Table 5. Detection performance of CDAs that target ARI.
Case-Detection Algorithm Number | ||||||||||
Category | Subcategory | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
CDA Component | BioSense ICD-9 Codes | • | ||||||||
Essence ICD-9 Codes | • | |||||||||
VA ICD-9 Codes | • | • | • | • | • | • | • | |||
OR Temperature ≥38°C | • | • | • | |||||||
OR Blood Culture | • | • | ||||||||
OR Cough Remedies | • | • | • | • | ||||||
OR CBC/Diff | • | |||||||||
OR Gram stain | • | |||||||||
Maryland Site | Sensitivity | 61 | 68 | 78 | 81 | 81 | 84 | 87 | 87 | 87 |
Specificity | 94 | 97 | 96 | 96 | 95 | 95 | 94 | 94 | 93 | |
Positive Predictive Value | 23 | 37 | 36 | 35 | 33 | 31 | 30 | 30 | 27 | |
Area under the ROC | 78 | 83 | 87 | 89 | 88 | 90 | 91 | 91 | 90 | |
Utah Site | Sensitivity | 64 | 74 | 80 | 80 | 80 | 85 | 85 | 86 | 87 |
Specificity | 91 | 98 | 97 | 97 | 97 | 96 | 95 | 95 | 92 | |
Positive Predictive Value | 9 | 29 | 27 | 25 | 25 | 20 | 20 | 19 | 13 | |
Area under the ROC | 78 | 86 | 89 | 89 | 89 | 91 | 90 | 91 | 90 |
Composition (black dot indicates that the component is included in the CDA) of ARI CDAs that combine parameters derived from structured EMR entries. Statistical performance can be compared at each study site.