Table 2.
Thromboembolic outcomes in accuracy studies
Potential testing schemes | Study, year | d-dimer test | No of patients (No of venous thromboembolism events) | Three month cumulative incidence of venous thromboembolism in% (95% CI) |
---|---|---|---|---|
Low clinical probability and a normal d-dimer result
|
|
|
|
|
Bucek et al., 200297 | STA-LIA | 48 (0) | 0.0 (0 to 7.4) | |
Kraaijenhagen et al., 200298 | SimpliRED | 561 (10) | 1.8 (0.9 to 3.2) | |
Shields et al., 200299 | SimpliRED | 32 (0) | 0.0 (0.0 to 10.1) | |
Wells et al., 1998100 | SimpliRED | 206 (1) | 0.5 (0.0 to 2.7) | |
Ginsberg et al., 1997101 | SimpliRED | 178 (1) | 0.6 (0.0 to 3.1) | |
Anderson et al., 20009 | SimpliRED | 97 (0) | 0.0 (0.0 to 3.7) | |
Pooled.* | ||||
Included patients with history of deep vein thrombosis
|
|
|
1.3 (0.5 to 2.3)
|
|
Excluded patients with history of deep vein thrombosis
|
|
|
0.3 (0.01 to 1.1)
|
|
Moderate clinical probability and a normal d-dimer result
|
|
|
|
|
Shields et al, 200299 | SimpliRED | 20 (0) | 0.0 (0.0 to 16.8) | |
Wells et al, 1998100 | SimpliRED | 87 (3) | 3.4 (0.7 to 9.8) | |
Ginsberg et al, 1997101 | SimpliRED | 97 (3) | 3.1 (0.6 to 8.8) | |
Anderson et al, 20009 | SimpliRED | 51 (3) | 5.9 (1.2 to 16.2) | |
Pooled† | ||||
High probability and a normal d-dimer result | ||||
Shields et al, 200299 | SimpliRED | 7 (2) | 29 (3.7 to 71.0) | |
Wells et al, 1998100 | SimpliRED | 7 (1) | 14.3 (0.4 to 57.9) | |
Ginsberg et al, 1997101 | SimpliRED | 5 (2) | 40.0 (5.3 to 85.3) | |
Anderson et al, 20009 | SimpliRED | 15 (2) | 13.3 (1.7 to 40.5) | |
Pooled† | 21.0 (8.0 to 37.0) |
P value comparing studies that excluded and included patients with history of deep vein thrombosis was significant, P=0.04.
P value comparing studies that excluded and included patients with history of deep vein thrombosis were not significant (P=0.5 for moderate probability and P=0.3 for high probability).