Table 1.
Clinical performances of Novalisa SARS-CoV-2 (COVID-19) IgA, IgM and IgG, obtained using as thresholds the value 11 NovaTec units (NTU) (claimed by manufacture’s inserts COVA940_20200416_EH, COVM0940_20200416_EH and COVG0940_20200416_EH) and the best cut-off defined by Youden index (obtained with the Overall data).
Assay | Threshold | Time-frame | Sensitivity§ (95%CI) | Specificity§ (95%CI) | PLR (95%CI) | NLR (95%CI) |
---|---|---|---|---|---|---|
SARS-CoV-2 IgA | 11 NTU | <12 d | 44.8 (26.4–64.3) | 100.0 (91.6–100.0) | 38.7 (2.4–626.2) | 0.56 (0.40–0.77) |
≥12 d | 75.7 (66.3–83.6) | 64.9 (4.1–1023.4) | 0.25 (0.18–0.35) | |||
Overall | 69.0 (60.3–76.8) | 59.2 (3.7–933.7) | 0.32 (0.24–0.41) | |||
6 NTU | <12 d | 65.5 (45.7–82.1) | 97.6 (87.4–99.9) | 27.5 (3.9–194.3) | 0.35 (0.21–0.58) | |
≥ 12 d | 84.5 (76.0–90.9) | 35.5 (5.1–246.4) | 0.16 (0.10–0.25) | |||
Overall | 80.6 (72.7–87.0) | 33.9 (4.9–235.2) | 0.20 (0.14–0.28) | |||
SARS-CoV-2 IgM | 11 NTU | <12 d | 27.6 (12.7–47.2) | 97.6 (87.4–99.9) | 8.1 (1.53–43.2) | 0.74 (0.59–0.94) |
≥12 d | 53.4 (43.3–63.3) | 15.3 (3.1–74.4) | 0.48 (0.39–0.60) | |||
Overall | 48.8 (39.9–57.8) | 20.5 (2.9–143.4) | 0.52 (0.44–0.62) | |||
5 NTU | <12 d | 48.3 (29.4–67.5) | 88.1 (74.4–96.0) | 4.1 (1.6–10.0) | 0.59 (0.41–0.85) | |
≥12 d | 79.6 (70.5–86.9) | 6.7 (2.9–15.3) | 0.23 (0.16–0.34) | |||
Overall | 72.9 (64.3–80.3) | 6.1 (2.7–14.0) | 0.31 (0.23–0.42) | |||
SARS-CoV-2 IgG | 11 NTU | <12 d | 44.8 (26.4–64.3) | 100.0 (91.6–100.0) | 38.7 (2.4–626.2) | 0.56 (0.40–0.77) |
≥12 d | 90.3 (82.9–95.2) | 77.3 (4.9–1217.2) | 0.10 (0.06–0.18) | |||
Overall | 79.8 (71.9–86.4) | 68.5 (4.4–1078.6) | 0.21 (0.15–0.29) | |||
9 NTU | <12 d | 48.3 (29.4–67.5) | 97.6 (87.4–99.9) | 20.3 (2.8–145.8) | 0.53 (0.37–0.76) | |
≥12 d | 94.2 (87.8–97.8) | 39.5 (5.7–274.4) | 0.06 (0.03–0.13) | |||
Overall | 83.7 (76.2–89.6) | 35.2 (5.1–244.2) | 0.17 (0.11–0.25) |
PLR = positive likelihood ratio; NLR = negative likelihood ratio; d = days.
Subjects included in the analyses: Overall, n = 171; time frame < 12 d, n = 71 (positive and negative to SARS-CoV-2 rRT-PCT); time frame ≥ d, n = 145 (positive and negative to SARS-CoV-2 rRT-PCR).
Sensitivities and specificities values are expressed as percentages.