Table 2.
Test | Algorithmic Alert | Physician Judgment | Combined Method | Sequential Method |
---|---|---|---|---|
Test Characteristic (95% CI) | ||||
Sensitivity | 92.1 (91.67–92.43) | 72.73 (72.1–73.35) | 96.6 (96.3–96.9) | 68.2 (67.5–68.8) |
Specificity | 83.4 (82.91–83.95) | 99.51 (99.41–99.61) | 83.3 (82.8–83.8) | 99.6 (99.6–99.7) |
Positive predictive value | 2.5 (2.24–2.67) | 40.25 (39.56–40.94) | 2.6 (2.3–2.8) | 47.6 (46.9–48.3) |
Negative predictive value | 99.96 (99.93–99.99) | 99.88 (99.83–99.93) | 99.98 (99.96–100) | 99.86 (99.80–99.91) |
Positive likelihood ratio | 5.6 (5.18–5.95) | 148.79 (117.2–1900) | 5.8 (5.5–6.1) | 200.8 (151.8–266.7) |
Negative likelihood ratio | 0.09 (0.05–0.19) | 0.27 (0.19–0.39) | 0.04 (0.01–0.12) | 0.32 (0.24–0.43) |
Receiver operative characteristic curve area | 0.88 (0.85–0.91) | 0.86 (0.81–0.91) | 0.90 (0.88–0.92) | 0.84 (0.79–0.89) |
Severe sepsis/septic shock prevalence: 88 (0.45%)