PMID: 15241755Jul 9, 2004Paper

Value of the D-dimer test in diagnosing deep vein thrombosis in rehabilitation inpatients

Archives of Physical Medicine and Rehabilitation
Mahmut Nafiz AkmanSehri Kilinc

Abstract

To assess the utility of the D-dimer test-a widely available, less costly, and less time-consuming test than others used to diagnose or exclude deep vein thrombosis (DVT) and pulmonary embolism. Blind comparison. An inpatient rehabilitation facility in Turkey. Sixty-eight consecutive inpatients being rehabilitated after stroke, spinal cord injury, hip arthroplasty, or traumatic brain injury. A latex D-dimer assay was performed on each patient at admission and then weekly throughout the hospital stay. Color Doppler ultrasonography of the lower limbs was also done for each patient at admission and was repeated when indicated by clinical signs and symptoms of DVT or by elevated D-dimer levels. Main outcome measures Patients' clinical findings, D-dimer test results, and ultrasonography results were recorded. Sensitivity, specificity, and positive and negative predictive values were calculated for the D-dimer test, each clinical finding, and combinations of D-dimer results and clinical findings in relation to DVT diagnosis. The sensitivity and negative predictive value of the D-dimer test were high, at 95.2% and 96.2%, respectively. The specificity and positive predictive value were low, at 55.3% and 48.7%, respectively. No single c...Continue Reading

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Citations

Jan 18, 2005·International Journal of Legal Medicine·Koichi SakuradaKen-ichi Yoshida
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Apr 7, 2011·Vascular Health and Risk Management·Shozo Yasuoka, Shunichiro Kubota
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Feb 6, 2020·The Journal of Spinal Cord Medicine·Magdalena Mackiewicz-MilewskaWojciech Hagner
May 1, 2021·International Journal of Environmental Research and Public Health·Magdalena Mackiewicz-MilewskaIwona Głowacka-Mrotek

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