| The value of D-dimer test in the diagnosis of patients with nontraumatic acute abdomen. | |
| | |
MedLine Citation:
|
PMID: 20209391 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: A patient with acute abdominal pain requires rapid evaluation. In these patients, it is very important to distinguish between surgical and nonsurgical pathology. Our aim was to compare the accuracy of the leukocyte count and D-dimer test in the diagnosis of acute abdomen. METHODS: In this prospective study, 225 patients admitted to the emergency unit due to nontraumatic acute abdomen between June 2006 and November 2007 were evaluated. The patients were divided into two groups: Group 1 patients who needed immediate laparotomy and Group 2 patients who did not. Age, gender, leukocyte count, D-dimer level, causes of acute abdominal pain, and operative findings were investigated. P values of <0.05 were considered statistically significant. RESULTS: There was a positive correlation between the plasma D-dimer level and leukocyte count. D-dimer acted similarly to the leukocyte count in emergency abdominal conditions. The area under the receiver operating characteristic curve was statistically higher with the D-dimer test (p<0.0001). Additionally, in patients needing immediate laparotomy, the sensitivity of the D-dimer test was 95.7% versus 74.8% for leukocyte counts. CONCLUSION: In a patient with acute abdomen, D-dimer test may be a strong alternative or an adjuvant to the leukocyte count. |
| | |
Authors:
|
Hizir Yakup Akyildiz; Erdo?an S?z?er; Alper Akcan; Can K???k; Tarik Artis; Ismail Biri; Namik Yilmaz |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Volume: 16 ISSN: 1306-696X ISO Abbreviation: Ulus Travma Acil Cerrahi Derg Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2010-03-08 Completed Date: 2010-03-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101274231 Medline TA: Ulus Travma Acil Cerrahi Derg Country: Turkey |
Other Details:
|
Languages: eng Pagination: 22-6 Citation Subset: IM |
Affiliation:
|
Department of General Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey. hyakyildiz@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdomen, Acute
/
blood,
diagnosis*,
surgery Abdominal Pain / diagnosis, surgery Acute Disease Diagnosis, Differential Female Fibrin Fibrinogen Degradation Products / analysis* Humans Laparotomy / utilization Leukocyte Count / utilization* Male Middle Aged Predictive Value of Tests Prospective Studies ROC Curve |
| Chemical | |
Reg. No./Substance:
|
0/Fibrin Fibrinogen Degradation Products; 0/fibrin fragment D |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The biochemical effectiveness of N-acetylcysteine in experimental spinal cord injury in rats.
Next Document: Mannheim Peritonitis Index and APACHE II - Prediction of outcome in patients with peritonitis.