From: Prosthetic joint infection development of an evidence-based diagnostic algorithm
Author | Year | LoE | CoR | (n = x) | Sensitivity | Specificity | Positive predictive value | Negative predictive value | LR for a positive result | LR for a negative result |
---|---|---|---|---|---|---|---|---|---|---|
Della Valle et al. | 2007 | I | I | 94 | Â | Â | Â | Â | Â | Â |
 Aspiration culture |  |  |  |  | 0.8 | 0.93 | 0.94 | 0.84 | n.p. | n.p. |
 WBC (3.0 × 103) |  |  |  |  | 0.98 (0.93–1.9) | 1 | 1 | 0.98 (0.94–1.0) | X | 0.02 |
 Neutrophile-% |  |  |  |  | 0.98 (0.93–1.0) | 0.85 (0.75–0.95) | 0.83 (0.73–0.94) | 0.98 (0.94–1.0) | 6.46 (3.75–18.75) | 0.03 (0–0.1) |
Fink et al. | 2007 | I | I | 145 | Â | Â | Â | Â | Â | Â |
 Aspiration culture |  |  |  |  | 0.73 (0.59–0.86) | 0.95 (0.91–0.99) | 0.85 (0.73–0.97) | 0.9 (0.85–0.96) | 15.23 (6.64–125.4) | 0.29 (0.14–0.45) |
Ghanem et al. | 2008 | I | I | 429 | Â | Â | Â | Â | Â | Â |
 WBC (3.0 × 103) |  |  |  |  | 0.91 (0.86–0.95) | 0.88 (0.84–0.92) | 0.82 (0.76–0.88) | 0.94 (0.91–0.97) | 7.59 (5.45–11.81) | 0.11 (0.05–0.16) |
 Neutorphile (64%) |  |  |  |  | 0.95 (0.92–0.98) | 0.95 (0.92–0.97) | 0.92 (0.87–0.96) | 0.97 (0.95–0.99) | 18.19 (11.62–38.43) | 0.05 (0.02–0.09) |
Trampuz et al. | 2007 | I | I | Â | Â | Â | Â | Â | Â | Â |
 WBC (1.7 × 103) |  |  |  |  | 0.94 (0.86–1.0) | 0.88 (0.81–0.94) | 0.73 (0.60–0.86) | 0.98 (0.95–1.0) | 7.76 (4.65–17.92) | 0.07 (0.0–0.17) |
 Neutrophi (65%) |  |  |  |  | 0.97 (0.91–1.0) | 0.98 (0.95–1.0) | 0.94 (0.87–1.0) | 0.99 (0.97–1.0) | 48.04 (19.07–136.76) | 0.03 (0.0–0.09) |
Zmistowski et al. | 2012 | I | I | 150 | Â | Â | Â | Â | Â | Â |
 WBC (3.0 × 103) |  |  |  |  | 0.93 (0.87–0.99) | 0.94 (0.88–0.99) | 0.93 (0.87–0.99 | 0.94(0.88–0.99) | 14.35 (7.28–99) | 0.07 (0.01–0.14) |
 Neutrophile (75%) |  |  |  |  | 0.93 (0.87–0.99) | 0.83 (0.75–0.91) | 0.84 (0.76–0.92) | 0.93 (0.87–0.99) | 5.52(3.46–11.62) | 0.08 (0.01–0.17) |