A medical researcher wants to construct a 99% confidence interval for the proportion of knee replacement surgeries that result in complications.

(a) An article in a medical journal suggested that approximately 16% of such operations result in complications. Using this estimate, what sample size is needed so that the confidence interval will have a margin of error of .04?

1 answer

To determine the sample size needed for a certain margin of error in a confidence interval for a population proportion, we can use the formula for the sample size \( n \) required for estimating proportions:

\[ n = \left( \frac{Z^2 \cdot p \cdot (1 - p)}{E^2} \right) \]

where:

  • \( Z \) is the Z-value corresponding to the desired confidence level,
  • \( p \) is the estimated proportion,
  • \( E \) is the desired margin of error.

Given:

  • Confidence level = 99%
  • Corresponding Z-value \( Z \) for 99% is approximately \( 2.576 \) (you can find this value from Z-tables).
  • Estimated proportion \( p = 0.16 \)
  • Desired margin of error \( E = 0.04 \)

Calculating Sample Size:

  1. Substitute the values into the formula:

\[ n = \left( \frac{(2.576)^2 \cdot 0.16 \cdot (1 - 0.16)}{(0.04)^2} \right) \]

  1. Calculate \( (1 - p) \):

\[ 1 - p = 1 - 0.16 = 0.84 \]

  1. Now calculate the components:

\[ n = \left( \frac{(2.576)^2 \cdot 0.16 \cdot 0.84}{(0.04)^2} \right) \]

  1. Calculate \( (2.576)^2 \):

\[ (2.576)^2 \approx 6.636 \]

  1. Now plug in the values:

\[ n = \left( \frac{6.636 \cdot 0.16 \cdot 0.84}{(0.04)^2} \right) \]

  1. Calculate the product \( 6.636 \cdot 0.16 \cdot 0.84 \):

\[ 6.636 \cdot 0.16 \approx 1.06176 \]

\[ 1.06176 \cdot 0.84 \approx 0.8911 \]

  1. Then divide by \( (0.04)^2 = 0.0016 \):

\[ n = \frac{0.8911}{0.0016} \approx 556.9375 \]

  1. Since we cannot have a fraction of a sample, we round up to the next whole number:

\[ n \approx 557 \]

Conclusion:

The required sample size to achieve a 99% confidence interval with a margin of error of 0.04 for the proportion of knee replacement surgeries that result in complications is 557.