Research Article

Diagnosis and Prognosis of Sepsis Based on Use of Cytokines, Chemokines, and Growth Factors

Table 4

Receiver operating characteristic curve analysis of eight chemokines and nine growth factors for diagnosis of sepsis.

BiomarkersAUCCut-offSensitivity(95% CI)Specificity(95% CI)PPV(95% CI)NPV(95% CI)Accuracy(95% CI)

Chemokines
 CCL2 (MCP-1)0.840105.567.5(64.5-70.4)93.0(91.5-94.5)0.90(82.3-97.6)75.4(65.9-85.1)80.7(74.1-87.3)
 CCL3 (MIP-1α)0.5309.852.5(49.4-55.6)56.3(53.2-59.3)54.5(41.8-67.3)54.2(41.8-67.2)75.4(45.9-62.8)
 CCL4 (MIP-1β)0.653411.847.5(44.3-50.5)87.5(85.5-89.5)79.2(68.8-89.5)62.5(51.7-73.2)67.5(59.9-75.4)
 CCL5 (RANTES)0.887179.690.1(89.2-92.7)76.3(64.3-70.2)73.3(62.0-84.6)88.3(81.2-95.4)79.1(72.2-85.9)
 CCL11 (eotaxin)0.50849.622.5(19.9-25.1)93.7(92.1-95.2)78.1(67.5-88.6)54.7(43.6-65.7)58.1(49.8-66.4)
 CXCL1 (GRO-α)0.7591.055.0(51.9-58.1)96.3(95.1-97.4)93.6(87.4-99.8)68.1(57.8-78.5)75.6(68.4-82.8)
 CXCL10 (IP-10)0.85146.571.3(68.4-74.1)92.5(90.8-94.1)90.4(82.9-97.8)76.3(66.8-85.8)81.9(75.4-88.4)
 CXCL12 (SDF-1)0.766895.660.1(57.1-63.1)90.1(88.2-91.9)85.9(76.9-94.7)69.3(59.0-79.5)75.1(67.8-82.3)
Growth factors
 BDNF0.690393.357.5(54.4-60.5)82.5(80.1-84.8)76.6(65.8-87.4)66.0(55.4-76.5)70.0(62.2-77.7)
 EGF0.66320.458.8(55.7-61.8)77.5(74.9-80.8)72.3(60.9-83.7)65.3(54.7-75.8)68.2(60.3-76.0)
 FGF-20.6011.021.5(18.9-24.0)98.8(98.1-99.4)94.7(89.1-100)55.7(44.7-66.7)60.2(51.9-68.4)
 HGF0.899341.276.3(73.6-78.9)92.5(90.8-94.1)91.1(83.7-98.3)79.6(70.1-88.5)84.4(78.2-90.5)
 NGF0.63621.940.1(37.1-43.1)86.3(84.2-88.4)74.5(63.4-85.6)59.1(48.1-69.9)63.2(55.1-71.3)
 PDGF-BB0.677279.638.8(35.7-41.8)90.1(88.2-91.5)79.6(69.4-89.9)59.5(48.6-70.4)64.4(56.3-72.5)
 PLGF-10.62687.281.3(78.8-83.7)41.3(38.2-44.3)58.1(45.4-70.6)68.8(58.6-79.1)61.3(53.1-69.5)
 VEGF-A0.790313.567.5(64.5-70.4)80.1(77.6-82.5)77.2(66.5-87.9)71.1(61.1-81.1)73.8(66.8-81.2)
 VEGF-D (FIGF)0.77213.863.5(60.5-66.4)83.8(81.5-88.1)79.6(69.4-89.9)69.6(59.4-79.8)73.7(66.2-81.1)

AUC: area under receiver operating characteristic curve; PPV: positive predictive value; NPV: negative predictive value: CI; confidence intervals; CCL: CC motif chemokine ligand; CXCL: CXC motif ligand; BDNF: brain-derived neurotrophic factor; EGF: epidermal growth factor; FGF: fibroblast growth factor; GM-CSF: granulocyte macrophage colony stimulating factor; HGF: hepatocyte growth factor; NGF: nerve growth factor; PDGF: platelet-derived growth factor; PLGF: placental growth factor; SCF: stem cell factor; VEGF: vascular endothelial growth factor.