Age-Adjusted d-Dimer Cutoffs in Assessing Suspected Venous Thromboembolism
Paul S. Mueller, FACP. FACP.
Abstract
Paul S. Mueller, FACP. FACP.
Abstract
In patients with suspected venous thromboembolism (VTE), imaging is indicated if blood d-dimer concentrations are higher than the conventional cutoff (500 µg/L). However, d-dimer concentrations increase with age, resulting in more false-positive results in older patients. Indeed, evidence suggests that an age-adjusted cutoff (age × 10 µg/L) is more specific than the conventional cutoff (JW Gen Med Jul …
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In patients with suspected venous thromboembolism (VTE), imaging is indicated if blood d-dimer concentrations are higher than the conventional cutoff (500 µg/L). However, d-dimer concentrations increase with age, resulting in more false-positive results in older patients. Indeed, evidence suggests that an age-adjusted cutoff (age × 10 µg/L) is more specific than the conventional cutoff (JW Gen Med Jul …
Key concepts: Cutoff, Medicine, D-dimer, Venous thromboembolism, Age adjustment, Cardiology, Internal medicine, Thrombosis