Can age-adjusted D-dimer be used to decrease the CTPA burden in a general hospital?

K. Bartolo (Msida, Malta), C. Cannataci (Msida, Malta), C. Zammit (Msida, Malta), J. Azzopardi (Msida, Malta), J. Cassar (Msida, Malta), P. Grech (Msida, Malta), G. Borg (Msida, Malta), B. Caruana Montaldo (Msida, Malta)

Source: International Congress 2018 – Diagnosis, prognostication and treatment of pulmonary embolism
Session: Diagnosis, prognostication and treatment of pulmonary embolism
Session type: Thematic Poster
Number: 3118
Disease area: Pulmonary vascular diseases

Congress or journal article abstract

Rating: 0
You must login to grade this presentation.

Share or cite this content

Citations should be made in the following way:
K. Bartolo (Msida, Malta), C. Cannataci (Msida, Malta), C. Zammit (Msida, Malta), J. Azzopardi (Msida, Malta), J. Cassar (Msida, Malta), P. Grech (Msida, Malta), G. Borg (Msida, Malta), B. Caruana Montaldo (Msida, Malta). Can age-adjusted D-dimer be used to decrease the CTPA burden in a general hospital?. 3118

You must login to share this Presentation/Article on Twitter, Facebook, LinkedIn or by email.

Member's Comments

No comment yet.
You must Login to comment this presentation.


Related content which might interest you:
Does simplified Well’s score combined with age-adjusted d-dimer reduce inappropriate CT pulmonary angiogram and incidence of contrast induced nephropathy?
Source: International Congress 2018 – Acute pulmonary embolism: from diagnosis to treatment
Year: 2018



Is it really save to apply the age-adjusted D-dimer cutoff for ruling out pulmonary embolism?
Source: International Congress 2017 – Prognostic factors and outcomes in pulmonary embolism
Year: 2017

Prevalence of pulmonary embolism on hospital admission in COVID-19 patients: is there a role for pre-test probability scores and home treatment?
Source: Eur Respir J, 58 (2) 2100785; 10.1183/13993003.00785-2021
Year: 2021



Age-Adjusted D-Dimer Cut Off: Could this prove cost-effective and safe for our Emergency Units?Authors:Mills M, Downey C ,  Townley S, Kasis A, Dutt T, Gautam M.Introduction:A D-dimer test result (conventionally up to 500 µg/L) is an important component of the diagnostic work-up for patients with suspected VTE, however, it is well known that D-Dimer levels rise with age. Although a negative D-Dimer in conjunction with a clinical probability score can be effective at excluding DVT/PE, studies have proposed that the use of an age-adjusted cut off can increase the number of patients excluded from further testing with a low likelihood of subsequent VTE.This study looked at unselected D-dimer requests from the Emergency department (ED) for patients with suspected DVT/PE to assess the potential impact of introducing age-adjusted D-dimer cut off limits.
Source: International Congress 2017 – Prognostic factors and outcomes in pulmonary embolism
Year: 2017

Community acquired pneumonia in the emergency department: Comparison of clinical indication to in-hospital treatment and severity scales predicting mortality
Source: Annual Congress 2012 - Respiratory infections: prognosis and outcome
Year: 2012

Pulmonary Embolism: Incidence, spectrum of CTPA findings, and correlation of D-dimers with embolus location. Is age-adjusted D-dimers cutoff a better screening method?
Source: Virtual Congress 2021 – Insights into pulmonary embolism
Year: 2021



Prevalence of pulmonary embolism in patients with COVID-19 at the time of hospital admission and role for pre-test probability scores and home treatment
Source: Eur Respir J, 58 (2) 2101033; 10.1183/13993003.01033-2021
Year: 2021



Comparison of prospective scores for predicting mortality and hospital admission in hospitalised patients and out-patients with CAP
Source: Annual Congress 2005 - Community-acquired pneumonia: clinical approaches
Year: 2005


Should there be an age adjusted D-dimer cut-off value in diagnosing thromboembolic disease? A retrospective analysis
Source: Annual Congress 2012 - Pulmonary circulation: acute and chronic pulmonary embolism
Year: 2012

Accelerated FEV1 decline and risk of cardiovascular disease and mortality in a primary care population of COPD patients
Source: Eur Respir J, 57 (3) 2000918; 10.1183/13993003.00918-2020
Year: 2021



Telemonitoring in outpatients with COPD: a retrospective analysis of the effect on exacerbation rate, hospital admission and overall healthcare consumption using myCOPDcoach
Source: Virtual Congress 2020 – Monitoring of patients with COPD
Year: 2020


Physical activity assessed in routine care predicts mortality after a COPD hospitalisation
Source: ERJ Open Res 2016
Year: 2016



Utility of D-Dimer for mortality prediction in patients at risk for pulmonary hypertension
Source: Virtual Congress 2020 – Clinical evaluation, biomarkers and risk assessment of pulmonary hypertension
Year: 2020

Can a telemonitoring system lead to decreased hospital admissions in elderly patients?
Source: International Congress 2018 – Integrating pharmacological and non-pharmacological management in COPD: are we there yet?
Year: 2018



The correlation of pulmonary function tests and exercise testing with high resolution computed tomography in patients with idiopathic interstitial pneumonia in a tertiary care hospital in south India
Source: Annual Congress 2012 - Idiopathic pulmonary fibrosis
Year: 2012


Deaths in risk classes I-III: a measure of quality of care in patients hospitalised with CAP?
Source: Eur Respir J 2004; 23: 103-105
Year: 2004



Validation of C-Reactive protein and CURB-65 in the first hospital admission community acquired-pneumonia patient  as a predictor of 30 days mortality
Source: International Congress 2018 – Improving the outcomes of community-acquired pneumonia
Year: 2018

Mortality after hospitalisation for COVID19, and identification of prognostic factors on admission that increase mortality risk
Source: Virtual Congress 2021 – COVID - 19
Year: 2021


Assessment of prognostic scores for 30-day mortality prediction in hospitalised patients with health care associated pneumonia (HCAP)
Source: Annual Congress 2010 - The prognosis of community-acquired pneumonia: old and new markers of severity
Year: 2010

The sensitivity of D-dimer testing versus multislice CT in the diagnosis of postpartum pulmonary embolism in symptomatic high risk women
Source: Annual Congress 2011 - Clinical features of pulmonary thromboembolism
Year: 2011