TABLE 4

Comparison of DECAF and OCRS scores and current practice in predicting poor outcomes

MethodSensitivitySpecificityNPVPPVAccuracy
Current practice71.0 (58.05–81.8)86.6 (81.6–90.6)92.0 (88.6–94.4)57.9 (49.0–66.3)83.3 (78.6–87.4)
Score cut-off
 0DECAF88.7 (78.1–95.3)34.5 (28.4–40.9)92.1 (85.1–96.0)26.1 (23.7–28.6)45.7 (39.9–51.5)
OCRS96.8 (88.8–99.6)18.5 (13.8–24.0)95.7 (84.6–98.9)23.6 (22.3–25.0)34.7 (29.3–40.4)
 <2DECAF69.3 (56.4–80.4)74.8 (68.8–80.2)90.4 (86.5–93.2)41.8 (35.3–48.5)73.7 (68.3–78.6)
OCRS82.3 (70.5–90.8)56.7 (50.2–63.1)92.5 (87.7–95.5)33.1 (29.1–37.4)62.0 (56.2–67.5)
 <3DECAF41.9 (29.5–55.2)92.0 (87.8–95.1)85.9 (83.1–88.3)57.8 (44.8–69.7)81.7 (76.8–85.9)
OCRS71.0 (58.1–81.8)73.5 (67.4–79.0)90.7 (86.7–93.5)41.1 (34.9–47.7)73.0 (67.6–77.9)

Data presented as % (95% CI). NPV: negative predictive value; PPV: positive predictive value; DECAF: Dyspnea, Eosinopenia, Consolidation, Acidemia, and Atrial Fibrillation; OCRS: Ottawa Chronic Obstructive Pulmonary Disease Risk Scale.