 0.905 | 0.860–0.950 | < 0.001 | 1.0 | 0.81 | 0.65 | 1.0 |
UFGSI | ≥ 9 | 0.788 | 0.714–0.862 | < 0.001 | 0.91 | 0.67 | 0.49 | 0.95 |
SFGSI | > 2 | 0.642 | 0.540–0.743 | 0.006 | 0.47 | 0.82 | 0.48 | 0.81 |
NFS | > II | 0.823 | 0.739–0.906 | < 0.001 | 0.74 | 0.90 | 0.73 | 0.91 |
LRINEC | ≥ 6 | 0.635 | 0.543–0.737 | 0.006 | 0.63 | 0.65 | 0.39 | 0.83 |
aCCI | ≥ 4 | 0.721 | 0.644–0.816 | < 0.001 | 0.79 | 0.67 | 0.46 | 0.90 |
SOFA | ≥ 4 | 0.830 | 0.815–0.921 | < 0.001 | 1.0 | 0.74 | 0.57 | 1.0 |
qSOFA | ≥ 2 | 0.709 | 0.628–0.790 | < 0.001 | 0.93 | 0.49 | 0.39 | 0.95 |
APACHE II | ≥ 13 | 0.756 | 0.666–0.860 | < 0.001 | 0.56 | 0.97 | 0.86 | 0.86 |
SAS | ≤ 4 | 0.500 | 0.399–0.601 | 1.000 | 1.0 | 0.0 | 0.26 | – |
95% CI 95% confidence interval; aCCI age-adjusted Charlson comorbidity index; APACHE II acute physiology and chronic health evaluation II; AUROC area under the receiver operating characteristic curve; FGSI Fournier gangrene severity index; LRINEC laboratory risk indicator for necrotizing fasciitis; NFS NUMUNE Fournier score; NPV negative predictive value; PPV positive predictive value; qSOFA quick SOFA; SAS surgery APGAR score; SE standard error; SFGSI simplified FGSI; SOFA sequential organ failure assessment; UFGSI Uludag FGSI