D-dimer levels for risk stratification in patients with suspected covid-19 - a prospective observational study
Standard
D-dimer levels for risk stratification in patients with suspected covid-19 - a prospective observational study. / Jauslin, Andrea S.; Kellett, John; Brabrand, Mikkel; Simon, Noemi R.; Rueegg, Marco; Twerenbold, Raphael; Osswald, Stefan; Bassetti, Stefano; Tschudin-Sutter, Sarah; Siegemund, Martin; Rentsch, Katharina; Bingisser, Roland; Nickel, Christian H.
In: Acute Medicine, Vol. 20, No. 3, 2021, p. 193-203.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - D-dimer levels for risk stratification in patients with suspected covid-19 - a prospective observational study
AU - Jauslin, Andrea S.
AU - Kellett, John
AU - Brabrand, Mikkel
AU - Simon, Noemi R.
AU - Rueegg, Marco
AU - Twerenbold, Raphael
AU - Osswald, Stefan
AU - Bassetti, Stefano
AU - Tschudin-Sutter, Sarah
AU - Siegemund, Martin
AU - Rentsch, Katharina
AU - Bingisser, Roland
AU - Nickel, Christian H.
N1 - Publisher Copyright: © 2021 Rila Publications Ltd.
PY - 2021
Y1 - 2021
N2 - Background: Elevated D-dimer levels have been observed in COVID-19 and are of prognostic value, but have not been compared to an appropriate control group. Methods: Observational cohort study including emergency patients with suspected or confirmed COVID-19. Logistic regression defined the association of D-dimer levels, COVID-19 positivity, age, and gender with 30-day-mortality. Results: 953 consecutive patients (median age 58, 43% women) presented with suspected COVID-19: 12 (7.4%) patients with confirmed SARS-CoV-2-infection died, compared with 28 (3.5%) patients without SARS-CoV-2-infection. Overall, most (56%) patients had elevated D-dimer levels (≥0.5mg/l). Age (OR 1.07, CI 1.05-1.10), D-dimer levels ≥0.5mg/l (OR 2.44, CI 0.98-7.39), and COVID-19 (OR 2.79, CI 1.28-5.80) were associated with 30-day-mortality. Conclusion: D-dimer levels are effective prognosticators in both patient groups.
AB - Background: Elevated D-dimer levels have been observed in COVID-19 and are of prognostic value, but have not been compared to an appropriate control group. Methods: Observational cohort study including emergency patients with suspected or confirmed COVID-19. Logistic regression defined the association of D-dimer levels, COVID-19 positivity, age, and gender with 30-day-mortality. Results: 953 consecutive patients (median age 58, 43% women) presented with suspected COVID-19: 12 (7.4%) patients with confirmed SARS-CoV-2-infection died, compared with 28 (3.5%) patients without SARS-CoV-2-infection. Overall, most (56%) patients had elevated D-dimer levels (≥0.5mg/l). Age (OR 1.07, CI 1.05-1.10), D-dimer levels ≥0.5mg/l (OR 2.44, CI 0.98-7.39), and COVID-19 (OR 2.79, CI 1.28-5.80) were associated with 30-day-mortality. Conclusion: D-dimer levels are effective prognosticators in both patient groups.
KW - COVID-19
KW - D-dimer levels
KW - NEWS
KW - prognosis
KW - risk-stratification
UR - http://www.scopus.com/inward/record.url?scp=85119685214&partnerID=8YFLogxK
U2 - 10.52964/AMJA.0864
DO - 10.52964/AMJA.0864
M3 - SCORING: Journal article
C2 - 34679137
AN - SCOPUS:85119685214
VL - 20
SP - 193
EP - 203
JO - Acute Medicine
JF - Acute Medicine
SN - 1747-4884
IS - 3
ER -