Table 2.
ROC analysis of age, APACHE II, ISS, lactate, albumin, lactate clearance rate, LAR and combined indicators for predicting poor short-term prognosis in polytrauma (bootstrap-corrected)
| Indicator | AUC | Standard Error | P-value | 95% CI | Cut-off Value | Sensitivity | Specificity |
|---|---|---|---|---|---|---|---|
| Age (years) | 0.636 | 0.61 | 0.03 | 0.517–0.755 | 57.5 | 0.500 | 0.765 |
| APACHE II | 0.931 | 0.020 | < 0.01 | 0.884–0.977 | 22.5 | 0.857 | 0.894 |
| ISS | 0.812 | 0.040 | < 0.01 | 0.735–0.889 | 20.5 | 1 | 0.565 |
| Lactate at Admission (mmol/L) | 0.663 | 0.060 | 0.04 | 0.548–0.777 | 4.745 | 0.571 | 0.718 |
| Lactate at 24 h (mmol/L) | 0.742 | 0.060 | < 0.01 | 0.624–0.860 | 4.795 | 0.500 | 0.929 |
| Lactate at 48 h (mmol/L) | 0.886 | 0.040 | < 0.01 | 0.811–0.960 | 2.08 | 0.857 | 0.847 |
| Albumin at Admission (g/L) | 0.596 | 0.070 | 0.15 | 0.466–0.726 | 32.25 | 0.571 | 0.659 |
| Albumin at 24 h (g/L) | 0.606 | 0.060 | 0.10 | 0.480–0.732 | 32.35 | 0.679 | 0.529 |
| Albumin at 48 h (g/L) | 0.704 | 0.060 | < 0.01 | 0.593–0.814 | 28.75 | 0.536 | 0.800 |
| LAR at Admission | 0.667 | 0.060 | 0.04 | 0.550–0.784 | 0.183 | 0.464 | 0.859 |
| LAR at 24 h | 0.749 | 0.060 | < 0.01 | 0.635–0.862 | 0.087 | 0.714 | 0.718 |
| LAR at 48 h | 0.901 | 0.030 | < 0.01 | 0.838–0.965 | 0.074 | 0.857 | 0.859 |
| lactate clearance | 0.658 | 0.06 | < 0.01 | 0.544–0.772 | 0.521 | 0.329 | 0.929 |
| Composite Index | 0.968 | 0.010 | < 0.01 | 0.939–0.996 | 0.882 | 0.964 | 0.918 |
ROC receiver operating characteristic; APACHE II Acute Physiology and Chronic Health Evaluation II; ISS Injury Severity Score; LAR lactate albumin ratio