Table 4.
Distribution of patients over the AIR-score according to the final diagnosis, and corresponding diagnostic characteristics at all cut-off points
Score points | Numbers according to diagnosis | ||||||||
---|---|---|---|---|---|---|---|---|---|
NSAP | Appendicitis | Other diagnoses | Total | Cut off points | Sensitivity | Specificity | |||
Uncomplicated | Complicated | Appendicitis (%) | Complicated (%) | Appendicitis (%) | |||||
0 | 60 | 0 | 0 | 2 | 62 | ≥0 | 100.0 | 100.0 | 0.0 |
1 | 195 | 2 | 1 | 6 | 204 | ≥1 | 100.0 | 100.0 | 2.7 |
2 | 323 | 12 | 0 | 21 | 356 | ≥2 | 99.8 | 99.9 | 11.3 |
3 | 366 | 39 | 6 | 30 | 441 | ≥3 | 99.0 | 99.9 | 26.0 |
4 | 364 | 83 | 25 | 45 | 517 | ≥4 | 96.1 | 99.0 | 43.0 |
5 | 292 | 156 | 75 | 62 | 585 | ≥5 | 89.1 | 95.6 | 60.5 |
6 | 210 | 183 | 114 | 64 | 571 | ≥6 | 74.2 | 85.2 | 75.7 |
7 | 104 | 160 | 137 | 52 | 453 | ≥7 | 55.0 | 69.5 | 87.4 |
8 | 50 | 116 | 131 | 41 | 338 | ≥8 | 35.7 | 50.6 | 94.1 |
9 | 15 | 55 | 116 | 15 | 201 | ≥9 | 19.7 | 32.5 | 98.0 |
10 | 6 | 12 | 76 | 5 | 99 | ≥10 | 8.7 | 16.4 | 99.3 |
11 | 1 | 3 | 39 | 1 | 44 | ≥11 | 3.0 | 5.9 | 99.8 |
12 | 0 | 0 | 4 | 3 | 7 | ≥12 | 0.3 | 0.6 | 99.9 |
Total | 1 986 | 821 | 724 | 347 | 3 878 |
A new low cut-off point > = 4 is proposed as the original cut-off point > = 5 has insufficient sensitivity for complicated appendicitis