Table 4.
Results of receiver operating characteristic analysis showing the predictive value of c-reactive protein, procalcitonin, fibrinogen, white blood cell and neutrophil-to-lymphocyte ratio for absence/presence of gastric leak after laparoscopic sleeve gastrectomy
| AUC | 95% CI | SE | Cutoff value | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | |
|---|---|---|---|---|---|---|---|---|
| CRP | ||||||||
| Preoperative | 0.631 | 0.468-0.795 | 0.083 | 0.7 | 100 | 41.44 | 8.45 | 100 |
| 1 day after | 0.550 | 0.285-0.815 | 0.135 | 7.24 | 33.33 | 98.20 | 50.03 | 96.46 |
| 3 days after | 0.984 | 0.951-1 | 0.016 | 7.33 | 100 | 90.09 | 35.30 | 100 |
| 5 days after | 0.966 | 0.901-1 | 0.033 | 5.59 | 83.33 | 100 | 100 | 99.11 |
| PCT | ||||||||
| Preoperative | 0.615 | 0.453-0.777 | 0.083 | 0.04 | 100 | 34.23 | 7.60 | 100 |
| 1 day after | 1 | 1-1 | 0 | 0.55 | 100 | 100 | 100 | 100 |
| 3 days after | 0.996 | 0.985-1 | 0.005 | 0.14 | 83.33 | 99.10 | 83.35 | 99.10 |
| 5 days after | 0.967 | 0.905-1 | 0.031 | 1.64 | 83.33 | 100 | 100 | 99.11 |
| Fibrinogen | ||||||||
| Preoperative | 0.664 | 0.503-0.824 | 0.082 | 328 | 100 | 38.74 | 8.11 | 100 |
| 1 day after | 0.553 | 0.291-0.814 | 0.133 | 402 | 33.33 | 99.10 | 66.69 | 96.49 |
| 3 days after | 0.985 | 0.956-1 | 0.015 | 388 | 100 | 90.99 | 37.51 | 100 |
| 5 days after | 0.957 | 0.876-1 | 0.041 | 529 | 83.33 | 100 | 100 | 99.11 |
| WBC | ||||||||
| Preoperative | 0.665 | 0.486-0.844 | 0.091 | 6.5 | 100 | 34.23 | 7.60 | 100 |
| 1 day after | 0.652 | 0.325-0.978 | 0.166 | 11.84 | 66.67 | 81.98 | 16.67 | 97.85 |
| 3 days after | 0.984 | 0.951-1 | 0.016 | 10.18 | 100 | 89.19 | 33.34 | 100 |
| 5 days after | 0.949 | 0.856-1 | 0.048 | 6.57 | 83.33 | 100 | 100 | 99.11 |
| NLR | ||||||||
| Preoperative | 0.724 | 0.567-0.881 | 0.080 | 1.74 | 83.33 | 73.87 | 14.71 | 98.79 |
| 1 day after | 1 | 1-1 | 0 | 2.74 | 100 | 100 | 100 | 100 |
| 3 days after | 1 | 1-1 | 0 | 3.22 | 100 | 100 | 100 | 100 |
| 5 days after | 1 | 1-1 | 0 | 3.64 | 100 | 100 | 100 | 100 |
AUC: Area under the curve, CI: Confidence interval, SE: Standard error. PPV: Positive predictive value. NPV: Negative predictive value, WBC: White blood cells; NLR: Neutrophil-to-lymphocyte ratio, PCT: Procalcitonin, CRP: C-reactive protein