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Articles and journal scans about D-dimer
Article
July 2014
Point-of-care testing in the emergency department with emphasis on chest pain patients
The management at the emergency department of patients presenting with symptoms of chest pain and/or acute dyspnea accounts for a substantial proportion of emergency care resources.
In the work-up of these patients the blood measurements of cardiac troponins and brain natriuretic peptides are recommended by current...
D-dimer
Troponins
Natriuretic peptide
Article
July 2014
The value of point-of-care testing in deteriorating ward patients
Point-of-care testing (POCT) for key laboratory variables may help clinicians assess the level of acuteness and the level of care necessary in the management of deteriorating ward patients.
We used a multibiomarker POCT panel including B-type natriuretic peptide (BNP), D-dimer, myoglobin (Myo), creatine kinase MB...
Cardiac markers
Point-of-care testing
Coagulation/fibrinolysis
D-dimer
Troponins
Natriuretic peptide
Kidneys/fluids
Article
October 2013
Age-adjustment of the D-dimer cut-off value to improve the exclusion of thromboembolic events in older patients
With increasing age, an unspecific rise of fibrin degradation product in blood is observed. Thus, the D-dimer test to rule out thromboembolic events has a high false positive rate in elderly patients.
In 2010, Douma et al introduced a formula to adjust D-dimer cut-off values for age in outpatients >50 years: Age ×...
Coagulation/fibrinolysis
D-dimer
Journal Scan
October 2013
Causes of increased D-dimer
D-dimers are protein products of cross-linked fibrin degradation that are present in the blood of most healthy individuals in only negligible amounts (of the order 100-200 ng/mL). As objective evidence of increased fibrinolysis, elevated blood concentration of D-dimer is by extension evidence of intravascular...
D-dimer
Article
September 2013
Developing quality control strategies based on risk management: The CLSI EP23 guideline
How do errors occur in the laboratory and what can we do to prevent errors?
Any test can and will fail if incorrectly performed or operated under the wrong conditions. The role of the laboratory director is to determine those conditions and to understand test limitations in order to prevent laboratory errors....
Point-of-care testing
Quality assurance
Hemoglobins
D-dimer
Troponins
Article
July 2013
A regional program for POCT service to emergency departments – results and remaining challenges
In a regional top-management decision, our laboratory was given the mission to control and quality assure all POCT activities in a regional network of 10 hospitals with emergency units. Based on previous work, new region-wide recommendations, procurements, IT connectivity, services, training, accreditation (ISO...
Process optimization
Point-of-care testing
Blood gases/acid-base
Glucose
Lactate
Creatinine/urea
D-dimer
CRP
Article
June 2013
How to optimize patient flow and outcome in ED - The impact of point of care
Emergency Department (ED) overcrowding is becoming an increasingly international issue.
Although the problem is not only resolved by ED change management (but rather requires a system-wide solution recognizing the complex interdependencies of consumer expectations, human resources, information systems immaturity and...
Point-of-care testing
Process optimization
Blood gases/acid-base
Electrolytes
Cardiac markers
Glucose
Hemoglobins
Bilirubin
D-dimer
Troponins
Article
April 2013
POCT of NT-proBNP in patients with renal disease
Point of care (POC) testing has become an important part of nephrological care. In cases of acute renal failure, POC is indispensible in deciding the need for dialysis, but is also essential in the management of patients on regular dialysis.
For example, hyperhydration, cardiovascular adverse events and inflammation...
Point-of-care testing
Cardiac markers
Glucose
Hemoglobins
D-dimer
Troponins
CRP
Natriuretic peptide
Kidneys/fluids
Article
January 2013
Impact of Quick Diagnosis Unit Integrated in an Emergency Department Setting
BACKGROUND: Hospitals in countries with public health systems have recently adopted organizational changes to improve efficiency and resource allocation, and reducing inappropriate hospitalizations has been established as an important goal, as well as avoiding or buffering overcrowding in Emergency Departments.
AIMS: ...
Process optimization
Point-of-care testing
Glucose
Lactate
Creatinine/urea
Hemoglobins
D-dimer
Article
October 2012
Point-of-Care Testing: Making Innovation Work for Patient-Centered Care
Chris Price and Andrew St John have followed their book Point-of-Care Testing for Managers and Policymakers with another look at the subject from strategic vision to change management and implementation in Point-of-Care Testing: Making Innovation Work for Patient-Centered Care.
In their latest book the authors give...
Point-of-care testing
Information management
Cardiac markers
Glucose
D-dimer
Preanalytical phase