Nybo Mads, Hvas Anne-Mette
Ugeskr Laeger. 2018 Apr 9;180(15).
Evidence has been gathered that use of an age-adjusted fibrin D-dimer cut-off value for patients above 50 years of age for ruling out deep venous thrombosis is just as safe as using a standard fibrin D-dimer cut-off value. Due to the lower number of false-positive results when using the age-adjusted cut-off values, it is therefore nationally recommended in Denmark that systematic use of a pretest clinical score is supported by fibrin D-dimer measurements using age-adjusted cut-off values for every ten-year interval in patients above 50 years of age, i.e. 0.6 mg/l fibrinogen equivalent units (FEU) for patients being 55-65 years of age, 0.7 mg/l FE/l for patients being 65-75 years and 0.8 mg/l FEU for patients above 75 years of age.
已有证据表明,对于50岁以上患者,使用年龄调整后的纤维蛋白D - 二聚体临界值排除深静脉血栓形成与使用标准纤维蛋白D - 二聚体临界值一样安全。由于使用年龄调整后的临界值时假阳性结果数量较少,因此丹麦全国建议,对于50岁以上患者,每十年间隔使用年龄调整后的临界值进行纤维蛋白D - 二聚体测量,即55 - 65岁患者为0.6 mg/l纤维蛋白原当量单位(FEU),65 - 75岁患者为0.7 mg/l FEU,75岁以上患者为0.8 mg/l FEU,以此来支持系统使用检测前临床评分。