Effect of Using an Age-adjusted D-dimer to Assess for Pulmonary Embolism in Community Emergency Departments.
Ali GhobadiBryan LinVisanee V MusigdilokStacy J ParkDarryl E Palmer-ToyMichael K GouldDavid R VinsonDana M HutchisonAdam L SharpPublished in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2020)
Changing the laboratory-reported D-dimer reference intervals for evaluation of PE was not associated with reduction in advanced chest imaging and did not increase 30-day adverse events. However, there was substantial noncompliance with the age-adjusted reference intervals in the postintervention period likely blunting the impact of this intervention.