Research Article

Clinical Outcome Predictive Value of Procalcitonin in Patients Suspected with Infection in the Emergency Department

Table 2

Association of initial procalcitonin levels and clinical outcomes in univariate and multivariate logistic regression models.

Events N (%)Unadjusted model OR (95% CI)Adjusted model ‡ OR (95% CI)

In-hospital mortality82 (9.6)
PCT cut-offs
PCT < 0.17 (8.5)11
0.1 ≤ PCT < 0.2514 (17.1)1.99 (0.79–5.03), 1.70 (0.65–4.23),
0.25 ≤ PCT < 0.513 (15.9)4.05 (1.57–10.45), 3.24 (1.22–8.63),
PCT ≥ 0.548 (58.5)6.62 (2.93–14.94), 5.10 (2.19–11.87),

ICU admission78 (9.2)
PCT cut-offs
PCT < 0.110 (12.8)11
0.1 ≤ PCT < 0.2513 (16.7)1.27 (0.55–2.96), 1.12 (0.47–2.68),
0.25 ≤ PCT < 0.58 (10.3)1.64 (0.63–4.27), 1.60 (0.60–4.26),
PCT ≥ 0.547 (60.3)4.45 (2.20–9.03), 4.37 (2.08–9.16),

Bacteremia74 (8.7)
PCT cut-offs
PCT < 0.17 (9.5)11
0.1 ≤ PCT < 0.2511 (14.9)1.54 (0.59–4.05), 1.75 (0.65–4.74),
0.25 ≤ PCT < 0.59 (12.2)2.69 (0.98–7.43), 2.64 (0.92–7.59),
PCT ≥ 0.547 (63.5)6.45 (2.85–14.58), 6.38 (2.67–15.24),
Septic shock56 (6.6)
PCT cut-offs
PCT < 0.15 (8.9)11
0.1 ≤ PCT < 0.253 (5.4)0.57 (0.14–2.43), 0.50 (0.12–2.16),
0.25 ≤ PCT < 0.56 (10.7)2.47 (0.74–8.26), 2.04 (0.60–6.99),
PCT ≥ 0.542 (75.0)7.97 (3.10–20.51), 6.38 (2.41–16.86),

CI, confidence interval; ICU, intensive care unit; OR, odds ratios; PCT, procalcitonin. ‡ Adjustment for gender, age, comorbidities, and infection site.