Table 3.
Algorithm | Score | Sensitivity | Specificity | PPV | NPV |
---|---|---|---|---|---|
SOFA ≥4 | Any culture | 20% | 88% | 19% | 89% |
Blood culture | 22% | 87% | 23% | 86% | |
Any culture + abx | 19% | 90% | 28% | 84% | |
Blood culture + abx | 21% | 89% | 31% | 83% | |
Any culture + 4d abx | 19% | 89% | 32% | 80% | |
Blood culture + 4d abx | 22% | 88% | 36% | 79% | |
qSOFA ≥2 | Any culture | 18% | 92% | 24% | 89% |
Blood culture | 21% | 91% | 29% | 87% | |
Any culture + abx | 19% | 94% | 39% | 85% | |
Blood culture + abx | 21% | 93% | 41% | 84% | |
Any culture + 4d abx | 21% | 93% | 48% | 79% | |
Blood culture + 4d abx | 23% | 92% | 44% | 81% | |
MEWS ≥6 | Any culture | 17% | 96% | 37% | 89% |
Blood culture | 19% | 94% | 36% | 87% | |
Any culture + abx | 18% | 95% | 42% | 85% | |
Blood culture + abx | 20% | 94% | 43% | 84% | |
Any culture + 4d abx | 19% | 95% | 54% | 79% | |
Blood culture + 4d abx | 21% | 93% | 45% | 81% | |
NEWS ≥9 | Any culture | 20% | 94% | 31% | 90% |
Blood culture | 22% | 94% | 39% | 87% | |
Any culture + abx | 21% | 95% | 46% | 85% | |
Blood culture + abx | 22% | 94% | 46% | 84% | |
Any culture + 4d abx | 23% | 95% | 58% | 80% | |
Blood culture + 4d abx | 24% | 94% | 52% | 82% | |
eCART ≥25 | Any culture | 25% | 94% | 36% | 90% |
Blood culture | 28% | 93% | 41% | 88% | |
Any culture + abx | 27% | 94% | 48% | 86% | |
Blood culture + abx | 28% | 93% | 48% | 85% | |
Any culture + 4d abx | 29% | 93% | 56% | 81% | |
Blood culture + 4d abx | 30% | 92% | 51% | 83% |