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. 2020 Nov 13;99(46):e23186. doi: 10.1097/MD.0000000000023186

Table 2.

Early D-dimer trends and associations with VTE.

A. Changes in D-dimer pre-VTE and association with VTE (N = 80)
1. Variable: Ceiling D-dimer (ng/mL) (pre-VTE or d10-14)
Threshold Sensitivity Specificity PPV NPV
1500 92 21.8 34.8 85.7
2000 80 32.7 35.1 78.2
3000 72 47.3 38.3 78.8
4000 72 58.2 43.9 82.1
5000 68 70.9 51.5 83
2. Variable: Delta D-dimer (ng/mL)
Threshold Sensitivity Specificity PPV NPV
100 96 32.7 39.3 94.7
250 92 34.5 39 90.5
500 84 40 38.9 84.6
1000 76 50.9 41.3 82.3
1500 64 56.4 40 77.5
2500 64 67.3 47.1 80.4
4500 96 32.7 56.8 79
3. Variable: Rate of D-dimer rise (delta d-dimer/d)
Threshold Sensitivity Specificity PPV NPV
90 84 50.9 44.5 87.5
150 72 61.8 46.1 82.9
300 60 74.5 51.7 80.4
500 56 83.6 60.1 80.7
B. D-dimer trends within the first 7 d of hospitalization and association with VTE (N = 78)
1. Variable: D-dimer (ng/mL) max d1–7
Threshold Sensitivity Specificity PPV NPV
1500 95 37.9 34.5 95.7
2000 75 53.4 35.7 86.1
2500 75 62.1 40.6 87.8
3000 70 63.8 40 86.1
4000 60 65.5 37.5 82.6
5000 55 69 38 81.6
2. Variable: D-dimer slope (ng/mL/d) d1–7
Threshold Sensitivity Specificity PPV NPV
100 85 50 37 90.6
150 85 60 42.3 92.1
200 70 66 41.5 86.5
300 50 74 40 81.1
1000 45 83 47.7 81.4