Table 2.
Algorithm | Score | Sensitivity | Specificity | PPV | NPV |
---|---|---|---|---|---|
SOFA ≥1 | Any culture | 68% | 45% | 15% | 91% |
Blood culture | 69% | 46% | 18% | 89% | |
Any culture + abx | 68% | 53% | 23% | 89% | |
Blood culture + abx | 69% | 52% | 25% | 88% | |
Any culture + 4d abx | 67% | 53% | 28% | 85% | |
Blood culture + 4d abx | 69% | 51% | 30% | 84% | |
SIRS ≥2 | Any culture | 66% | 50% | 15% | 91% |
Blood culture | 68% | 46% | 18% | 89% | |
Any culture + abx | 66% | 52% | 22% | 88% | |
Blood culture + abx | 68% | 49% | 23% | 87% | |
Any culture + 4d abx | 66% | 51% | 29% | 83% | |
Blood culture + 4d abx | 69% | 47% | 25% | 84% | |
qSOFA ≥1 | Any culture | 69% | 52% | 17% | 92% |
Blood culture | 71% | 51% | 20% | 91% | |
Any culture + abx | 69% | 57% | 25% | 90% | |
Blood culture + abx | 72% | 55% | 27% | 90% | |
Any culture + 4d abx | 71% | 56% | 33% | 86% | |
Blood culture + 4d abx | 73% | 54% | 30% | 88% | |
MEWS ≥3 | Any culture | 69% | 57% | 18% | 93% |
Blood culture | 72% | 51% | 20% | 91% | |
Any culture + abx | 69% | 56% | 24% | 90% | |
Blood culture + abx | 72% | 52% | 26% | 89% | |
Any culture + 4d abx | 71% | 55% | 32% | 86% | |
Blood culture + 4d abx | 74% | 51% | 29% | 88% | |
NEWS ≥5 | Any culture | 63% | 64% | 19% | 93% |
Blood culture | 66% | 62% | 23% | 91% | |
Any culture + abx | 64% | 67% | 28% | 90% | |
Blood culture + abx | 67% | 65% | 31% | 90% | |
Any culture + 4d abx | 65% | 67% | 32% | 86% | |
Blood culture + 4d abx | 68% | 64% | 34% | 88% | |
eCART ≥10 | Any culture | 69% | 64% | 21% | 94% |
Blood culture | 71% | 61% | 24% | 92% | |
Any culture + abx | 69% | 65% | 29% | 91% | |
Blood culture + abx | 72% | 62% | 30% | 91% | |
Any culture + 4d abx | 71% | 64% | 38% | 88% | |
Blood culture + 4d abx | 73% | 61% | 34% | 89% |