Research Article

Prognostic Value of Immune-Inflammatory Index in PSI IV-V Patients with COVID-19

Table 2

Sensitivity, specificity, positive predictive value, and negative predictive value of each immune-inflammatory index parameter for COVID-19 mortality prediction.

Immune-inflammatory index parameterSensitivity (95% CI)Specificity (95% CI)PPV (95% CI)NPV (95% CI)Area under the ROC curve (95% CI)

Neutrophils (/L)0.67 (0.44–0.89)
 1st tertile100 (67.6–100)31.6 (15.4–54.0)38.1 (20.8–59.1)100 (70.0–100)
 2nd tertile87.5 (52.9–99.4)63.2 (41.0–80.8)50.0 (26.8–73.2)92.3 (66.7–99.6)
 3rd tertile37.5 (13.7–69.4)79.0 (56.7–91.5)42.9 (15.8–75.0)75.0 (53.1–88.8)
Lymphocytes (/L)0.68 (0.47–0.90)
 1st tertile55.6 (26.7–81.1)15.8 (5.5–37.6)23.8 (10.6–45.1)42.9 (15.8–75.0)
 2nd tertile44.4 (18.9–73.3)47.4 (27.3–68.3)28.6 (11.7–54.7)64.3 (38.8–83.7)
 3rd tertile0 (0–29.9)68.4 (46.0–84.6)0 (0–39.0)59.1 (38.7–76.7)
NLR0.75 (0.56–0.95)
 1st tertile88.9 (56.5–99.4)31.6 (15.4–54.0)38.1 (20.8–59.1)85.7 (48.7–99.3)
 2nd tertile77.8 (45.3–96.1)63.2 (41.0–80.9)50.0 (26.8–73.2)85.7 (60.1–97.5)
 3rd tertile44.4 (18.9–73.3)84.2 (62.4–94.5)57.1 (25.1–84.2)76.2 (54.9–89.4)
PCT (ng/mL)0.78 (0.60–0.96)
 1st tertile100 (67.6–100)36.8 (19.2–59.0)40.0 (21.9–61.3)100 (64.6–100)
 2nd tertile75.0 (40.9–95.6)68.4 (46.0–84.6)50.0 (25.4–74.6)86.7 (62.1–97.6)
 3rd tertile37.5 (13.7–69.4)89.5 (68.6–98.1)60.0 (23.1–92.9)77.3 (56.6–89.9)

CI: confidence interval; NLR: neutrophil-to-lymphocyte ratio; NPV: negative predictive value; PCT: procalcitonin; PPV: positive predictive value; ROC: receiver operator characteristic.