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Table 3 Sensitivity, Specificity, PPV, NPV, and accuracy of inflammatory markers

From: Combined serum and synovial C-reactive protein tests: a valuable adjunct to the diagnosis of chronic prosthetic joint infection

Parameters

ESR (mm/h)

Serum CRP (mg/L)

Synovial PMN (%)

Synovial CRP (mg/L)

Serum CRP OR Synovial CRP (mg/L)

Serum CRP AND Synovial CRP (mg/L)

AUC (95%CI)

0.600 (0.495, 0.698)

0.703 (0.601, 0.791)

0.810 (0.718, 0.882)

0.937 (0.869, 0.976)

/

/

Cut-off level

34

10.2

69.79

7.26

Serum CRP > 10.2 OR Synovial CRP > 7.26

Serum CRP > 10.2 AND Synovial CRP > 7.26

Sensitivity (%) (95%CI)

51.28 (34.8, 67.6)

84.62 (69.5, 94.1)

84.62 (69.5, 94.1)

84.62 (69.5, 94.1)

97.44 (92.5, 100)

71.79 (57.7, 85.9)

Specificity (%) (95%CI)

77.59 (64.7, 87.5)

56.90 (43.2, 69.8)

74.14 (61.0, 84.7)

93.10 (83.3, 98.1)

50.00 (37.1, 62.9)

100 (/)

PPV (%)

60.6 (46.6, 73.1)

56.9 (48.8, 64.6)

68.7 (58.2,77.6)

89.2 (76.0, 95.5)

56.72 (44.9, 68.6)

100 (/)

NPV (%)

70.3 (62.5, 77.1)

84.6 (71.8, 92.2)

87.8 (77.2, 93.8)

90.0 (81.1, 95.0)

96.67 (90.2, 100)

84.06 (75.4, 92.7)

Accuracy (%)

67.01

68.04

78.35

89.69

69.07

88.66

  1. CRP C-reactive protein, ESR erythrocyte sedimentation rate, PMN% Percentage of Polymorphonuclear Cells, CI confidence interval, PPV positive predictive value, NPV negative predictive value