Table 3.
Diagnostic performance of biomarkers for diagnosis of severe sepsis and septic shock at days 1, 3 and 8 of ICU treatment, analyzed as area under the curve (95% CI)
Presepsin | Interleukin-6 | Procalcitonin | C-reactive protein | White blood cells | |
---|---|---|---|---|---|
Day 1 | |||||
Septic shock (n = 74) | 0.80 (0.73, 0.86) | 0.86 (0.80, 0.91) | 0.83 (0.77, 0.90) | 0.62 (0.49, 0.74) | 0.53 (0.41, 0.62) |
P = 0.0001 | P = 0.0001 | P = 0.0001 | P = 0.06 | P = 0.7 | |
Day 1: Controls n = 60; SIRS n = 9; sepsis n = 5; severe sepsis n = 28; septic shock n = 74 | |||||
Day 3 | |||||
≥ Sepsis (n = 81) | 0.84 (0.72, 0.96) | 0.81 (0.70, 0.92) | 0.69 (0.52, 0.87) | 0.69 (0.54, 0.83) | 0.73 (0.60, 0.87) |
P = 0.0001 | P = 0.001 | P = 0.03 | P = 0.04 | P = 0.009 | |
≥ Severe sepsis (n = 67) | 0.80 (0.70, 0.91) | 0.71 (0.60, 0.81) | 0.66 (0.52, 0.80) | 0.61 (0.49, 0.74) | 0.59 (0.47, 0.72) |
P = 0.0001 | P = 0.003 | P = 0.02 | P = 0.1 | P = 0.2 | |
Septic shock (n = 39) | 0.72 (0.61, 0.82) | 0.76 (0.66, 0.87) | 0.66 (0.55, 0.77) | 0.72 (0.62, 0.83) | 0.57 (0.45, 0.70) |
P = 0.0001 | P = 0.0001 | P = 0.01 | P = 0.0001 | P = 0.3 | |
Day 3: SIRS n = 15; sepsis n = 14; severe sepsis n = 28; septic shock n = 39 | |||||
Day 8 | |||||
≥ Sepsis (n = 48) | 0.82 (0.71, 0.93) | 0.74 (0.61, 0.87) | 0.64 (0.50, 0.78) | 0.69 (0.54, 0.84) | 0.75 (0.64, 0.87) |
P = 0.0001 | P = 0.001 | P = 0.06 | P = 0.01 | P = 0.001 | |
≥ Severe sepsis (n = 37) | 0.77 (0.65, 0.88) | 0.73 (0.61, 0.85) | 0.68 (0.55, 0.81) | 0.65 (0.51, 0.78) | 0.71 (0.58, 0.83) |
P = 0.0001 | P = 0.001 | P = 0.01 | P = 0.04 | P = 0.004 | |
Septic shock (n = 18) | 0.79 (0.66, 0.92) | 0.69 (0.55, 0.83) | 0.78 (0.65, 0.92) | 0.67 (0.53, 0.81) | 0.68 (0.53, 0.84) |
P = 0.0001 | P = 0.02 | P = 0.001 | P = 0.04 | P = 0.02 | |
Day 8: SIRS n = 28; sepsis n = 11; severe sepsis n = 19; septic shock n = 18 |
A minimal area under the curve was set at ≥0.75 (highlighted in bold type). SIRS, systemic inflammatory response syndrome.