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. 2016 Oct 18;80(1):61–67. doi: 10.1007/s12262-016-1558-y

Table 2.

Sensitivity and specificity of white blood cell count, C-reactive protein level, lymphocyte count, neutrophil percentage, lymphocyte percentage, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio cutoff values to diagnose acute appendicitis

Cutoff + Appendectomy − Appendectomy AUC ± SE p Value
WBC (K/μL)
 WBC >11.3 367 (92.4) (65)a 30 (7.6)c (40) 0.663 ± 0.034 <0.001
 WBC ≤11.3 198 (81.5)d (35) 45 (18.5) (60)b
Neutrophil percentage
 Neutrophil percentage >74.9 422 (96.6) (74.7)a 15 (3.4) (20)c 0.755 ± 0.03 <0.001
 Neutrophil percentage ≤74.9 143 (70.4)d (25.3) 60 (29.6) (80)b
Lymphocyte count (K/μL)
 Lymphocyte count ≤1.76 368 (92.7) (65.1)a 29 (7.3) (38.7)c 0.628 ± 0.033 <0.001
 Lymphocyte count >1.76 197 (81.1)d (34.9) 46 (18.9) (61.3)b
Lymphocyte percentage
 Lymphocyte percentage ≤16.2 410 (96.9) (72.6)a 13 (3.1) (17.3)c 0.752 ± 0.03 <0.001
 Lymphocyte percentage >16.2 155 (71.4)d (27.4) 62 (28.6) (82.7)b
CRP (mg/L)
 CRP >51 212 (95.5) (37.5)a 10 (4.5) (13.3)c 0.621 ± 0.033 <0.001
 CRP ≤51 353 (84.4)d (62.5) 65 (15.6) (86.7)b
NLR
 NLR >4.64 411 (96.9) (72.7)a 13 (3.1) (17.3)c 0.752 ± 0.03 <0.001
 NLR ≤4.64 154 (71.3)d (27.3) 62 (28.7) (82.7)b
PLR
 PLR >126.44 400 (91.1) (70.8)a 39 (8.9) (52)c 0.588 ± 0.037 0.018
 PLR ≤126.44 165 (82.1)d (29.2) 36 (17.9) (48)b

Receiver operating characteristic curve analysis (Hanley and McNeil method, Youden index J)

aSensitivity

bSpecificity

cFalse-positive ratio

dFalse-negative ratio