Performance Characteristics for the Discrimination of Late-onset Sepsis and Matched Controls Using Fecal Volatile Organic Compounds
Analysis . | Sepsis Samplesa (n) . | P Value . | AUC (± 95% CI) . | Sensitivity (± 95% CI) . | Specificity (± 95% CI) . | PPV . | NPV . | Applied Method . |
---|---|---|---|---|---|---|---|---|
Escherichia colib | 14 | .0002 | 0.87 (0.74–1) | 0.93 (0.66–1) | 0.71 (0.42–0.92) | 0.76 | 0.91 | Gaussian Process |
Escherichia coli t-1 | 13 | .0006 | 0.86 (0.71–1) | 0.92 (0.64–1) | 0.77 (0.46–0.95) | 0.8 | 0.91 | Support Vector Machine |
Escherichia coli t-2 | 9 | <.0001 | 0.99 (0.95–1.0) | 1 (0.66–1) | 0.89 (0.52–1.0) | 0.9 | 1 | Gaussian Process |
Escherichia coli t-3 | 11 | .0013 | 0.88 (0.72–1) | 0.91 (0.59–1.0) | 0.82 (0.48–0.98) | 0.83 | 0.9 | Random Forest |
S. aureusb | 21 | .0191 | 0.69 (0.52–0.85) | 0.76 (0.53–0.92) | 0.62 (0.38–0.82) | 0.67 | 0.72 | Gaussian Process |
S. aureus t-1 | 15 | .0016 | 0.8 (0.64–0.96) | 0.73 (0.45–0.92) | 0.8 (0.52–0.96) | 0.79 | 0.75 | Support Vector Machine |
S. aureus t-2 | 13 | .0406 | 0.7 (0.5–0.91) | 0.85 (0.55–0.98) | 0.62 (0.32–0.86) | 0.69 | 0.8 | Random Forest |
S. aureus t-3 | 16 | .0002 | 0.85 (0.7–1) | 0.88 (0.62–0.98) | 0.81 (0.54–0.96) | 0.82 | 0.87 | Gaussian Process |
S. epidermidisb | 42 | .9823 | 0.63 (0.51–0.75) | 0.74 (0.58–0.86) | 0.55 (0.39–0.7) | 0.62 | 0.68 | Support Vector Machine |
S. epidermidis t-1 | 35 | .0308 | 0.63 (0.5–0.76) | 0.54 (0.37–0.71) | 0.71 (0.54–0.85) | 0.66 | 0.61 | Gaussian Process |
S. epidermidis t-2 | 22 | .0006 | 0.78 (0.64–0.92) | 0.82 (0.60–0.95) | 0.68 (0.45–0.86) | 0.72 | 0.79 | Sparse Logistic Regression |
S. epidermidis t-3 | 19 | <.0001 | 0.90 (0.79–1.0) | 0.84 (0.6–0.97) | 0.89 (0.67–0.99) | 0.89 | 0.85 | Random Forest |
Gram-negative bacteriab | 27 | .0030 | 0.77 (0.63–0.9) | 0.78 (0.58–0.91) | 0.81 (0.62–0.94) | 0.81 | 0.79 | Support Vector Machine |
Gram-positive bacteriab | 28 | .0007 | 0.74 (0.61–0.88) | 0.75 (0.55–0.89) | 0.75 (0.55–0.89) | .75 | .75 | Sparse Logistic Regression |
CoNSb | 73 | .1077 | 0.56 (0.47–0.65) | 0.56 (0.44–0.68) | 0.6 (0.48–0.72) | 0.59 | 0.58 | Random Forest |
t-1 to t-3b | 127 | .0437 | 0.56 (0.49–0.63) | 0.69 (0.6–0.76) | 0.44 (0.35–0.53) | 0.55 | 0.58 | Random Forest |
t-1 | 105 | .0249 | 0.58 (0.5–0.66) | 0.61 (0.51–0.7) | 0.55 (0.45–0.65) | 0.58 | 0.59 | Random Forest |
t-2 | 78 | .9898 | 0.61 (0.52–0.7) | 0.91 (0.82–0.96) | 0.29 (0.2–0.41) | 0.56 | 0.77 | Gaussian Process |
t-3 | 78 | .9791 | 0.59 (0.51–0.68) | 0.55 (0.43–0.66) | 0.62 (0.5–0.72) | 0.59 | 0.58 | Random Forest |
Mono-culturesb | 113 | .0079 | 0.59 (0.52–0.67) | 0.81 (0.72–0.87) | 0.4 (0.31–0.49) | 0.57 | 0.67 | Random Forest |
Analysis . | Sepsis Samplesa (n) . | P Value . | AUC (± 95% CI) . | Sensitivity (± 95% CI) . | Specificity (± 95% CI) . | PPV . | NPV . | Applied Method . |
---|---|---|---|---|---|---|---|---|
Escherichia colib | 14 | .0002 | 0.87 (0.74–1) | 0.93 (0.66–1) | 0.71 (0.42–0.92) | 0.76 | 0.91 | Gaussian Process |
Escherichia coli t-1 | 13 | .0006 | 0.86 (0.71–1) | 0.92 (0.64–1) | 0.77 (0.46–0.95) | 0.8 | 0.91 | Support Vector Machine |
Escherichia coli t-2 | 9 | <.0001 | 0.99 (0.95–1.0) | 1 (0.66–1) | 0.89 (0.52–1.0) | 0.9 | 1 | Gaussian Process |
Escherichia coli t-3 | 11 | .0013 | 0.88 (0.72–1) | 0.91 (0.59–1.0) | 0.82 (0.48–0.98) | 0.83 | 0.9 | Random Forest |
S. aureusb | 21 | .0191 | 0.69 (0.52–0.85) | 0.76 (0.53–0.92) | 0.62 (0.38–0.82) | 0.67 | 0.72 | Gaussian Process |
S. aureus t-1 | 15 | .0016 | 0.8 (0.64–0.96) | 0.73 (0.45–0.92) | 0.8 (0.52–0.96) | 0.79 | 0.75 | Support Vector Machine |
S. aureus t-2 | 13 | .0406 | 0.7 (0.5–0.91) | 0.85 (0.55–0.98) | 0.62 (0.32–0.86) | 0.69 | 0.8 | Random Forest |
S. aureus t-3 | 16 | .0002 | 0.85 (0.7–1) | 0.88 (0.62–0.98) | 0.81 (0.54–0.96) | 0.82 | 0.87 | Gaussian Process |
S. epidermidisb | 42 | .9823 | 0.63 (0.51–0.75) | 0.74 (0.58–0.86) | 0.55 (0.39–0.7) | 0.62 | 0.68 | Support Vector Machine |
S. epidermidis t-1 | 35 | .0308 | 0.63 (0.5–0.76) | 0.54 (0.37–0.71) | 0.71 (0.54–0.85) | 0.66 | 0.61 | Gaussian Process |
S. epidermidis t-2 | 22 | .0006 | 0.78 (0.64–0.92) | 0.82 (0.60–0.95) | 0.68 (0.45–0.86) | 0.72 | 0.79 | Sparse Logistic Regression |
S. epidermidis t-3 | 19 | <.0001 | 0.90 (0.79–1.0) | 0.84 (0.6–0.97) | 0.89 (0.67–0.99) | 0.89 | 0.85 | Random Forest |
Gram-negative bacteriab | 27 | .0030 | 0.77 (0.63–0.9) | 0.78 (0.58–0.91) | 0.81 (0.62–0.94) | 0.81 | 0.79 | Support Vector Machine |
Gram-positive bacteriab | 28 | .0007 | 0.74 (0.61–0.88) | 0.75 (0.55–0.89) | 0.75 (0.55–0.89) | .75 | .75 | Sparse Logistic Regression |
CoNSb | 73 | .1077 | 0.56 (0.47–0.65) | 0.56 (0.44–0.68) | 0.6 (0.48–0.72) | 0.59 | 0.58 | Random Forest |
t-1 to t-3b | 127 | .0437 | 0.56 (0.49–0.63) | 0.69 (0.6–0.76) | 0.44 (0.35–0.53) | 0.55 | 0.58 | Random Forest |
t-1 | 105 | .0249 | 0.58 (0.5–0.66) | 0.61 (0.51–0.7) | 0.55 (0.45–0.65) | 0.58 | 0.59 | Random Forest |
t-2 | 78 | .9898 | 0.61 (0.52–0.7) | 0.91 (0.82–0.96) | 0.29 (0.2–0.41) | 0.56 | 0.77 | Gaussian Process |
t-3 | 78 | .9791 | 0.59 (0.51–0.68) | 0.55 (0.43–0.66) | 0.62 (0.5–0.72) | 0.59 | 0.58 | Random Forest |
Mono-culturesb | 113 | .0079 | 0.59 (0.52–0.67) | 0.81 (0.72–0.87) | 0.4 (0.31–0.49) | 0.57 | 0.67 | Random Forest |
Corresponding Area Under the Curves, Sensitivity, Specificity, Positive and Negative Predictive Values are Displayed
Abbreviations: AUC ± 95% CI, area under the curve with 95% confidence interval; CoNS, coagulase negative Staphylococcus; NPV, negative predictive value; PPV, positive predictive value; S, Staphylococcus.
aCorresponding number of fecal samples from controls were analyzed.
bfor this analysis only the last fecal sample produced prior to late-onset sepsis was used.
Performance Characteristics for the Discrimination of Late-onset Sepsis and Matched Controls Using Fecal Volatile Organic Compounds
Analysis . | Sepsis Samplesa (n) . | P Value . | AUC (± 95% CI) . | Sensitivity (± 95% CI) . | Specificity (± 95% CI) . | PPV . | NPV . | Applied Method . |
---|---|---|---|---|---|---|---|---|
Escherichia colib | 14 | .0002 | 0.87 (0.74–1) | 0.93 (0.66–1) | 0.71 (0.42–0.92) | 0.76 | 0.91 | Gaussian Process |
Escherichia coli t-1 | 13 | .0006 | 0.86 (0.71–1) | 0.92 (0.64–1) | 0.77 (0.46–0.95) | 0.8 | 0.91 | Support Vector Machine |
Escherichia coli t-2 | 9 | <.0001 | 0.99 (0.95–1.0) | 1 (0.66–1) | 0.89 (0.52–1.0) | 0.9 | 1 | Gaussian Process |
Escherichia coli t-3 | 11 | .0013 | 0.88 (0.72–1) | 0.91 (0.59–1.0) | 0.82 (0.48–0.98) | 0.83 | 0.9 | Random Forest |
S. aureusb | 21 | .0191 | 0.69 (0.52–0.85) | 0.76 (0.53–0.92) | 0.62 (0.38–0.82) | 0.67 | 0.72 | Gaussian Process |
S. aureus t-1 | 15 | .0016 | 0.8 (0.64–0.96) | 0.73 (0.45–0.92) | 0.8 (0.52–0.96) | 0.79 | 0.75 | Support Vector Machine |
S. aureus t-2 | 13 | .0406 | 0.7 (0.5–0.91) | 0.85 (0.55–0.98) | 0.62 (0.32–0.86) | 0.69 | 0.8 | Random Forest |
S. aureus t-3 | 16 | .0002 | 0.85 (0.7–1) | 0.88 (0.62–0.98) | 0.81 (0.54–0.96) | 0.82 | 0.87 | Gaussian Process |
S. epidermidisb | 42 | .9823 | 0.63 (0.51–0.75) | 0.74 (0.58–0.86) | 0.55 (0.39–0.7) | 0.62 | 0.68 | Support Vector Machine |
S. epidermidis t-1 | 35 | .0308 | 0.63 (0.5–0.76) | 0.54 (0.37–0.71) | 0.71 (0.54–0.85) | 0.66 | 0.61 | Gaussian Process |
S. epidermidis t-2 | 22 | .0006 | 0.78 (0.64–0.92) | 0.82 (0.60–0.95) | 0.68 (0.45–0.86) | 0.72 | 0.79 | Sparse Logistic Regression |
S. epidermidis t-3 | 19 | <.0001 | 0.90 (0.79–1.0) | 0.84 (0.6–0.97) | 0.89 (0.67–0.99) | 0.89 | 0.85 | Random Forest |
Gram-negative bacteriab | 27 | .0030 | 0.77 (0.63–0.9) | 0.78 (0.58–0.91) | 0.81 (0.62–0.94) | 0.81 | 0.79 | Support Vector Machine |
Gram-positive bacteriab | 28 | .0007 | 0.74 (0.61–0.88) | 0.75 (0.55–0.89) | 0.75 (0.55–0.89) | .75 | .75 | Sparse Logistic Regression |
CoNSb | 73 | .1077 | 0.56 (0.47–0.65) | 0.56 (0.44–0.68) | 0.6 (0.48–0.72) | 0.59 | 0.58 | Random Forest |
t-1 to t-3b | 127 | .0437 | 0.56 (0.49–0.63) | 0.69 (0.6–0.76) | 0.44 (0.35–0.53) | 0.55 | 0.58 | Random Forest |
t-1 | 105 | .0249 | 0.58 (0.5–0.66) | 0.61 (0.51–0.7) | 0.55 (0.45–0.65) | 0.58 | 0.59 | Random Forest |
t-2 | 78 | .9898 | 0.61 (0.52–0.7) | 0.91 (0.82–0.96) | 0.29 (0.2–0.41) | 0.56 | 0.77 | Gaussian Process |
t-3 | 78 | .9791 | 0.59 (0.51–0.68) | 0.55 (0.43–0.66) | 0.62 (0.5–0.72) | 0.59 | 0.58 | Random Forest |
Mono-culturesb | 113 | .0079 | 0.59 (0.52–0.67) | 0.81 (0.72–0.87) | 0.4 (0.31–0.49) | 0.57 | 0.67 | Random Forest |
Analysis . | Sepsis Samplesa (n) . | P Value . | AUC (± 95% CI) . | Sensitivity (± 95% CI) . | Specificity (± 95% CI) . | PPV . | NPV . | Applied Method . |
---|---|---|---|---|---|---|---|---|
Escherichia colib | 14 | .0002 | 0.87 (0.74–1) | 0.93 (0.66–1) | 0.71 (0.42–0.92) | 0.76 | 0.91 | Gaussian Process |
Escherichia coli t-1 | 13 | .0006 | 0.86 (0.71–1) | 0.92 (0.64–1) | 0.77 (0.46–0.95) | 0.8 | 0.91 | Support Vector Machine |
Escherichia coli t-2 | 9 | <.0001 | 0.99 (0.95–1.0) | 1 (0.66–1) | 0.89 (0.52–1.0) | 0.9 | 1 | Gaussian Process |
Escherichia coli t-3 | 11 | .0013 | 0.88 (0.72–1) | 0.91 (0.59–1.0) | 0.82 (0.48–0.98) | 0.83 | 0.9 | Random Forest |
S. aureusb | 21 | .0191 | 0.69 (0.52–0.85) | 0.76 (0.53–0.92) | 0.62 (0.38–0.82) | 0.67 | 0.72 | Gaussian Process |
S. aureus t-1 | 15 | .0016 | 0.8 (0.64–0.96) | 0.73 (0.45–0.92) | 0.8 (0.52–0.96) | 0.79 | 0.75 | Support Vector Machine |
S. aureus t-2 | 13 | .0406 | 0.7 (0.5–0.91) | 0.85 (0.55–0.98) | 0.62 (0.32–0.86) | 0.69 | 0.8 | Random Forest |
S. aureus t-3 | 16 | .0002 | 0.85 (0.7–1) | 0.88 (0.62–0.98) | 0.81 (0.54–0.96) | 0.82 | 0.87 | Gaussian Process |
S. epidermidisb | 42 | .9823 | 0.63 (0.51–0.75) | 0.74 (0.58–0.86) | 0.55 (0.39–0.7) | 0.62 | 0.68 | Support Vector Machine |
S. epidermidis t-1 | 35 | .0308 | 0.63 (0.5–0.76) | 0.54 (0.37–0.71) | 0.71 (0.54–0.85) | 0.66 | 0.61 | Gaussian Process |
S. epidermidis t-2 | 22 | .0006 | 0.78 (0.64–0.92) | 0.82 (0.60–0.95) | 0.68 (0.45–0.86) | 0.72 | 0.79 | Sparse Logistic Regression |
S. epidermidis t-3 | 19 | <.0001 | 0.90 (0.79–1.0) | 0.84 (0.6–0.97) | 0.89 (0.67–0.99) | 0.89 | 0.85 | Random Forest |
Gram-negative bacteriab | 27 | .0030 | 0.77 (0.63–0.9) | 0.78 (0.58–0.91) | 0.81 (0.62–0.94) | 0.81 | 0.79 | Support Vector Machine |
Gram-positive bacteriab | 28 | .0007 | 0.74 (0.61–0.88) | 0.75 (0.55–0.89) | 0.75 (0.55–0.89) | .75 | .75 | Sparse Logistic Regression |
CoNSb | 73 | .1077 | 0.56 (0.47–0.65) | 0.56 (0.44–0.68) | 0.6 (0.48–0.72) | 0.59 | 0.58 | Random Forest |
t-1 to t-3b | 127 | .0437 | 0.56 (0.49–0.63) | 0.69 (0.6–0.76) | 0.44 (0.35–0.53) | 0.55 | 0.58 | Random Forest |
t-1 | 105 | .0249 | 0.58 (0.5–0.66) | 0.61 (0.51–0.7) | 0.55 (0.45–0.65) | 0.58 | 0.59 | Random Forest |
t-2 | 78 | .9898 | 0.61 (0.52–0.7) | 0.91 (0.82–0.96) | 0.29 (0.2–0.41) | 0.56 | 0.77 | Gaussian Process |
t-3 | 78 | .9791 | 0.59 (0.51–0.68) | 0.55 (0.43–0.66) | 0.62 (0.5–0.72) | 0.59 | 0.58 | Random Forest |
Mono-culturesb | 113 | .0079 | 0.59 (0.52–0.67) | 0.81 (0.72–0.87) | 0.4 (0.31–0.49) | 0.57 | 0.67 | Random Forest |
Corresponding Area Under the Curves, Sensitivity, Specificity, Positive and Negative Predictive Values are Displayed
Abbreviations: AUC ± 95% CI, area under the curve with 95% confidence interval; CoNS, coagulase negative Staphylococcus; NPV, negative predictive value; PPV, positive predictive value; S, Staphylococcus.
aCorresponding number of fecal samples from controls were analyzed.
bfor this analysis only the last fecal sample produced prior to late-onset sepsis was used.
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