Laboratory Medicine and Quality Assurance

Table. 3.

Receiver operating characteristics curve analysis for discriminating bacterial infection cases from other conditions

Onset of symptoms No. of cases (%) No. of controls (%) Variable/combination AUC (95% CI) P-value P for difference*
<24 hr 94 (9.5) 891 (90.5) SAA (mg/L) 0.8200 (0.7740 to 0.8660) <0.0001 -
CRP (mg/L) 0.8302 (0.7849 to 0.8755) <0.0001 0.4609
ESR (mm/hr) 0.7052 (0.6499 to 0.7605) <0.0001 <0.0001
WBC count (×103/µL) 0.7052 (0.6439 to 0.7664) <0.0001 0.0026
Neutrophil count (×103/µL) 0.7357 (0.6790 to 0.7923) <0.0001 0.0127
SAA+ESR+CRP+neutrophil 0.8455 (0.8052 to 0.8859) <0.0001 0.0688
≥24 hr 90 (21.7) 325 (78.3) SAA (mg/L) 0.8349 (0.7934 to 0.8764) <0.0001 -
CRP (mg/L) 0.8085 (0.7593 to 0.8577) <0.0001 0.0416
ESR (mm/hr) 0.6872 (0.6260 to 0.7484) <0.0001 <0.0001
WBC count (×103/µL) 0.6733 (0.6051 to 0.7415) <0.0001 <0.0001
Neutrophil count (×103/µL) 0.7038 (0.6385 to 0.7691) <0.0001 0.0002
SAA+ESR+CRP+neutrophil 0.8353 (0.7930 to 0.8776) <0.0001 0.9651
All 184 (13.1) 1,216 (86.9) SAA (mg/L) 0.8400 (0.8102 to 0.8698) <0.0001 -
CRP (mg/L) 0.8337 (0.8020 to 0.8654) <0.0001 0.4908
ESR (mm/hr) 0.7217 (0.6830 to 0.7604) <0.0001 <0.0001
WBC count (×103/µL) 0.6721 (0.6263 to 0.7178) <0.0001 <0.0001
Neutrophil count (×103/µL) 0.7011 (0.6578 to 0.7444) <0.0001 <0.0001
SAA+ESR+CRP+neutrophil 0.8479 (0.8199 to 0.8759) <0.0001 0.3488

Abbreviations: AUC, area under the curve; CI, confidence interval; SAA, serum amyloid A; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; WBC, white blood cells.

*Compared the AUC of each variable with that of SAA.

Lab Med Qual Assur 2023;45:156~165 https://doi.org/10.15263/jlmqa.2023.45.4.156
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