PURLs: It's time to use an age-based approach to D-dimer
- PMID: 24701602
- PMCID: PMC4042909
PURLs: It's time to use an age-based approach to D-dimer
Abstract
An age-adjusted D-dimer cutoff—rather than the conventional 500 mcg/L value—is a better way to rule out VTE in patients over 50.
Comment on
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Diagnostic accuracy of conventional or age adjusted D-dimer cut-off values in older patients with suspected venous thromboembolism: systematic review and meta-analysis.BMJ. 2013 May 3;346:f2492. doi: 10.1136/bmj.f2492. BMJ. 2013. PMID: 23645857 Free PMC article.
References
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- Vossen JA, Albrektson J, Sensarma A, et al. Clinical usefulness of adjusted D-dimer cut-off values to exclude pulmonary embolism in a community hospital emergency department patient population. Acta Radiol. 2012;53:765–768. - PubMed
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- van Es J, Mos I, Douma R, et al. The combination of four different clinical decision rules and an age-adjusted D-dimer cut-off increases the number of patients in whom acute pulmonary embolism can safely be excluded. Thromb Haemost. 2012;107:167–171. - PubMed
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- Deep vein thrombosis (DVT) DynaMed Web site. Available at: http://web.ebscohost.com/dynamed/viewarticle?data=dGJyMPPp44rp2%2fdV0%2b.... Updated January 30, 2014. Accessed February 13, 2014.
