The Influence of Various Patient Characteristics on D-dimer Concentration in Critically Ill Patients and Its Role as a Prognostic Indicator in the Intensive Care Unit Setting

被引:27
作者
Spring, Jenna L. [1 ]
Winkler, Anne [2 ]
Levy, Jerrold H. [3 ,4 ]
机构
[1] Univ Toronto, Dept Med, Toronto, ON M5G 2C4, Canada
[2] Emory Univ, Dept Pathol, Atlanta, GA 30322 USA
[3] Duke Univ, Sch Med, Div Cardiothorac Anesthesiol, Duke Univ Hosp, Durham, NC 27710 USA
[4] Duke Univ, Sch Med, Div Crit Care, Duke Univ Hosp, Durham, NC 27710 USA
关键词
Bleeding; Safety; D-dimer; Disseminated intravascular coagulation; Intensive care unit; In-hospital mortality; PLASMA D-DIMER; DISSEMINATED INTRAVASCULAR COAGULATION; CKD-EPI EQUATION; VENOUS THROMBOEMBOLISM; FIBRIN; MORTALITY; ASSAY; AGE; EPIDEMIOLOGY; EXCLUSION;
D O I
10.1016/j.cll.2014.06.015
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
This study examines the relationship between D-dimer concentration and patient age, gender, race, and renal function, and the role of D-dimer concentration as a predictor of in-hospital mortality, in a critically ill patient population. The results demonstrate there is a correlation between increased D-dimer concentration and renal impairment in critically ill patients, with patients in renal failure having the highest D-dimer concentrations. Peak D-dimer levels were higher among female patients than in male patients, but there was no association between peak D-dimer levels and other patient characteristics. D-dimer concentration was also not predictive of in-hospital mortality.
引用
收藏
页码:675 / +
页数:14
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