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Table 4 Sensitivity, specificity, predictive value, and OR of hematological parameters for differentiating between dengue and malaria

From: Differentiating between dengue fever and malaria using hematological parameters in endemic areas of Thailand

Variable

Sensitivity*

(95%CI)

Specificity*

(95%CI)

PPV*

(95%CI)

NPV*

(95%CI)

P-value**

OR

(95%CI)

PLR

NLR

WBCsā€‰<ā€‰4 000/Ī¼L

52.5 (47.1ā€“57.8)

87.2 (83.2ā€“90.6)

80.9 (75.1ā€“85.8)

64 (59.4ā€“68.4)

<0.0001

7.52 (5.12ā€“11.03)

4.10 (3.10ā€“5.50)

0.55 (0.48ā€“0.61)

Neutrophilsā€‰<ā€‰2 800/Ī¼L

66 (75.1ā€“83.9)

79.8 (75.1ā€“83.9)

77.1 (71.9ā€“81.8)

69.4 (64.6ā€“74.0)

<0.0001

7.65 (5.41ā€“10.82)

3.26 (2.6ā€“4.1)

0.43 (0.36ā€“0.5)

Lymphocytesā€‰<ā€‰800/Ī¼L

33.7 (28.8ā€“39.0)

65.2 (59.8ā€“70.3)

50.8 (47.0ā€“54.6)

48.8 (44.1ā€“53.5)

0.761

0.95 (0.69ā€“1.31)

0.97 (0.79ā€“1.19)

1.02 (0.91ā€“1.13)

Monocytesā€‰<ā€‰80/Ī¼L

15.3 (11.7ā€“19.5)

85.1 (80.9ā€“88.8)

51.5 (41.4ā€“61.4)

49.3 (45.2ā€“53.5)

0.89

1.03 (0.68ā€“1.57)

1.03 (0.72ā€“1.47)

1 (0.93ā€“1.06)

Eosinophilsā€‰<ā€‰40/Ī¼L

33.7 (28.8ā€“39.0)

93.8 (90.6ā€“96.1)

84.8 (77.7ā€“90.3)

57.8 (53.5ā€“62.0)

<0.0001

7.63 (4.65ā€“12.51)

5.39 (3.48ā€“8.37)

0.71 (0.65ā€“0.77)

Basophilsā€‰<ā€‰16/Ī¼L

12.7 (9.37ā€“16.7)

80.4 (75.7ā€“84.5)

40.0 (30.8ā€“49.8)

47.1 (43.0ā€“51.3)

0.013

0.594 (0.39ā€“0.90)

0.65 (0.45ā€“0.92)

1.09 (1.02ā€“1.16)

NL ratioā€‰<ā€‰2.8

71.5 (66.4ā€“76.2)

64.9 (59.5ā€“70.0)

67.8 (62.7ā€“72.5)

68.8 (63.4ā€“73.8)

<0.0001

4.63 (3.35ā€“6.39)

2.04 (1.73ā€“2.39)

0.44 (0.37ā€“0.53)

ML ratioā€‰<ā€‰0.25

72.3 (67.3ā€“77.0)

53.6 (48.1ā€“59.0)

61.7 (56.8ā€“66.4)

65.2 (59.3ā€“70.8)

<0.0001

1.77 (1.48ā€“2.12)

1.56 (1.37ā€“1.78)

0.52 (0.42ā€“0.63)

RBCā€‰<ā€‰4ā€‰Ć—ā€‰106/Ī¼L

6.34 (4.02ā€“9.44)

87.6 (84.2ā€“90.6)

29.0 (19.1ā€“40.5)

54.0 (50.3ā€“57.8)

<0.0001

0.3 (0.21ā€“59)

0.51 (0.32ā€“0.82)

1.07 (1.02ā€“1.12)

Hbā€‰<ā€‰11Ā g/dL

7.49 (4.95ā€“10.8)

74.1 (69.1ā€“78.7)

23.0 (15.6ā€“31.9)

43.7 (39.6ā€“47.9)

<0.0001

0.23 (0.15ā€“0.37)

0.29 (0.19ā€“0.44)

1.25 (1.16ā€“1.34)

Hctā€‰>ā€‰40%

45.8 (40.5ā€“51.2)

81.9 (77.3ā€“85.8)

72.3 (65.9ā€“78.1)

59.4 (54.8ā€“63.9)

<0.0001

3.81 (2.69ā€“5.41)

2.52 (1.96ā€“3.25)

0.66 (0.59ā€“0.74)

MCVā€‰>ā€‰80Ā fL

58.2 (52.8ā€“63.5)

59.5 (54.1ā€“64.8)

59.8 (54.3ā€“65.0)

58.0 (52.6ā€“63.2)

<0.0001

2.05 (1.51ā€“2.78)

1.44 (1.23ā€“1.68)

0.70 (0.60ā€“0.82)

MCHā€‰>ā€‰25Ā pg/cell

78.1 (73.4ā€“82.3)

26.2 (21.6ā€“31.2)

52.2 (47.8ā€“56.6)

53.7 (45.7ā€“61.5)

0.19

1.27 (0.89ā€“1.79)

1.06 (0.97ā€“1.15)

0.84 (0.64ā€“1.09)

MCHCā€‰>ā€‰33Ā g/dL

52.7 (47.3ā€“58.1)

53.0 (47.5ā€“58.4)

53.7 (48.2ā€“59.1)

52.1 (46.6ā€“57.5)

0.135

1.26 (0.93ā€“1.70)

1.12 (0.96ā€“1.13)

0.89 (0.77ā€“1.04)

RDWā€‰>ā€‰13%

25.4 (20.9ā€“30.3)

71.7 (66.6ā€“76.5)

48.1 (40.7ā€“55.6)

48.2 (43.7ā€“52.7)

0.390

0.86 (0.61ā€“1.21)

0.9 (0.70ā€“1.15)

1.04 (0.95ā€“1.14)

Plateletsā€‰+<ā€‰100 000/Ī¼L

73.8 (68.8ā€“78.3)

33.6 (28.6ā€“39.0)

53.4 (48.9ā€“58.0)

55.4 (48.3ā€“62.3)

0.034

1.43 (1.23ā€“1.98)

1.11 (1.01ā€“1.23)

0.78 (0.62ā€“0.98)

  1. PLR positive likelihood ratio, NLR negative likelihood ratio
  2. *Percent, **P-value determined using the chi-square test