The cutoff points for the parameters were evaluated using receiver operating characteristic (ROC) curve analysis. Area under curve (AUC) of the ROC curve was calculated. We identified the value for each that maximized the Youden index (J), a summary statistic based on receiver operating characteristic curves that equally weights sensitivity and specificity (sensitivity + specificity − 1). The scores were estimated by constructing a multivariable logistic regression model considering the following covariates: NSS score, age, absence of fatigue, CRP, d-dimer, procalcitonin values, lymphocyte, and platelet counts. Due to the study design, we expected potential imbalances between groups. Propensity score matching was used to reduce potential selection bias between appendicitis group and MIS-C group. Data were evaluated using SPPS, version 25 (IBM Statistics, New York, USA). Statistical significance was set at p < 0.05 and p < 0.01.
Diagnostic Workflow for Appendicitis and MIS-C
The cutoff points for the parameters were evaluated using receiver operating characteristic (ROC) curve analysis. Area under curve (AUC) of the ROC curve was calculated. We identified the value for each that maximized the Youden index (J), a summary statistic based on receiver operating characteristic curves that equally weights sensitivity and specificity (sensitivity + specificity − 1). The scores were estimated by constructing a multivariable logistic regression model considering the following covariates: NSS score, age, absence of fatigue, CRP, d-dimer, procalcitonin values, lymphocyte, and platelet counts. Due to the study design, we expected potential imbalances between groups. Propensity score matching was used to reduce potential selection bias between appendicitis group and MIS-C group. Data were evaluated using SPPS, version 25 (IBM Statistics, New York, USA). Statistical significance was set at p < 0.05 and p < 0.01.
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Variable analysis
- Appendicitis group
- MIS-C group
- NSS score
- Absence of fatigue
- D-dimer
- Procalcitonin values
- Lymphocyte count
- Platelet count
- Not specified
- Not specified
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