Research Article

Age-Adjusted D-Dimer in the Prediction of Pulmonary Embolism: Does a Normal Age-Adjusted D-Dimer Rule Out PE?

Table 1

Characteristics of the study population.

Patient characteristicNo PE ( = 768)PE ( = 126)

Age (years)55.5 (17.4)58.8 (14.7)
Gender (, %)
Female440 (57.3%)58 (46%)
Male328 (42.7%)68 (54%)
(mean +/− SD)95.4 (4.9)94.5 (4.9)
92.4 (51.7)89.9 (52.4)
40.2 (12.1)39.8 (12.1)
A-a gradient117.2 (145.5)132.2 (111.1)
D-Dimer1066.7 (2121.7)4029 (7037.1)
Wells rule3.8 (2.1)5.6 (2.5)
Geneva score5.8 (2.6)7.9 (3.4)
Symptom (, %)
CP336 (43.7%)41 (32.5%)
SOB389 (50.6%)80 (63.5%)
Unknown36 (4.7%)5 (4%)
Stasis (, %)
499 (65.0%)77 (61.1%)
+262 (34.1%)49 (38.9%)
Surgery/fracture (, %)
683 (88.9%)114 (90.5%)
+68 (8.9%)12 (9.5%)
Signs of DVT (, %)
681 (88.6%)83 (65.9%)
+80 (10.4%)43 (34.1%)
Hemoptysis (, %)
737 (95.9%)120 (95.2%)
+24 (3.1%)6 (4.8%)
Cancer (, %)
554 (72.1%)82 (65.1%)
+205 (26.6%)44 (34.9%)
Unilateral limb pain (, %)
719 (93.6%)97 (77%)
+42 (5.5%)29 (23%)
Previous DVT/PE (, %)
664 (86.4%)97 (77%)
+97 (12.6%)29 (23%)
PNA (WBC CXR) (, %)
610 (79.4%)109 (86.5%)
+151 (19.7%)17 (13.5%)
COPD (PCO2 Wheeze) (, %)
677 (88.1%)116 (92.1%)
+83 (10.8%)10 (7.9%)
ACS/HF (, %)
641 (83.5%)110 (87.3%)
+120 (15.6%)16 (12.7%)
Other diagnosis (, %)
716 (93.2%)122 (96.8%)
+34 (4.4%)3 (2.4%)
Heart rate (, %)
≤100366 (47.6%)55 (43.7%)
>100392 (51%)71 (56.3%)
SpO2
Under 7596 (12.5%)11 (8.7%)
75–94199 (25.9%)33 (26.2%)
95 or Above463 (60.8%)82 (65.1%)

CP: chest pain; SOB: shortness of breath; PNA: pneumonia; COPD: chronic obstructive pulmonary disease; ACS/HF: acute coronary syndrome/heart failure.