Table 6. Univariate DL analysis in the LEMA 0–8 dataset.
AUC(95% CI) | Top-Left Threshold (Prob) | Threshold (Values) | Normal Values | Specificity | Sensitivity | Accuracy | |
---|---|---|---|---|---|---|---|
LACTATE | 0.92(0.889–0.951) | 0.01 | 0.3–2.7 mmol/L | <2 mmol/L | 0.897 | 0.826 | 0.887 |
PH | 0.867(0.831–0.902) | 0.03 | 7.32–7.52 units | 7.35-7-45 units | 0.899 | 0.764 | 0.878 |
BICARBONATE | 0.842(0.807–0.877) | 0.07 | 21–33 mEq/L | 24–30 mEq/L | 0.823 | 0.75 | 0.812 |
POTASSIUM | 0.770(0.731–0.809) | 0.06 | 3.4–4.4 mEq/dL | 3.5–5 mEq/dL | 0.749 | 0.666 | 0.735 |
CALCIUM | 0.709(0.668–0.750) | 0.03 | 7.9–9 mg/dL | 8–10.5 mg/dL | 0.636 | 0.675 | 0.642 |
GLUCOSE | 0.683(0.622–0.744) | 0.05 | 85–160 mg/dL | 70–130 mg/dL | 0.737 | 0.606 | 0.717 |
CHLORIDE | 0.659(0.616–0.702) | 0.1 | 102–111 mEq/L | 95–106 mEq/L | 0.676 | 0.602 | 0.665 |
SODIUM | 0.619(0.574–0.665) | 0.08 | 137–143 mEq/L | 135–145 mEq/L | 0.631 | 0.549 | 0.619 |
The DL-derived optimal probability cutoff was used to estimate the parameter values discriminating ICU patients who remained stable from those who physiologically deteriorated and died in 0–8 hours. Lactate was the most reliable predictor value, with an AUC of 0.92, followed by pH and bicarbonate, with AUCs of 0.867 and 0.842, respectively.