P113: Comparison of age-adjusted and clinical probability-adjusted D-dimer for diagnosing pulmonary embolism
نویسندگان
چکیده
منابع مشابه
Age-Adjusted D-Dimer in the Prediction of Pulmonary Embolism: Does a Normal Age-Adjusted D-Dimer Rule Out PE?
Risk assessment for pulmonary embolism (PE) currently relies on physician judgment, clinical decision rules (CDR), and D-dimer testing. There is still controversy regarding the role of D-dimer testing in low or intermediate risk patients. The objective of the study was to define the role of clinical decision rules and D-dimer testing in patients suspected of having a PE. Records of 894 patients...
متن کاملPerformance of age-adjusted D-dimer cut-off to rule out pulmonary embolism.
BACKGROUND Age-adjusted D-dimer cut-off has recently been proposed to increase D-dimer usefulness in older patients suspected of pulmonary embolism (PE). OBJECTIVE We externally validated this age-adjusted D-dimer cut-off using different D-dimer assays in a multicenter sample of emergency department patients. METHODS Secondary analysis of three prospectively collected databases (two Europea...
متن کاملAge-adjusted D-dimer cutoff levels to rule out pulmonary embolism: the ADJUST-PE study.
IMPORTANCE D-dimer measurement is an important step in the diagnostic strategy of clinically suspected acute pulmonary embolism (PE), but its clinical usefulness is limited in elderly patients. OBJECTIVE To prospectively validate whether an age-adjusted D-dimer cutoff, defined as age × 10 in patients 50 years or older, is associated with an increased diagnostic yield of D-dimer in elderly pat...
متن کاملAge‑adjusted plasma D‑dimer levels in suspected acute pulmonary embolism: a retrospective, single‑center study.
INTRODUCTION The conventional D‑dimer threshold (CDD) is characterized by high sensitivity and low specificity in diagnosing acute pulmonary embolism (PE) in older patients. A higher cut‑off level for D‑dimer has been proposed, aiming at increasing the specificity while maintaining high sensitivity. It is calculated by multiplying the patient's age in years by a coefficient of 10 (YADD10). OBJE...
متن کاملClinical utility of an age-adjusted D-dimer in the diagnosis of venous thromboembolism.
Classic enzyme-linked immunosorbent assay (ELISA) D-dimer assays are sensitive in screening for thromboembolic disease; however, they are cumbersome and time consuming to perform, which limits their routine use. Latex agglutination assays are easier to perform, but they are not as sensitive as the ELISA assays. New D-dimer assays incorporating novel technologies can be performed rapidly with a ...
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ژورنال
عنوان ژورنال: CJEM
سال: 2017
ISSN: 1481-8035,1481-8043
DOI: 10.1017/cem.2017.315