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Table 4 Accuracy of complete blood count (CBC) model at various cut-off values i.e. at various combinations of CBC measurements included in the model. The optimal cut-off value determined on the basis of the highest Youden’s index (J) highlighted (the combination above it i.e. WBC < 18 G/L, BNC < 0.27 G/L, and EC > 0.3 G/L is the only to be considered as negative)

From: Application of a complete blood count to screening lethargic and anorectic cats for pancreatitis

Combinations of CBC measurements

Result of CBC model

Accuracy measures

WBC ≥ 18

BNC ≥ 0.27

EC > 0.3

Se (CI 95%)

Sp (CI 95%)

LR+ (CI 95%)

LR- (CI 95%)

J

No

No

Yes

0.275

No

No

No

0.628

91.8 (80.8, 96.8)

58.3 (38.8, 75.5)

2.2 (1.4, 3.6)

0.14 (0.05, 0.38)

50.2 (39.4, 61.0)

No

Yes

Yes

0.649

67.3 (53.4, 78.8)

79.2 (59.5, 90.8)

3.2 (1.4, 7.2)

0.41 (0.26, 0.65)

46.5 (35.9, 57.2)

Yes

No

Yes

0.835

57.1 (43.3, 70.0)

83.3 (64.1, 93.3)

3.4 (1.4, 8.7)

0.51 (0.36, 0.74)

40.5 (30.1, 50.9)

No

Yes

No

0.892

53.1 (39.4, 66.3)

87.5 (69.0, 95.7)

4.2 (1.4, 12.6)

0.54 (0.38, 0.75)

40.6 (30.7, 50.4)

Yes

No

No

0.957

30.6 (19.5, 44.5)

100 (86.2, 100)

+∞

0.69 (0.58, 0.84)

30.6 (24.0, 37.2)

Yes

Yes

Yes

0.961

24.5 (14.6, 38.1)

100 (86.2, 100)

+∞

0.76 (0.64, 0.89)

24.5 (18.3, 30.6)

Yes

Yes

No

0.991

6.1 (2.1, 16.5)

100 (86.2, 100)

+∞

0.94 (0.87, 1.01)

6.1 (2.7, 9.5)

  1. BNC Band neutrophil count [G/L], CI 95% 95% confidence interval, EC Eosinophil count [G/L], J Youden’s index [%], LR+ Likelihood ratio of a positive result [1/1], LR- Likelihood ratio of a negative result [1/1], Se Diagnostic sensitivity [%], Sp Diagnostic specificity [%], WBC Total leukocyte count [G/L]