Table 2

Accuracy of clinical and radiographic variables as defined by Johanson et al11 for the diagnosis of VAP

Variable or combination of variablesSensitivity % (n)Specificity % (n)Positive predictive value % (n)Negative predictive value % (n)
Chest radiograph (right or left)92 (12/13)33 (4/12)60 (12/20)80 (4/5)
Chest radiograph (right)73 (8/11)33 (4/12)50 (8/16)57 (4/7)
Chest radiograph (left)92 (11/12)75 (9/12)79 (11/14)90 (9/10)
Leucocytosis77 (10/13)58 (7/12)67 (10/15)70 (7/10)
Fever46 (6/13)42 (5/12)46 (6/13)42 (5/12)
Purulent secretions69 (9/13)42 (5/12)56 (9/16)56 (5/9)
Chest radiograph + one of three criteria85 (11/13)33 (4/12)58 (11/19)67 (4/6)
Chest radiograph + two of three criteria69 (9/13)75 (9/12)75 (9/12)69 (9/13)
Chest radiograph + all three criteria23 (3/13)92 (11/12)75 (3/4)52 (11/21)
  • Sensitivity = rate of correctly classified patients with VAP and total number of patients with VAP; specificity = rate of correctly classified patients without VAP and total number of patients without VAP; positive predictive value = rate of correctly classified patients with VAP and total number of patients classified as having VAP (correctly positive plus false positive); negative predictive value = rate of correctly classified patients without VAP and total number of patients classified as not having VAP (correctly negative plus false negative).