Concentration and the value of D-dimer in the diagnosis of deep vein thrombosis

Introduction: Quantification of D-dimer levels is a valuable test in orienting the diagnosis of deep vein thrombosis. Objectives: Determine D-dimer concentration and diagnostic value of D-dimer in patients with deep venous thrombosis. Methods: A descriptive, uncontrolled study was performed in 26...

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Main Authors: Van Nguyen-Thanh Phan, De Nhi Nguyen, Tri Dang-Minh Bui, Minh Duc Tong, Trung Hoang Nguyen, Dung Thi-Ngoc Nguyen
Format: Article
Language:Spanish
Published: ECIMED 2023-05-01
Series:Revista Cubana de Medicina Militar
Subjects:
Online Access:https://revmedmilitar.sld.cu/index.php/mil/article/view/2728
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author Van Nguyen-Thanh Phan
De Nhi Nguyen
Tri Dang-Minh Bui
Minh Duc Tong
Trung Hoang Nguyen
Dung Thi-Ngoc Nguyen
author_facet Van Nguyen-Thanh Phan
De Nhi Nguyen
Tri Dang-Minh Bui
Minh Duc Tong
Trung Hoang Nguyen
Dung Thi-Ngoc Nguyen
author_sort Van Nguyen-Thanh Phan
collection DOAJ
description Introduction: Quantification of D-dimer levels is a valuable test in orienting the diagnosis of deep vein thrombosis. Objectives: Determine D-dimer concentration and diagnostic value of D-dimer in patients with deep venous thrombosis. Methods: A descriptive, uncontrolled study was performed in 260 elderly patients at risk of deep vein thrombosis. All patients underwent quantitative D-dimer assay. Results: The D-dimer concentration of patients with deep venous thrombosis had a median of 3106.5 ng/ml and was about 1.5 times higher than that of patients without deep venous thrombosis. With a threshold of D-dimer concentration of 500 ng/mL to determine deep venous thrombosis, the specificity of the method is low (16.51%), but the sensitivity is high (100%). And the positive predictive value is low (18.75%) but the negative predictive value is absolute (100%). Conclusion: With a threshold of D-dimer concentration of 500 ng/mL to determine deep venous thrombosis, the specificity and positive predictive value of the method are low, but the sensitivity and negative predictive value are high.
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spelling doaj.art-5f3e3c47aa684d0cbccdb6204bec2fc52023-06-17T04:25:56ZspaECIMEDRevista Cubana de Medicina Militar1561-30462023-05-01522e02302728e02302728770Concentration and the value of D-dimer in the diagnosis of deep vein thrombosisVan Nguyen-Thanh Phan0De Nhi Nguyen1Tri Dang-Minh Bui2Minh Duc Tong3Trung Hoang Nguyen4Dung Thi-Ngoc Nguyen5Pham Ngoc Thach University of MedicineGia Rai Medical CenterPham Ngoc Thach University of MedicineVietnam Military Medical UniversityVietnam Military Medical UniversityMilitary hospital 175Introduction: Quantification of D-dimer levels is a valuable test in orienting the diagnosis of deep vein thrombosis. Objectives: Determine D-dimer concentration and diagnostic value of D-dimer in patients with deep venous thrombosis. Methods: A descriptive, uncontrolled study was performed in 260 elderly patients at risk of deep vein thrombosis. All patients underwent quantitative D-dimer assay. Results: The D-dimer concentration of patients with deep venous thrombosis had a median of 3106.5 ng/ml and was about 1.5 times higher than that of patients without deep venous thrombosis. With a threshold of D-dimer concentration of 500 ng/mL to determine deep venous thrombosis, the specificity of the method is low (16.51%), but the sensitivity is high (100%). And the positive predictive value is low (18.75%) but the negative predictive value is absolute (100%). Conclusion: With a threshold of D-dimer concentration of 500 ng/mL to determine deep venous thrombosis, the specificity and positive predictive value of the method are low, but the sensitivity and negative predictive value are high.https://revmedmilitar.sld.cu/index.php/mil/article/view/2728d-dimer concentrationd-dimer diagnostic valuedeep vein thrombosis.
spellingShingle Van Nguyen-Thanh Phan
De Nhi Nguyen
Tri Dang-Minh Bui
Minh Duc Tong
Trung Hoang Nguyen
Dung Thi-Ngoc Nguyen
Concentration and the value of D-dimer in the diagnosis of deep vein thrombosis
Revista Cubana de Medicina Militar
d-dimer concentration
d-dimer diagnostic value
deep vein thrombosis.
title Concentration and the value of D-dimer in the diagnosis of deep vein thrombosis
title_full Concentration and the value of D-dimer in the diagnosis of deep vein thrombosis
title_fullStr Concentration and the value of D-dimer in the diagnosis of deep vein thrombosis
title_full_unstemmed Concentration and the value of D-dimer in the diagnosis of deep vein thrombosis
title_short Concentration and the value of D-dimer in the diagnosis of deep vein thrombosis
title_sort concentration and the value of d dimer in the diagnosis of deep vein thrombosis
topic d-dimer concentration
d-dimer diagnostic value
deep vein thrombosis.
url https://revmedmilitar.sld.cu/index.php/mil/article/view/2728
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