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D-Dimer in Acute Mesenteric Venous Thrombosis: A Prospective Case-Control International Multicenter Study

Acosta, Stefan LU orcid ; Reintam Blaser, Annika ; Nuzzo, Alexandre ; Soltanzadeh-Naderi, Yasmin LU orcid ; Starkopf, Joel ; Forbes, Alastair ; Murruste, Marko ; Tamme, Kadri ; Voomets, Anna-Liisa and Koitmäe, Merli , et al. (2024) In Biomarker Insights 19.
Abstract
Background:
Acute mesenteric venous thrombosis (MVT) is rarely suspected as primary diagnosis in emergency departments and still carries an in-hospital mortality rate of above 20%.
Objectives:
The aim of this study was to find differences in clinical and laboratory markers between patients with acute MVT and a control group of suspected but confirmed as not having any type of acute mesenteric ischaemia (AMI).
Design:
Data was retrieved from the AMESI (Acute MESenteric Ischaemia) study. This international, multicenter prospective case-control study from 32 sites collected data on patients with suspected AMI during a 10-month period.
Methods:
Independent factors associated with acute MVT were evaluated in a... (More)
Background:
Acute mesenteric venous thrombosis (MVT) is rarely suspected as primary diagnosis in emergency departments and still carries an in-hospital mortality rate of above 20%.
Objectives:
The aim of this study was to find differences in clinical and laboratory markers between patients with acute MVT and a control group of suspected but confirmed as not having any type of acute mesenteric ischaemia (AMI).
Design:
Data was retrieved from the AMESI (Acute MESenteric Ischaemia) study. This international, multicenter prospective case-control study from 32 sites collected data on patients with suspected AMI during a 10-month period.
Methods:
Independent factors associated with acute MVT were evaluated in a multivariable logistic regression analysis and expressed as odds ratios (OR) with 95% confidence intervals (CI).
Results:
D-dimer was not significantly higher in MVT (n = 73) compared to non-AMI (n = 287) patients (median 7.0 mg/L vs 4.5 mg/L, P = .092). After entering BMI, atherosclerotic disease, history of venous thromboembolism, CRP, and D-dimer as covariates in a multi-variable logistic regression analysis, absence of atherosclerotic disease (OR 0.096, 95% CI 0.011-0.84; P = .034) and elevated D-dimer (OR 2.59/one SD increment, 95% CI 1.07-6.28; P = .034) were associated with MVT. The discriminative ability of D-dimer for MVT as assessed by area under the curve in the receiver operating characteristics analysis was 0.63 (95% CI 0.49-0.78).
Conclusion:
Elevated D-dimer was associated with MVT, but the discriminative ability of D-dimer was poor. There is an urgent need to find a more accurate plasma biomarker for this condition. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Biomarker Insights
volume
19
publisher
Libertas Academica
external identifiers
  • pmid:39600492
  • scopus:85211182294
ISSN
1177-2719
DOI
10.1177/11772719241296631
language
English
LU publication?
yes
id
88afd706-2a0e-4dd7-9522-73796b8a3ba6
date added to LUP
2024-12-02 21:07:58
date last changed
2025-04-04 14:49:32
@article{88afd706-2a0e-4dd7-9522-73796b8a3ba6,
  abstract     = {{Background:<br/>Acute mesenteric venous thrombosis (MVT) is rarely suspected as primary diagnosis in emergency departments and still carries an in-hospital mortality rate of above 20%.<br/>Objectives:<br/>The aim of this study was to find differences in clinical and laboratory markers between patients with acute MVT and a control group of suspected but confirmed as not having any type of acute mesenteric ischaemia (AMI).<br/>Design:<br/>Data was retrieved from the AMESI (Acute MESenteric Ischaemia) study. This international, multicenter prospective case-control study from 32 sites collected data on patients with suspected AMI during a 10-month period.<br/>Methods:<br/>Independent factors associated with acute MVT were evaluated in a multivariable logistic regression analysis and expressed as odds ratios (OR) with 95% confidence intervals (CI).<br/>Results:<br/>D-dimer was not significantly higher in MVT (n = 73) compared to non-AMI (n = 287) patients (median 7.0 mg/L vs 4.5 mg/L, P = .092). After entering BMI, atherosclerotic disease, history of venous thromboembolism, CRP, and D-dimer as covariates in a multi-variable logistic regression analysis, absence of atherosclerotic disease (OR 0.096, 95% CI 0.011-0.84; P = .034) and elevated D-dimer (OR 2.59/one SD increment, 95% CI 1.07-6.28; P = .034) were associated with MVT. The discriminative ability of D-dimer for MVT as assessed by area under the curve in the receiver operating characteristics analysis was 0.63 (95% CI 0.49-0.78).<br/>Conclusion:<br/>Elevated D-dimer was associated with MVT, but the discriminative ability of D-dimer was poor. There is an urgent need to find a more accurate plasma biomarker for this condition.}},
  author       = {{Acosta, Stefan and Reintam Blaser, Annika and Nuzzo, Alexandre and Soltanzadeh-Naderi, Yasmin and Starkopf, Joel and Forbes, Alastair and Murruste, Marko and Tamme, Kadri and Voomets, Anna-Liisa and Koitmäe, Merli and Bala, Miklosh and Bodnar, Zsolt and Casian, Dumitru and Demetrashvili, Zaza and Biloslavo, Alan and Hess, Benjamin and Kase, Karri and Lindner, Matthias and Loudet, Cecilia I and Damaskos, Dimitrios and Björck, Martin}},
  issn         = {{1177-2719}},
  language     = {{eng}},
  month        = {{11}},
  publisher    = {{Libertas Academica}},
  series       = {{Biomarker Insights}},
  title        = {{D-Dimer in Acute Mesenteric Venous Thrombosis: A Prospective Case-Control International Multicenter Study}},
  url          = {{http://dx.doi.org/10.1177/11772719241296631}},
  doi          = {{10.1177/11772719241296631}},
  volume       = {{19}},
  year         = {{2024}},
}