Age-dependent D-dimer cut-off for the elderly patient in the emergency room
Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study w...
Ausführliche Beschreibung
Autor*in: |
Paquet, A. L. [verfasserIn] |
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E-Artikel |
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Englisch |
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2017 |
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Anmerkung: |
© Société française de médecine d'urgence and Lavoisier 2017 |
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Übergeordnetes Werk: |
Enthalten in: Annales françaises de médecine d'urgence - Paris [u.a.] : Springer, 2011, 7(2017), 2 vom: 02. März, Seite 92-96 |
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Übergeordnetes Werk: |
volume:7 ; year:2017 ; number:2 ; day:02 ; month:03 ; pages:92-96 |
Links: |
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DOI / URN: |
10.1007/s13341-017-0726-4 |
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Katalog-ID: |
SPR031397913 |
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520 | |a Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. | ||
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700 | 1 | |a Freund, Y. |4 aut | |
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10.1007/s13341-017-0726-4 doi (DE-627)SPR031397913 (SPR)s13341-017-0726-4-e DE-627 ger DE-627 rakwb eng Paquet, A. L. verfasserin aut Age-dependent D-dimer cut-off for the elderly patient in the emergency room 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société française de médecine d'urgence and Lavoisier 2017 Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. Pulmonary embolism (dpeaa)DE-He213 D-dimer (dpeaa)DE-He213 Elderly patient (dpeaa)DE-He213 Age adjusted cut-off (dpeaa)DE-He213 CT scanner (dpeaa)DE-He213 Balia, D. aut Dubreucq, E. aut Roger, C. aut Hausfater, P. aut Freund, Y. aut Enthalten in Annales françaises de médecine d'urgence Paris [u.a.] : Springer, 2011 7(2017), 2 vom: 02. März, Seite 92-96 (DE-627)643826459 (DE-600)2588257-0 2108-6591 nnns volume:7 year:2017 number:2 day:02 month:03 pages:92-96 https://dx.doi.org/10.1007/s13341-017-0726-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4313 GBV_ILN_4328 GBV_ILN_4333 AR 7 2017 2 02 03 92-96 |
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10.1007/s13341-017-0726-4 doi (DE-627)SPR031397913 (SPR)s13341-017-0726-4-e DE-627 ger DE-627 rakwb eng Paquet, A. L. verfasserin aut Age-dependent D-dimer cut-off for the elderly patient in the emergency room 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société française de médecine d'urgence and Lavoisier 2017 Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. Pulmonary embolism (dpeaa)DE-He213 D-dimer (dpeaa)DE-He213 Elderly patient (dpeaa)DE-He213 Age adjusted cut-off (dpeaa)DE-He213 CT scanner (dpeaa)DE-He213 Balia, D. aut Dubreucq, E. aut Roger, C. aut Hausfater, P. aut Freund, Y. aut Enthalten in Annales françaises de médecine d'urgence Paris [u.a.] : Springer, 2011 7(2017), 2 vom: 02. März, Seite 92-96 (DE-627)643826459 (DE-600)2588257-0 2108-6591 nnns volume:7 year:2017 number:2 day:02 month:03 pages:92-96 https://dx.doi.org/10.1007/s13341-017-0726-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4313 GBV_ILN_4328 GBV_ILN_4333 AR 7 2017 2 02 03 92-96 |
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10.1007/s13341-017-0726-4 doi (DE-627)SPR031397913 (SPR)s13341-017-0726-4-e DE-627 ger DE-627 rakwb eng Paquet, A. L. verfasserin aut Age-dependent D-dimer cut-off for the elderly patient in the emergency room 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société française de médecine d'urgence and Lavoisier 2017 Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. Pulmonary embolism (dpeaa)DE-He213 D-dimer (dpeaa)DE-He213 Elderly patient (dpeaa)DE-He213 Age adjusted cut-off (dpeaa)DE-He213 CT scanner (dpeaa)DE-He213 Balia, D. aut Dubreucq, E. aut Roger, C. aut Hausfater, P. aut Freund, Y. aut Enthalten in Annales françaises de médecine d'urgence Paris [u.a.] : Springer, 2011 7(2017), 2 vom: 02. März, Seite 92-96 (DE-627)643826459 (DE-600)2588257-0 2108-6591 nnns volume:7 year:2017 number:2 day:02 month:03 pages:92-96 https://dx.doi.org/10.1007/s13341-017-0726-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4313 GBV_ILN_4328 GBV_ILN_4333 AR 7 2017 2 02 03 92-96 |
allfieldsGer |
10.1007/s13341-017-0726-4 doi (DE-627)SPR031397913 (SPR)s13341-017-0726-4-e DE-627 ger DE-627 rakwb eng Paquet, A. L. verfasserin aut Age-dependent D-dimer cut-off for the elderly patient in the emergency room 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société française de médecine d'urgence and Lavoisier 2017 Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. Pulmonary embolism (dpeaa)DE-He213 D-dimer (dpeaa)DE-He213 Elderly patient (dpeaa)DE-He213 Age adjusted cut-off (dpeaa)DE-He213 CT scanner (dpeaa)DE-He213 Balia, D. aut Dubreucq, E. aut Roger, C. aut Hausfater, P. aut Freund, Y. aut Enthalten in Annales françaises de médecine d'urgence Paris [u.a.] : Springer, 2011 7(2017), 2 vom: 02. März, Seite 92-96 (DE-627)643826459 (DE-600)2588257-0 2108-6591 nnns volume:7 year:2017 number:2 day:02 month:03 pages:92-96 https://dx.doi.org/10.1007/s13341-017-0726-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4313 GBV_ILN_4328 GBV_ILN_4333 AR 7 2017 2 02 03 92-96 |
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10.1007/s13341-017-0726-4 doi (DE-627)SPR031397913 (SPR)s13341-017-0726-4-e DE-627 ger DE-627 rakwb eng Paquet, A. L. verfasserin aut Age-dependent D-dimer cut-off for the elderly patient in the emergency room 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société française de médecine d'urgence and Lavoisier 2017 Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. Pulmonary embolism (dpeaa)DE-He213 D-dimer (dpeaa)DE-He213 Elderly patient (dpeaa)DE-He213 Age adjusted cut-off (dpeaa)DE-He213 CT scanner (dpeaa)DE-He213 Balia, D. aut Dubreucq, E. aut Roger, C. aut Hausfater, P. aut Freund, Y. aut Enthalten in Annales françaises de médecine d'urgence Paris [u.a.] : Springer, 2011 7(2017), 2 vom: 02. März, Seite 92-96 (DE-627)643826459 (DE-600)2588257-0 2108-6591 nnns volume:7 year:2017 number:2 day:02 month:03 pages:92-96 https://dx.doi.org/10.1007/s13341-017-0726-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4313 GBV_ILN_4328 GBV_ILN_4333 AR 7 2017 2 02 03 92-96 |
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age-dependent d-dimer cut-off for the elderly patient in the emergency room |
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Age-dependent D-dimer cut-off for the elderly patient in the emergency room |
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Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. © Société française de médecine d'urgence and Lavoisier 2017 |
abstractGer |
Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. © Société française de médecine d'urgence and Lavoisier 2017 |
abstract_unstemmed |
Aims The pulmonary embolism (PE) incidence is increased in elderly patient. The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. Conclusion The age-adjusted D-dimer cut-off in elderly patients with suspicion of PE doesn’t seem to be well endorsed in our emergency department. © Société française de médecine d'urgence and Lavoisier 2017 |
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The conventional strategy to diagnose PE in elderly population is limited by the low specificity of D-dimer testing, and the interest of an ageadjusted D-dimer cut-off (10xage) was recently validated. The aim of this study was to evaluate the use of these new recommendations in our emergency department. Procedure We performed a retrospective study on all emergency patients aged 75 and older who were tested for PE in 2015 in our hospital. The primary objective of this study was to assess the use of the recommendation for age adjusted cut-off. Results One hundred and twenty six patients were enrolled. Thirty patients (24%) had negative D-dimer considering the age adjusted cut-off but higher than the usual threshold of 500 μg/l. In this group, four (13%) underwent a CT pulmonary angiogram, which means that emergency physicians applied the new guidelines in 87% cases (95% CI 70% - 97%). No PE was found among these four patients. 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