Retrospective Analysis of Follow-up and Results of Patients with High D-Dimer Value and Discharged without Emergency Pathology

Authors : Fulya Büşra KAVAL, Halil İbrahim ÇIKRIKLAR, Vahide Aslıhan DURAK, Issa OMAR, Burak KURTOĞLU, Erol ARMAGAN

Pages : 135-140

Doi:10.46310/tjim.1169467

View : 14 | Download : 10

Publication Date : 2023-04-29

Article Type : Research Paper

Abstract :Background This study aimed to retrospectively examine the morbidity and mortality rates after discharge of patients who applied to the emergency department with high D-dimer values but had no pathology upon evaluation. Material and Methods Patients over the age of 18 who applied to Bursa Uludağ University Faculty of Medicine Emergency Department with preliminary diagnosis of pulmonary embolism in a two-year period between January 2018 and December 2019 were included in the study. The patient group consisted of cases with high D-dimer levels while the control group inluded patients with negative D-dimer and no pathology on discharge. Results A total of 594 cases; 297 D-dimer positive insert ignore into journalissuearticles values(+); and 297 D-dimer negative insert ignore into journalissuearticles values(-);, were included in the study. A significant difference existed between the percentage of patients developing illness post-discharge in the D-dimer insert ignore into journalissuearticles values(+); 18.86% insert ignore into journalissuearticles values(n=56); and D-dimer insert ignore into journalissuearticles values(-); 1.68% insert ignore into journalissuearticles values(n=5); groups, respectively. The most common illness identified in the dimer insert ignore into journalissuearticles values(+); group after discharge up was pneumonia insert ignore into journalissuearticles values(n=11);, followed by Coronary Artery Disease insert ignore into journalissuearticles values(n=5);. Death rate was 1.68% insert ignore into journalissuearticles values(n=5); in the D-dimer insert ignore into journalissuearticles values(-); group and 11.78% insert ignore into journalissuearticles values(n=35); in the D-dimer insert ignore into journalissuearticles values(+); group; a statistically significant difference insert ignore into journalissuearticles values(p=0.001);. Conclusions In conclusion, both morbidity and mortality rates were found to be significantly higher in the D-dimer positive group.
Keywords : Emergency Service, Pulmonary Embolism, D dimer, Prognosis