Table 2.
Score | Sensitivity (95% CI) | Specificity (95% CI) | PPV (95% CI) | NPV (95% CI) | Unadjusted bivariate Cox model C-statistic (95% CI) |
Adjusted* Cox model C-statistic (95% CI) |
P value (Wald test) |
Age and sex | – | – | – | – | – | 0.59 (0.53 to 0.64) | |
MEWS ≥4* | 0.73 (0.63 to 0.82) | 0.45 (0.40 to 0.49) | 0.21 (0.16 to 0.26) | 0.89 (0.85 to 0.93) | 0.59 (0.54 to 0.63) | 0.63 (0.58 to 0.68) | 0.002† |
NEWS ≥5* | 0.86 (0.77 to 0.93) | 0.43 (0.38, to 0.48) | 0.25 (0.23 to 0.28) | 0.93 (0.89 to 0.95) | 0.65 (0.64 to 0.67) | 0.68 (0.64 to 0.73) | <0.001† |
qSOFA ≥2* | 0.54 (0.44 to 0.65) | 0.80 (0.76 to 0.84) | 0.35 (0.27 to 0.44) | 0.90 (0.87 to 0.93) | 0.66 (0.61 to 0.71) | 0.70 (0.64 to 0.75) | <0.001† |
SIRS ≥2* | 0.89 (0.80 to 0.94) | 0.19 (0.16 to 0.23) | 0.17 (0.14 to 0.21) | 0.90 (0.82 to 0.95) | 0.53 (0.50 to 0.57) | 0.60 (0.54 to 0.65) | 0.134 |
UVA≥2* | 0.74 (0.64 to 0.83) | 0.70 (0.65 to 0.74) | 0.33 (0.27 to 0.40) | 0.93 (0.90 to 0.95) | 0.70 (0.65 to 0.74) | 0.73 (0.68 to 0.78) | <0.001† |
P values are from Wald test of the adjusted Cox regression model.
*Adjusted Cox model C-statistic is adjusted for age and gender.
†Significant at p<0.002.
MEWS, Modified Early Warning Score; NEWS, National Early Warning Score; NPV, Negative predictive value; PPV, Positive predictive value; qSOFA, quick Sequential Organ Failure Assessment; SIRS, Systemic Inflammatory Response Syndrome; UVA, Universal Vital Assessment.