Table 1

Analytic framework for the model*


Model variable
Input
Source/Calculation

A
Total number of ICU admissions annually in the US
4.4 mil
VERICC [18]
B
% Adult ICU admissions
0.8
Groeger 1993 [19]
C
% At risk for a late TF
0.29
Corwin 2002 [16]
D
Mean # units/pt at risk – current practice
3.01
Corwin 2002 [16]
E
Mean # units/pt TF – restrictive strategy group
2.6
Corwin 2002 [16]
F
Number of patients in restrictive group
418
Hebert [15]
G
% Patients transfused in restrictive group
0.67
Hebert [15]
H
Mean # units/pt at risk – restrictive practice
1.74
(fxgxe)/f
I
Total annual number of units TF – current practice
3,073,360
Axbxcxd
j
Total annual number of units TF – restrictive practice
1,778,234
Axbxcxh
k
Total annual number of units TF avoided restrictive practice
1,295,126
i-j
l
CV+ARDS SACs in liberal group
136
Hebert 1999 [15]
m
CV+ARDS SACs in restrictive group
87
Hebert 1999 [15]
n
TSACs
49
l-m
o
Total pRBC u TF liberal
2,352
Hebert 1999 [15]
p
Total pRBC u TF restrictive
728
Hebert 1999 [15]
q
pRBC u TF excess
1,624
o-p
r
Units/1 TSAC
33
q/n
s
TSACs avoided restrictive practice
39,246
k/r

*ICU, intensive care unit; TF, transfusion; rHuEPO, recombinant human erythropoietin; CV, cardiovascular; ARDS, adult respiratory distress syndrome; SAC, severe acute complication; TSAC, transfusion-attributable severe acute complication; pRBC, packed red blood cells; u, unit The total number of units administered was calculated by multiplying the mean number of units transfused/patient by the number of patients transfused.

Zilberberg and Shorr BMC Health Services Research 2007 7:138   doi:10.1186/1472-6963-7-138