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. 2022 May 11;32(4):306–317. doi: 10.1111/tme.12873

TABLE 4.

Risk associated pre‐operative Hb thresholds and decision curve analysis results for THA and TKA using data limited to 2015–2018.

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.