D-Dimer Levels and Prognostic Features in Pulmonary Embolism

Yıl 2022, , 58 - 62, 31.08.2022

Burak Kurtoğlu , Halil İbrahim Çıkrıklar , Vahide Aslıhan Durak , Issa Omar , Ahmet Münir Yılmaz , Sümeyye Tuğba Sarkı Cander , Erol Armagan

https://doi.org/10.55994/ejcc.1146385

Öz

Background: The aim of our study is to investigate the efficacy of D-dimer marker in patients who applied to the emergency department with a preliminary diagnosis of pulmonary embolism.
Materials and methods: This study was conducted retrospectively at Bursa Uludağ University Faculty of Medicine Hospital between January 2018 and December 2018. Patients whose D-dimer levels were checked considering the preliminary diagnosis of pulmonary embolism were included in the study.
Results: A total of 3411 patients were included in the study. In all patients, the diagnosis of PE was made by computed tomography pulmonary angiography. Examination of 1968 patients with (+) D-dimer revealed new diagnosis in 702 patients (35.67%). Pulmonary embolism was diagnosed in a total of 74 patients (10.54%) whereas the most common alternative diagnoses was 33.62% (n=236) pneumonia. On examination of 1443 patients with negative D-dimer levels, pulmonary embolism was diagnosed in 7 (3.14%) patients whereas the most common other diagnoses was 44.84% (n=100) Acute Coronary Syndrome. However, in the D-dimer positive patient group, the rate of newly diagnosed patients requiring clinical and intensive care hospitalization was found to be significantly higher.
Conclusion: In conclusion, even if pulmonary embolism is not detected in D-dimer positive cases, it is thought that these patients need further investigation, considering the frequency of serious conditions requiring clinical and intensive care unit admission.

Anahtar Kelimeler

Emergency Medicine, Pulmonary Embolism, D-dimer

Kaynakça

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