TABLE 3

Model performance on the addition of individual biomarkers to the clinical model

Clinical model#WBCANCCRPPCT
Univariable OR (95% CI)1.08 (0.79–1.48)1.38 (1.08–1.76)1.94 (1.63–2.32)1.09 (0.97–1.21)
Multivariable OR (95% CI)#1.58 (1.07–2.32)1.44 (1.06–1.96)1.79 (1.47–2.18)1.30 (1.13–1.49)
C-index
 Raw0.7940.8000.8020.8290.808
 Optimism-corrected0.7800.7830.7860.8120.795
Diagnostic performance
 Cutpoint of prediction model ROC curve %50.752.851.145.645.4
 Sensitivity %57.759.660.670.065.7
 Specificity %88.388.888.085.385.3
 PPV %74.175.674.673.472.2
 NPV %78.379.179.483.081.1
 LR+3.413.623.614.323.82
 LR0.330.310.320.320.34

WBC: white blood cell count; ANC: absolute neutrophil count; CRP: C-reactive protein; PCT: procalcitonin; OR: odds ratio; CI: confidence interval; ROC: receiver operating characteristic; c-index: concordance index; PPV: positive predictive value; NPV: negative predictive value; LR: likelihood ratio. #: includes variables of age, focal decreased breath sounds and duration of fever; : determined by Euclidean distance method.