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Table 6 Accuracy of characteristics, physical examination findings, and laboratory results associated with serious abdominal conditions in geriatric patients

From: Factors associated with serious abdominal conditions in geriatric patients visiting the emergency department

Variables

AUROC

Sensitivity

Specificity

LR+

(95%CI)

LR−

(95%CI)

PPV

NPV

Characteristics

       

 Male

0.5688642

0.58

0.55

1.31

0.75

0.08

0.96

 Beta-blocker use

0.5544314

0.31

0.80

1.55

0.86

0.09

0.95

 History of abdominal surgery

0.5735785

0.31

0.84

1.93

0.83

0.11

0.95

 Fever

0.5901871

0.25

0.93

3.59

0.81

0.18

0.95

 Nausea or vomiting

0.5607956

0.43

0.69

1.39

0.82

0.08

0.95

 Hematemesis

0.5134537

0.03

1.00

31.92

0.97

0.67

0.94

 Diarrhea

0.5402161

0.19

0.89

1.71

0.91

0.10

0.95

 Anorexia

0.5719104

0.25

0.89

2.35

0.84

0.13

0.95

 NEWS ≥ 5

0.6259126

0.31

0.94

5.40

0.74

0.25

0.96

 ESI levels 1–2

0.6348274

0.39

0.88

3.26

0.69

0.17

0.96

Physical examinations

       

 SBP (mmHg)

0.5906054

0.32

0.86

2.27

0.79

0.12

0.95

 RR ≥ 25 (breath/min)

0.596857

0.35

0.84

2.22

0.77

0.95

0.12

 Abdominal distention

0.5522316

0.31

0.79

1.51

0.87

0.09

0.95

 Abdominal tenderness

0.5647532

0.83

0.30

1.18

0.57

0.07

0.97

 RLQ tenderness

0.6572633

0.47

0.84

2.97

0.63

0.18

0.96

 LLQ tenderness

0.5647369

0.07

0.80

0.34

1.16

0.02

0.92

 Epigastrium tenderness

0.5759137

0.12

0.73

0.44

1.21

0.03

0.92

 Suprapubic tenderness

0.557072

0.00

0.89

0.00

1.13

0.00

0.92

 Abnormal bowel sounds

0.5565832

0.31

0.80

1.58

0.86

0.09

0.95

 Guarding

0.6172667

0.27

0.97

8.09

0.76

0.33

0.96

Laboratory results

       

 WBC ≥ 14,000 cells/mm3

0.567937

0.26

0.87

2.06

0.84

0.22

0.90

 RDW ≥ 13 (%)

0.5285879

0.77

0.28

1.08

0.80

0.12

0.90

 Lactate ≥ 2 mmol/L

0.6072184

0.42

0.80

2.05

0.73

0.34

0.84

EDLOS ≥ 4 h

0.7377422

0.81

0.67

2.44

0.29

0.14

0.98

  1. AUROC area under receiver operating curve, LR + positive likelihood ratio, LR − negative likelihood ratio, CI confidence interval, PPV positive predictive value, NPV negative predictive value, NEWS National Early Warning Score, ESI Emergency Severity Index, SBP systolic blood pressure, RR respiratory rate, RLQ right lower quadrant, LLQ left lower quadrant, WBC white blood cell, RDW red blood cell distribution width, EDLOS emergency department length of stay, LOS length of stay