| D-dimers, thrombin-antithrombin complexes, and risk factors for thromboembolism in hospitalized patient. | |
| | |
MedLine Citation:
|
PMID: 18796458 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: There is lack of data about the correlation between hemostatic markers and the clinical and biological risk factors (RFs) for venous thromboembolism (VTE) in medical inpatients without suspicion of acute VTE. MATERIAL AND METHODS: To evaluate the coagulation activation status in patients with current known RFs for VTE, the authors measured 2 markers of hypercoagulability, thrombin antithrombin (TAT) complexes and D-dimers, at day 1 in 165 patients hospitalized in internal medicine wards without suspected acute VTE. All known RFs for VTE were systematically assessed at admission and classified in a chronological way as permanent or transient. RESULTS: Surprisingly, TAT values followed a multimodal distribution. D-dimers showed a normal distribution after a logarithmic transformation (P = .34, Shapiro-Wilk test). Interestingly, a significant progression in D-dimer levels was found according to the chronological classification of RFs. D-dimer variations on multivariate analysis (not applicable for TAT because of the multimodal distribution) correlated independently with a recent inability to walk and an increase in C reactive protein level more than 10 mg/L. CONCLUSIONS: (a) this study is the first to describe the variations of hypercoagulability markers according to a systematic screening of RFs for VTE in inpatients without suspicion of acute VTE, (b) TAT appeared as a less relevant marker of hypercoagulability than D-dimers in internal medicine inpatients, (d) the chronological classification of RFs identified clearly groups at risk for the prethrombotic state, and (d) an increased hypercoagulability state was demonstrated in patients with an association between a recent immobility and increased inflammatory markers. |
| | |
Authors:
|
Pierre Pottier; Marc Fouassier; Jean-Benoit Hardouin; Christelle Volteau; Bernard Planchon |
Related Documents
:
|
14527888 - Prothrombotic disorders in patients with mesenteric vein thrombosis. 17886248 - Is radiologic placement of an arm port mandatory in oncology patients?: analysis of a l... 17726318 - Argatroban therapy in patients with coronary artery disease and heparin-induced thrombo... 2311328 - Incidence of pulmonary embolism in elderly patients newly admitted to an acute geriatri... 10440458 - Weight gain: side effect of atypical neuroleptics? 1906938 - Intestinal mucosal permeability in inflammatory rheumatic diseases. i. role of antiinfl... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-09-15 |
Journal Detail:
|
Title: Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis Volume: 15 ISSN: 1938-2723 ISO Abbreviation: Clin. Appl. Thromb. Hemost. Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2009-11-20 Completed Date: 2010-02-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9508125 Medline TA: Clin Appl Thromb Hemost Country: United States |
Other Details:
|
Languages: eng Pagination: 666-75 Citation Subset: IM |
Affiliation:
|
Department of Internal Medicine, Nantes University-Hospital Centre, Nantes, France. pierre.pottier@univ-nantes.fr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Antithrombin III Biological Markers / blood C-Reactive Protein / analysis Female Fibrin Fibrinogen Degradation Products / analysis* Hemostasis Humans Inflammation / blood Inpatients Male Middle Aged Multivariate Analysis Normal Distribution Paresis Peptide Hydrolases / blood* Risk Factors Thromboembolism / blood* Thrombophilia / blood, diagnosis |
| Chemical | |
Reg. No./Substance:
|
0/Biological Markers; 0/Fibrin Fibrinogen Degradation Products; 0/antithrombin III-protease complex; 0/fibrin fragment D; 9000-94-6/Antithrombin III; 9007-41-4/C-Reactive Protein; EC 3.4.-/Peptide Hydrolases |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Type and Location of Venous Thromboembolism in Carriers of Factor V Leiden or Prothrombin G20210A Mu...
Next Document: Ocular vascular thrombotic events: a diagnostic window to familial thrombophilia (compound factor V ...