Association of D-dimer/fibrinogen ratio with pulmonary embolism in COVID-19 patients

Autor: Ahmet Can Topcu, Fatih Yigit, Gozde Ozturk Altunyurt, Ayse Batirel, Murat Bulent Rabus
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Turkish Journal of Vascular Surgery, Vol 31, Iss 3, Pp 134-9 (2022)
Druh dokumentu: article
ISSN: 2667-5080
Popis: Aim: This study aimed to investigate whether the D-dimer / fibrinogen ratio (DDFR) measured on admission could be used as a diagnostic marker of pulmonary embolism (PE) in coronavirus disease 2019 (COVID-19) patients. Material and Methods: This single-center, retrospective, case-control study was conducted with 204 COVID-19 patients (131 males, 73 females; mean age: 62±15.4 years; range, 28 to 97 years) between October 18, 2020, and December 18, 2020. Patients were followed during the hospital stay and for 30 days after discharge. The primary outcome was the occurrence of radiologically confirmed PE. The DDFR was calculated using the following formula: DDFR=D-dimer (ng/mL) / fibrinogen (mg/dL). Results: Six (2.9%) patients experienced PE during the follow-up. D-dimer had 63.6% sensitivity and 76.2% specificity on admission to predict thromboembolism at a cut-off of 1,375 ng/mL (area under the curve (AUC)=0.687, 95% confidence interval (CI): 0.530-0.845, p [Turk J Vasc Surg 2022; 31(3.000): 134-9]
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