Table 2 The AUC analysis for prediction of in-hospital mortality and clinical worsening.

From: Ability of IMPROVE and IMPROVE-DD scores to predict outcomes in patients with severe COVID-19: a prospective observational study

 

AUC (95%CI)

Sensitivity % (95% CI)

Specificity % (95% CI)

PPV % (95% CI)

NPV % (95% CI)

Cut-off value

In-hospital mortality

IMPROVE

0.96 (0.90–0.99)

89 (75–97)

96 (87–100)

94 (81–99)

93 (82–98)

> 2

IMPROVE-DD

0.96 (0.90–0.99)

87 (72–96)

96 (87–100)

94 (80–99)

91 (80–97)

> 4

D-dimer

0.88 (0.80–0.94)

89 (75–97)

75 (60–86)

72 (57–84)

91 (77–97)

> 1.3 μg/mL

APACHE II*†‡

0.70 (0.59–0.79)

84 (69–94)

49 (35–63)

55 (42–68)

81 (63–93)

> 7

Charlson comorbidity index*†‡

0.70 (0.59–0.79)

53 (36–69)

82 (69–92)

69 (49–85)

70 (57–81)

> 2

SpO2*

0.74 (0.63–0.82)

58 (41–74)

80 (67–90)

69 (50–84)

72 (59–83)

≤ 79%

Clinical worsening

IMPROVE

0.80 (0.70–0.88)

60 (47–74)

94 (80–99)

94 (81–99)

59 (44–72)

> 2

IMPROVE-DD

0.79 (0.69–0.87)

71 (58–83)

82 (65–93)

87 (74–95)

63 (47–77)

> 3

D-dimer

0.74 (0.64–0.83)

70 (56–81)

73 (55–87)

81 (67–91)

59 (42–74)

> 1.27 μg/mL

APACHE II

0.71 (0.60–0.80)

55 (42–68)

80 (61–92)

84 (69–94)

48 (34–63)

> 10

Charlson comorbidity index*

0.68 (0.57–0.78)

46 (33–60)

91 (76–98)

90 (73–98)

50 (37–63)

> 2

SpO2

0.79 (0.70–0.87)

63 (49–75)

91 (76–98)

92 (79–98)

59 (44–72)

≤ 81%

  1. APACHE II acute physiology and chronic health evaluation II, AUC area under receiver operating characteristic curve, CI confidence interval, DD D-dimer, IMPROVE international medical prevention registry on venous thromboembolism, NPV negative predictive value, PPV positive predictive value, SpO2 peripheral oxygen saturation.
  2. *Denotes significance in relation to the IMPROVE.
  3. Denotes significance in relation to the IMPROVE-DD.
  4. Denotes significance in relation to the D-dimer.