Table 3 Severity scores and prediction of complicated pneumonia
Prediction toolPPV (%)NPV (%)Sensitivity (%)Specificity (%)AUC (95% CI)p Value
PSI8.894.257.653.40.55 (0.52 to 0.58)0.1
CURB65 score7.592.933.767.50.54 (0.51 to 0.57)0.2
CRB65 score4.492.29.883.50.52 (0.49 to 0.55)0.5
APACHE II score5.790.247.837.70.41 (0.38 to 0.44)0.002
SIRS8.292.915.286.70.57 (0.54 to 0.60)0.03
SEWS7.993.245.758.20.53 (0.50 to 0.56)0.3
  • The p value refers to comparison between the receiver operator characteristic curve and the null hypothesis.

  • APACHE II, Acute Physiology and Chronic Health Evaluation II; AUC, area under the receiver operator characteristic curve; CRB65, New onset confusion, Respiratory rate ≥30 breaths/min, Systolic blood pressure <90 mm Hg and/or diastolic blood pressure ≤60 mm Hg and age ≥65 years; CURB65, New onset confusion, urea >7 mmol/l, Respiratory rate ≥30 breaths/min, Systolic blood pressure <90 mm Hg and/or diastolic blood pressure ≤60 mm Hg and age ≥65 years; NPV, negative predictive value; PPV, positive predictive value; SEWS, standardised early warning score; SIRS, systemic inflammatory response syndrome.