Summary of ROC analysis for existing triage tools predicting death without organ support
Triage tool | n | C-statistic | Cut point | Sensitivity (95% CI) | Specificity (95% CI) | Positive predictive value (95% CI) | Negative predictive value (95% CI) | Proportion test positive |
CURB-65 | 20 716 | 0.82 (0.82, 0.83) | (>1) | 0.86 (0.85 to 0.87) | 0.67 (0.66 to 0.68) | 0.27 (0.26 to 0.28) | 0.97 (0.97 to 0.97) | 0.39 |
CRB-65 | 20 716 | 0.75 (0.75, 0.76) | (>0) | 0.96 (0.95 to 0.97) | 0.45 (0.44 to 0.46) | 0.20 (0.19 to 0.20) | 0.99 (0.98 to 0.99) | 0.60 |
PMEWS | 20 492 | 0.78 (0.77, 0.78) | (>2) | 0.99 (0.98 to 0.99) | 0.28 (0.27 to 0.28) | 0.16 (0.15 to 0.17) | 0.99 (0.99 to 0.99) | 0.76 |
NEWS2 (score) | 20 594 | 0.75 (0.74, 0.76) | (>4) | 0.78 (0.76 to 0.79) | 0.60 (0.59 to 0.60) | 0.21 (0.20 to 0.22) | 0.95 (0.95 to 0.95) | 0.45 |
NEWS2 (rule) | 20 594 | 0.67 (0.67, 0.68) | (>0) | 0.84 (0.83 to 0.86) | 0.51 (0.50 to 0.51) | 0.19 (0.18 to 0.20) | 0.96 (0.95 to 0.96) | 0.54 |
SFAHP (6-point rule) | 19 858 | 0.70 (0.69, 0.71) | (>0) | 0.78 (0.77 to 0.80) | 0.62 (0.61 to 0.63) | 0.22 (0.21 to 0.23) | 0.95 (0.95 to 0.96) | 0.43 |
SFAHP (7-point rule) | 20 682 | 0.67 (0.67, 0.68) | (>0) | 0.90 (0.89 to 0.91) | 0.45 (0.44 to 0.45) | 0.18 (0.18 to 0.19) | 0.97 (0.97 to 0.97) | 0.60 |
WHO algorithm | 20 891 | 0.62 (0.61, 0.62) | (>0) | 0.99 (0.98 to 0.99) | 0.25 (0.24 to 0.26) | 0.15 (0.15 to 0.16) | 0.99 (0.99 to 0.99) | 0.78 |
NEWS2, National Early Warning Score version 2; PMEWS, Pandemic Modified Early Warning Score; ROC, receiver operating characteristic; SFAHP, swine flu adult hospital pathway.