Table 1.
Diagnostic accuracies of urine analytes and proteomic scores for predicting need for delivery in the cross-sectional challenge phase.
Analytes | ROC area [95%CI] |
P value |
Cut-off* | Sens. [95%CI] |
Spec. [95%CI] |
+LR | −LR | Accuracy |
---|---|---|---|---|---|---|---|---|
Protein-to-creatinine ratio (mg/mgc) | 0.51 [0.43–0.58] |
0.901 | > 8.4 | 52 [41–63] |
59 [49–68] |
1.3 | 0.8 | 55.9 |
sFlt-1-to-creatinine ratio (pg/mgc) | 0.71 [0.64–0.78] |
<0.001 | >28.0 | 63 [52–73] |
72 [62–80] |
2.2 | 0.5 | 67.7 |
PlGF-to-creatinine ratio (pg/mgc) | 0.77 [0.71–0.83] |
<0.001 | < 57.6 | 85 [75–92] |
67 [57–76] |
2.6 | 0.2 | 74.5 |
sFlt-1-to-PlGF ratio | 0.82 [0.75–0.87] |
<0.001 | > 1.3 | 88 [79–94] |
69 [59–77] |
2.8 | 0.2 | 77.1 |
UPSb | 0.92 [0.87–0.95] |
<0.001 | ≥ 5 | 85 [76–92] |
86 [79–92] |
6.2 | 0.2 | 85.7 |
UPSr | 0.92 [0.87–0.96] |
<0.001 | ≥ 7 | 84 [74–91] |
89 [82–94] |
7.7 | 0.2 | 86.7 |
Non-reassuring urine profile: UPSb ≥5 and UPSr ≥7 | 85 [77–93] |
87 [81–96] |
6.7 | 0.2 | 86.2 |
represents the cut-off with highest accuracy.
Abbreviations: Sens: sensitivity; Spec: specificity; +LR: positive likelihood ratio; −LR: negative likelihood ratio; mgc: milligrams creatinine; sFlt-1: soluble fms-like tyrosine kinase-1; PlGF: placental growth factor