[A national Danish guideline for age-adjusted fibrin D-dimer cut-off values in the diagnosis of venous thrombosis]

Ugeskr Laeger. 2018 Apr 9;180(15):V10170751.
[Article in Danish]

Abstract

Evidence has been gathered that use of an age-adjusted fibrin D-dimer cut-off value for patients above 50 years of age for ruling out deep venous thrombosis is just as safe as using a standard fibrin D-dimer cut-off value. Due to the lower number of false-positive results when using the age-adjusted cut-off values, it is therefore nationally recommended in Denmark that systematic use of a pretest clinical score is supported by fibrin D-dimer measurements using age-adjusted cut-off values for every ten-year interval in patients above 50 years of age, i.e. 0.6 mg/l fibrinogen equivalent units (FEU) for patients being 55-65 years of age, 0.7 mg/l FE/l for patients being 65-75 years and 0.8 mg/l FEU for patients above 75 years of age.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Denmark
  • Fibrin Fibrinogen Degradation Products / analysis*
  • Humans
  • Middle Aged
  • Practice Guidelines as Topic*
  • Pulmonary Embolism / blood
  • Pulmonary Embolism / diagnosis
  • Reference Standards
  • Venous Thrombosis / blood
  • Venous Thrombosis / diagnosis*

Substances

  • Biomarkers
  • Fibrin Fibrinogen Degradation Products
  • fibrin fragment D