TABLE 4.
Procedure | Outcome | Risk thresholds (%) | Harm to benefit ratio | Associated Hb cut‐off (g/L) | No. true positives | No. false positives | No. true negatives | No. false negatives | NB per 1000 patients: Hb (g/L) vs. none | NR per 100 patients: Hb (g/L) vs. all |
---|---|---|---|---|---|---|---|---|---|---|
THA | Post‐operative Hb below transfusion trigger (70 g/L) | 1 | 1:99 | <116 | 12 | 240 | 2408 | 2 | 3.7 | 84 |
0.75 | 1:133 | <117 | 12 | 268 | 2380 | 2 | 3.8 | 79.5 | ||
0.5 | 1:199 | <120 | 12 | 359 | 2289 | 2 | 3.8 | 71.0 | ||
0.25 | 1:399 | <124 | 12 | 542 | 2106 | 2 | 4 | 49.1 | ||
0.1 | 1:999 | <134 | 13 | 1261 | 1387 | 1 | 4.5 | 26.2 | ||
Post‐operative Hb below transfusion trigger (80 g/L) | 1 | 1:99 | <131 | 61 | 970 | 1627 | 4 | 19.1 | 45 | |
0.75 | 1:133 | <133 | 61 | 1130 | 1467 | 4 | 19.7 | 35.2 | ||
0.5 | 1:199 | <137 | 62 | 1459 | 1138 | 3 | 20.7 | 22.9 | ||
0.25 | 1:399 | <141 | 65 | 1744 | 853 | 0 | 22.8 | 32.0 | ||
0.1 | 1:999 | <154 | 65 | 2385 | 212 | 0 | 23.6 | 16.6 | ||
Post‐operative blood transfusion | 1 | 1:99 | <146 | 129 | 2024 | 530 | 11 | 40.3 | −20.8 | |
0.75 | 1:133 | <149 | 133 | 2162 | 392 | 7 | 43.3 | −19.8 | ||
0.5 | 1:199 | <154 | 136 | 2342 | 212 | 4 | 45.8 | −27.8 | ||
0.25 | 1:399 | <161 | 138 | 2484 | 70 | 2 | 48.9 | −27.0 | ||
0.1 | 1:999 | <179 | 140 | 2549 | 5 | 0 | 51.0 | 0.5 | ||
TKA | Post‐operative Hb below transfusion trigger (80 g/L) | 1 | 1:99 | <120 | 8 | 177 | 1099 | 1 | 5.0 | 79.1 |
0.75 | 1:133 | <121 | 8 | 200 | 1076 | 1 | 5.1 | 73.4 | ||
0.5 | 1:199 | <125 | 8 | 304 | 972 | 1 | 5.1 | 62.0 | ||
0.25 | 1:399 | <128 | 8 | 394 | 882 | 1 | 5.5 | 37.6 | ||
0.1 | 1:999 | <139 | 9 | 794 | 482 | 0 | 5.8 | −25.5 | ||
Post‐operative blood transfusion | 1 | 1:99 | <139 | 32 | 786 | 489 | 3 | 18.7 | 17.5 | |
0.75 | 1:133 | <142 | 34 | 891 | 384 | 1 | 20.8 | 19.2 | ||
0.5 | 1:199 | <147 | 34 | 1033 | 242 | 1 | 22.1 | 5.4 | ||
0.25 | 1:399 | <154 | 35 | 1180 | 95 | 0 | 24.5 | 7.3 | ||
0.1 | 1:999 | <170 | 0 | 3 | 0 | 0 | 25.8 | 1.3 |
Abbreviations: THA, total hip arthroplasty; TKA, total knee arthroplasty; Hb, haemoglobin; NB, net benefit; NR, net reduction.