Table 4.
Areas under the curve of variable parameters for determining the severity of CAP
| Parameter | Cut-off value | AUC | Sensitivity | Specificity | p value | 95% CI | |
|---|---|---|---|---|---|---|---|
| Lower limit | Higher limit | ||||||
| Sphinganine (μg/ml) | > 0.029 | 0.821 | 0.737 | 0.844 | < 0.001 | 0.698 | 0.943 |
| DHEA-S (μg/ml) | < 0.431 | 0.763 | 0.895 | 0.625 | 0.002 | 0.631 | 0.896 |
| Lactate (μg/ml) | > 120.021 | 0.771 | 0.789 | 0.687 | 0.001 | 0.637 | 0.905 |
| Three metabolite combination | – | 0.911 | 0.837 | 0.969 | < 0.001 | 0.825 | 0.998 |
| ESR | – | 0.748 | 0.706 | 0.905 | 0.009 | 0.565 | 0.931 |
| CRP | – | 0.749 | 0.706 | 0.870 | 0.004 | 0.582 | 0.917 |
| PCT | – | 0.832 | 0.875 | 0.875 | < 0.001 | 0.654 | 1.000 |
| CURB-65 | – | 0.764 | 0.789 | 0.719 | 0.002 | 0.625 | 0.903 |
| PSI | – | 0.854 | 0.737 | 0.844 | < 0.001 | 0.728 | 0.937 |
| APACHE II | – | 0.910 | 0.842 | 0.813 | < 0.001 | 0.796 | 0.972 |
CAP community-acquired pneumonia, AUC area under the curve, CI confidence interval, DHEA-S dehydroepiandrosterone sulfate, ESR erythrocyte sedimentation rate, CRP C-reactive protein, PCT procalcitonin, CURB-65 confusion, urea level, respiratory rate, blood pressure, and age > 65 years, PSI pneumonia severity index, APACHE II Acute Physiology and Chronic Health Evaluation II