The association between plasma D-dimer levels and community-acquired pneumonia

BACKGROUND: Plasma D-dimer levels are directly related to the intra- and extra-vascular coagulation that occurs in acute and chronic lung damage in patients with community-acquired pneumonia (CAP). OBJECTIVES: This study examines the relationship between the severity of community-acquired pneumonia...

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Main Authors: Sulhattin Arslan, Serdal Ugurlu, Gokten Bulut, Ibrahim Akkurt
Format: Article
Language:English
Published: Elsevier España 2010-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000600006
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author Sulhattin Arslan
Serdal Ugurlu
Gokten Bulut
Ibrahim Akkurt
author_facet Sulhattin Arslan
Serdal Ugurlu
Gokten Bulut
Ibrahim Akkurt
author_sort Sulhattin Arslan
collection DOAJ
description BACKGROUND: Plasma D-dimer levels are directly related to the intra- and extra-vascular coagulation that occurs in acute and chronic lung damage in patients with community-acquired pneumonia (CAP). OBJECTIVES: This study examines the relationship between the severity of community-acquired pneumonia and D-dimer levels. In addition, the study examines the correlations among community-acquired pneumonia, the radiological extent of the disease and mortality. METHODS: The Pneumonia Severity Index was used to classify patients into five groups. Patients were treated at home or in the hospital according to the guidelines for community-acquired pneumonia. Blood samples were taken from the antecubital vein with an injector and placed into citrated tubes. After they were centrifuged, the samples were evaluated with the quantitative latex method. RESULTS: The study included 60 patients who had been diagnosed with community-acquired pneumonia (mean age 62.5 ± 11.7) and 24 healthy controls (mean age 59.63 ± 6.63). The average plasma D-dimer levels were 337.3 ± 195.1ng/mL in the outpatient treatment group, 691.0 ± 180.5 in the inpatient treatment group, 1363.2 ± 331.5 ng/mLin the intensive care treatment group and 161.3 ± 38.1ng/mL in the control group (p<0.001). The mean D-dimer plasma level was 776.1 ± 473.5ng/mL in patients with an accompanying disease and 494.2 ± 280.1 ng/mL in patients without an accompanying disease (p<0.05). CONCLUSIONS: Plasma D-dimer levels were increased even in community-acquired pneumonia patients who did not have an accompanying disease that would normally cause such an increase.
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spelling doaj.art-86c492af506249a58c30e6c6029602c82022-12-22T01:19:58ZengElsevier EspañaClinics1807-59321980-53222010-01-0165659359710.1590/S1807-59322010000600006The association between plasma D-dimer levels and community-acquired pneumoniaSulhattin ArslanSerdal UgurluGokten BulutIbrahim AkkurtBACKGROUND: Plasma D-dimer levels are directly related to the intra- and extra-vascular coagulation that occurs in acute and chronic lung damage in patients with community-acquired pneumonia (CAP). OBJECTIVES: This study examines the relationship between the severity of community-acquired pneumonia and D-dimer levels. In addition, the study examines the correlations among community-acquired pneumonia, the radiological extent of the disease and mortality. METHODS: The Pneumonia Severity Index was used to classify patients into five groups. Patients were treated at home or in the hospital according to the guidelines for community-acquired pneumonia. Blood samples were taken from the antecubital vein with an injector and placed into citrated tubes. After they were centrifuged, the samples were evaluated with the quantitative latex method. RESULTS: The study included 60 patients who had been diagnosed with community-acquired pneumonia (mean age 62.5 ± 11.7) and 24 healthy controls (mean age 59.63 ± 6.63). The average plasma D-dimer levels were 337.3 ± 195.1ng/mL in the outpatient treatment group, 691.0 ± 180.5 in the inpatient treatment group, 1363.2 ± 331.5 ng/mLin the intensive care treatment group and 161.3 ± 38.1ng/mL in the control group (p<0.001). The mean D-dimer plasma level was 776.1 ± 473.5ng/mL in patients with an accompanying disease and 494.2 ± 280.1 ng/mL in patients without an accompanying disease (p<0.05). CONCLUSIONS: Plasma D-dimer levels were increased even in community-acquired pneumonia patients who did not have an accompanying disease that would normally cause such an increase.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000600006D-dimerCommunity-acquired pneumoniaPneumonia severity
spellingShingle Sulhattin Arslan
Serdal Ugurlu
Gokten Bulut
Ibrahim Akkurt
The association between plasma D-dimer levels and community-acquired pneumonia
Clinics
D-dimer
Community-acquired pneumonia
Pneumonia severity
title The association between plasma D-dimer levels and community-acquired pneumonia
title_full The association between plasma D-dimer levels and community-acquired pneumonia
title_fullStr The association between plasma D-dimer levels and community-acquired pneumonia
title_full_unstemmed The association between plasma D-dimer levels and community-acquired pneumonia
title_short The association between plasma D-dimer levels and community-acquired pneumonia
title_sort association between plasma d dimer levels and community acquired pneumonia
topic D-dimer
Community-acquired pneumonia
Pneumonia severity
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000600006
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