Table 3

Predictive potential of severity rules for admission to the ICU (for definition of rules see text)

SensitivitySpecificityPPVNPVOverall accuracy
Data are presented as number (%) with 95% confidence intervals (CI).
PPV = positive predicted value; NPV = negative predicted value.
Modified ATS rule80/116 (69%)568/580 (98%)80/92 (87%)568/604 (94%)648/696 (93%)
(59.7 to 77.2)(96.4 to 98.9)(78.3 to 93.1)(91.8 to 95.8)(91.0 to 94.9)
Original derivation cohort347/60 (78%)268/284 (94%)47/63 (75%)268/281 (95%)315/344 (92%)
(65.8 to 87.9)(91.0 to 69.7)(62.1 to 84.7)(92.2 to 97.5)(88.1 to 94.3)
Alternative ATS rule99/114 (87%)476/578 (82%)99/201 (49%)476/491 (97%)575/692 (83%)
(79.2 to 92.5)(79.0 to 85.4)(42.1 to 56.4)(95.0 to 98.3)(80.1 to 85.8)
BTS I37/108 (34%)488/549 (89%)37/98 (38%)488/559 (87%)525/657 (80%)
(25.4 to 44.0)(86.0 to 91.4)(28.2 to 48.1)(84.3 to 89.9)(76.6 to 82.9)
BTS II51/115 (44%)496/578 (86%)51/133 (38%)496/560 (89%)547/693 (79%)
(5.1 to 53.9)(82.7 to 88.6)(30.1 to 47.2)(85.6 to 91.1)(75.7 to 81.9)
Modified BTS rule47/98 (48%)409/494 (83%)47/132 (36%)409/460 (89%)456/592 (77%)
(37.8 to 58.3)(79.2 to 86.0)(27.5 to 44.4)(85.7 to 91.6)(73.4 to 80.4)
Sepsis100/113 (89%)134/570 (24%)100/536 (19%)134/147 (91%)234/683 (34%)
(81.1 to 93.7)(20.1 to 27.2)(15.5 to 22.2)(85.4 to 95.2)(30.7 to 38.0)
Severe sepsis80/107 (75%)344/464 (74%)80/200 (40%)344/371 (93%)424/571 (74%)
(65.4 to 82.7)(69.9 to 78.1)(33.2 to 47.1)(89.6 to 95.1)(70.5 to 77.8)
Septic shock56/116 (48%)580/580 (100%)56/56 (100%)580/640 (91%)636/696 (91%)
(38.9 to 57.7)(99.4 to 100)(93.6 to 100)(88.1 to 92.8)(89.0 to 93.4)