Table 2

Prognostic accuracy of scoring systems (95% CI) for predicting inhospital death and ICU admission in patients with suspected sepsis

qSOFASIRSNEWS
Inhospital death
 Sensitivity, %37 (31 to 43)80 (74 to 84)74 (68 to 79)
 Specificity, %79 (77 to 81)21 (19 to 23)43 (41 to 46)
 Positive predictive value, %23 (19 to 28)15 (13 to 17)18 (16 to 21)
 Negative predictive value, %88 (86 to 90)86 (82 to 89)91 (88 to 93)
 Positive likelihood ratio1.78 (1.48 to 2.14)1.01 (0.94 to 1.08)1.30 (1.19 to 1.41)
 Negative likelihood ratio0.80 (0.72 to 0.88)0.96 (0.75 to 1.25)0.61 (0.55 to 0.61)
 AUROC0.62 (0.59 to 0.66)0.49 (0.45 to 0.52)0.65 (0.61 to 0.68)
ICU admission
 Sensitivity, %36 (23 to 50)85 (72 to 93)77 (64 to 88)
 Specificity, %77 (75 to 79)21 (19 to 23)41 (39 to44)
 Positive predictive value, %5 (3 to 7)3 (2 to 4)4 (3 to 5)
 Negative predictive value, %98 (97 to 98)98 (96 to99)99 (97 to 99)
 Positive likelihood ratio1.57 (1.09 to 2.28)1.08 (0.96 to 1.21)1.32 (1.13 to 1.53)
 Negative likelihood ratio0.83 (0.68 to 1.02)0.71 (0.37 to 1.36)0.55 (0.33 to 0.90)
 AUROC0.59 (0.52 to 0.67)0.54 (0.47 to 0.61)0.64 (0.57 to 0.71)
  • All analyses except AUROC used thresholds of qSOFA ≥2, SIRS≥2 and NEWS≥5.

  • AUROC, area under the receiver operating characteristics curve; ICU, intensive care unit; NEWS, National Early Warning Score; qSOFA, quick Sequential Organ Failure Assessment; SIRS, Systemic Inflammatory Response Syndrome.