VHA Test Accuracy Summary | Was a massive transfusion received? | Total (%) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Yes (%) | No (%) | |||||||||
Primary Outcome: ANY abnormal VHA Component* AUROC 0.633 [0.531–0.736] | Sensitivity 73.6% (59.7-84.7%) | Specificity 49.2% (36.1-62.3%) | PPV 55.7% (48.4-62.2%) | NPV 68.2% (56.1-78.2%) | Abnormal | 39 (34.2%) | 31 (27.2%) | 70 (61.4%) | ||
Normal | 14 (12.2%) | 30 (26.3%) | 44 (38.6%) | |||||||
TEG6s Activated Clotting Time (ACT) | Sensitivity 18.9% (9.4-32.0%) | Specificity 80.3% (68.2-89.4%) | PPV 45.5% (28.2-63.9%) | NPV 53.3% (48.8-57.7%) | Abnormal | 10 (8.7%) | 12 (10.5%) | 22 (19.3%) | ||
Normal | 43 (37.7%) | 49 (43.0%) | 92 (80.7%) | |||||||
R (min) CK (Standard TEG) | Sensitivity 32.1% (19.9-46.3%) | Specificity 77.1% (64.5-86.9%) | PPV 54.8% (39.9-69.0%) | NPV 56.6% (50.9-62.2%) | Abnormal | 17 (14.9%) | 14 (12.2%) | 31 (27.2%) | ||
Normal | 36 (31.5%) | 47 (41.2%) | 83 (72.8%) | |||||||
K (min) CK (Standard TEG) | Sensitivity 26.4% (15.3-40.3%) | Specificity 88.5% (77.8-95.3%) | PPV 66.7% (46.6-82.1%) | NPV 58.1% (53.5-62.5%) | Abnormal | 14 (12.3%) | 7 (6.1%) | 21 (18.4%) | ||
Normal | 39 (34.2%) | 54 (47.4%) | 93 (81.6%) | |||||||
a-angle (deg) CK (Standard TEG) | Sensitivity 18.9% (9.44-32.0%) | Specificity 83.6% (71.9-91.9%) | PPV 50.0% (31.1-68.9%) | NPV 54.3% (50.0-58.5%) | Abnormal | 10 (8.8%) | 10 (8.8%) | 20 (17.5%) | ||
Normal | 43 (37.7%) | 51 (44.7%) | 94 (82.4%) | |||||||
MA (mm) CK (Standard TEG) | Sensitivity 28.3% (16.8-42.4%) | Specificity 85.3% (73.8-93.0%) | PPV 62.5% (44.3-77.7%) | NPV 57.8% (52.9-62.5%) | Abnormal | 15 (13.1%) | 9 (7.9%) | 24 (21.0%) | ||
Normal | 38 (33.33%) | 52 (45.6%) | 90 (78.9%) | |||||||
LY30 (%) CK (Standard TEG) | Sensitivity 3.8% (0.5-13.0%) | Specificity 96.7% (88.7-99.6%) | PPV 50.0% (12.7-87.3%) | NPV 53.6% (51.9-55.4%) | Abnormal | 2 (1.8%) | 2 (1.8%) | 4 (3.5%) | ||
Normal | 51 (44.7%) | 59 (51.8%) | 110 (96.5%) | |||||||
ANY abnormal “Rapid” TEG AUROC 0.582 [0.477–0.688] | Sensitivity 43.4% (29.8-57.7%) | Specificity 73.8% (60.9-84.2%) | PPV 59.0% (46.0-70.8%) | NPV 60.0% (53.2-68.7%) | Abnormal | 23 (20.2%) | 16 (14.0%) | 39 (34.2%) | ||
Normal | 30 (40%) | 45 (60%) | 75 (65.8%) |