Redefining Clinically Significant Blood Loss in Complex Adult Spine Deformity Surgery
In complex ASD surgery, intraoperative EBL of 2.3 L and an EBVL of 42% are associated with clinically significant AEs. These thresholds may be useful in guiding preoperative-patient-counseling, health care system quality initiatives, and clinical perioperative blood loss management strategies in patients undergoing complex spine surgery. In addition, a similar methodology could be performed in other specialties to establish procedure-specific clinically relevant blood loss thresholds.
Authors
- Lawrence G. Lenke (ORCID: https://orcid.org/0000-0002-5595-4958)
- Peter Gust Passias (ORCID: https://orcid.org/0000-0002-1479-4070)
- Renaud Lafage (ORCID: https://orcid.org/0000-0002-4820-1835)
- Mohammad Daher (ORCID: https://orcid.org/0000-0002-9256-9952)
- Kojo Hamilton
- Bassel Georges Diebo (ORCID: https://orcid.org/0000-0002-7835-2263)
- Breton Line (ORCID: https://orcid.org/0000-0003-0395-1066)
- Christopher I. Shaffrey (ORCID: https://orcid.org/0000-0001-9760-8386)
- Themistocles Stavros Protopsaltis (ORCID: https://orcid.org/0000-0002-4978-2600)
- Eric O. Klineberg (ORCID: https://orcid.org/0000-0003-1408-106X)
- Khaled M. Kebaish (ORCID: https://orcid.org/0000-0002-2186-2166)
- Alan H. Daniels (ORCID: https://orcid.org/0000-0001-9597-4139)
- Douglas C. Burton (ORCID: https://orcid.org/0000-0003-4468-4582)
- Justin S. Smith (ORCID: https://orcid.org/0000-0003-0467-5534)
- Jeffrey Lynn Gum (ORCID: https://orcid.org/0000-0003-0471-9437)
- Gregory M. Mundis (ORCID: https://orcid.org/0000-0002-1483-7245)
- Richard A. Hostin (ORCID: https://orcid.org/0000-0003-4558-003X)
- Shay R. Bess (ORCID: https://orcid.org/0000-0002-9697-8999)
- Manjot Singh (ORCID: https://orcid.org/0000-0003-4524-6226)
- Munish Chandra Gupta (ORCID: https://orcid.org/0000-0002-4711-4377)
- Virginie Lafage (ORCID: https://orcid.org/0000-0002-0119-7111)
- Andrew Xu (ORCID: https://orcid.org/0000-0002-9406-4675)
- Frank J. Schwab (ORCID: https://orcid.org/0000-0003-2307-3037)
- Stephen M. Lewis
- Robert K. Eastlack (ORCID: https://orcid.org/0000-0003-2359-1707)
- Christopher P. Ames
Institutions
- Center for Science in the Public Interest (United States) (US)
- Swansea Bay University Health Board (GB)
- Northwell Health (US)
- Johns Hopkins University (US)
- University of Pittsburgh (US)
- Duke University (US)
- University of California, San Francisco (US)
- University of Toronto (CA)
- Norton Healthcare (US)
- Washington University in St. Louis (US)
- Brown University (US)
- Columbia University Irving Medical Center (US)
- Johns Hopkins Medicine (US)
- Lenox Hill Hospital (US)
- National Health Insurance Fund (RS)
- Twin Cities Spine Center (US)
- University of Kansas Medical Center (US)
- University of Virginia Medical Center (US)
- Southwest Scoliosis Institute (US)
- Scripps Clinic (US)
- Neurological Surgery (US)
- The University of Texas Health Science Center (US)
- New York University Langone Orthopedic Hospital (US)
- The University of Texas Health Science Center at Houston (US)
Publication Details
- Journal
- Spine
- Published
- 2024-12-25
- DOI
- https://doi.org/10.1097/brs.0000000000005250
- Citations
- 8
- Primary Topic
- Spinal Hematomas and Complications
- Type
- article
- Field-Weighted Citation Impact
- 4.58