Sensitivity and specificity of Manchester Children's Early Warning System (ManChEWS) and Paediatric Observation Priority Score (POPS) to predict admission to the emergency department (ED)
| Cut point for admission decision | Sensitivity | Specificity | Likelihood ratio+ | Likelihood ratio− |
|---|---|---|---|---|
| ManChEWS | ||||
| Admit all (Green, Amber, Red) | 100.00% | 0.00% | 1.00 | |
| Admit if Amber or Red | 59.63% | 72.66% | 2.18 | 0.56 |
| (54.08 to 64.96) | (70.49 to 74.73) | (1.94 to 2.45) | (0.49 to 0.64) | |
| Admit if Red | 15.60% | 97.30% | 5.78 | 0.87 |
| (11.93 to 20.09) | (0.96 to 0.98) | (3.96 to 8.43) | (0.83 to 0.91) | |
| Admit none | 0.00% | 100.00% | 1.00 | |
| POPS | ||||
| (≥0) | 100.00% | 0.00% | 1.00 | |
| (≥1) | 66.97% | 66.86% | 2.02 | 0.49 |
| (61.55 to 71.99) | (64.58 to 69.06) | (1.83 to 2.24) | (0.42 to 0.58) | |
| (≥2) | 49.54% | 85.41% | 3.40 | 0.59 |
| (44.01 to 55.09) | (83.65 to 87.02) | (2.90 to 3.98) | (0.53 to 0.66) | |
| (≥3) | 36.09% | 93.28% | 5.37 | 0.69 |
| (30.92 to 41.58) | (91.98 to 94.39) | (4.28 to 6.74) | (0.63 to 0.74) | |
| (≥4) | 23.24% | 96.50% | 6.63 | 0.80 |
| (18.85 to 28.28) | (95.49 to 97.29) | (4.84 to 9.09) | (0.75 to 0.84) | |
| (≥5) | 17.74% | 98.33% | 10.65 | 0.84 |
| (13.84 to 22.41) | (97.58 to 98.86) | (6.93 to 16.37) | (0.80 to 0.88) | |
| (≥6) | 12.23% | 99.48% | 23.66 | 0.88 |
| (8.98 to 16.40) | (98.98 to 99.75) | (11.59 to 48.29) | (0.85 to 0.92) | |
| (≥7) | 9.17% | 99.83% | 53.24 | 0.91 |
| (6.37 to 12.97) | (99.45 to 99.96) | n/a | (0.88 to 0.94) | |
| (≥8) | 6.12% | 99.83% | 35.49 | 0.94 |
| (3.87 to 9.44) | (99.45 to 99.96) | n/a | (0.91 to 0.97) | |
| (≥9) | 3.36% | 100.00% | n/a | 0.97 |
| (1.78 to 6.11) | (99.73 to 100) | n/a | (0.95 to 0.99) | |
| (≥10) | 2.14% | 100.00% | n/a | 0.98 |
| (0.94 to 4.55) | (100 to 100) | n/a | (0.96 to 0.99) | |
| (≥11) | 1.22% | 100.00% | n/a | 0.99 |
| (0.39 to 3.32) | (100 to 100) | n/a | (0.98 to 100) | |
| (≥12) | 0.92% | 100.00% | n/a | 0.99 |
| (0.24 to 2.88) | (100 to 100) | n/a | (0.98 to 1.00) | |
| (>12) | 0.00% | 100.00% | n/a | 1.00 |
| N=2068 | ||||
n/a, Not available. 95% CIs are shown in parentheses.