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Statistics review 4: sample size calculations

2002, Critical Care

Abstract

The present review introduces the notion of statistical power and the hazard of under-powered studies. The problem of how to calculate an ideal sample size is also discussed within the context of factors that affect power, and specific methods for the calculation of sample size are presented for two common scenarios, along with extensions to the simplest case.

Key takeaways

  • The power of a study depends on several factors (see below), but as a general rule higher power is achieved by increasing the sample size.
  • The intersection of this line with the upper part of the nomogram gives the sample size required to detect the difference with a P value of 0.05, whereas the intersection with the lower part gives the sample size for a P value of 0.01. Fig. 2 shows the required sample sizes for a standardized difference of 0.78 and desired power of 0.8, or 80%.
  • What sample size would be required to detect this difference with 90% power using a cutoff for statistical significance of 0.05?
  • The process is similar to that for determining sample size, with a straight line drawn between the standardized difference and the sample size extended to show the power of the study.
  • This total sample size (N) can then be adjusted according to the actual ratio of the two groups (k) with the revised total sample size (N′) equal to the following: