Raised D-dimer among Admitted COVID-19 Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Dipesh Karki1, Roshani Gurung2, Prasanna Nepali3

  • 1Department of Medicine, Fishtail Hospital and Research Center Private Limited, Pokhara, Kaski, Nepal.

Insights

The prevalence of elevated D-dimer in hospitalized COVID-19 patients was 47.22%. This finding for D-dimer levels in COVID-19 patients was lower than in other similar studies.

Area of Science:

  • Medical Research
  • Infectious Diseases
  • Hematology

Background:

  • COVID-19 is associated with abnormal inflammatory biomarkers, including elevated D-dimer.
  • Elevated D-dimer levels in COVID-19 patients correlate with increased mortality risk.

Purpose of the Study:

  • To determine the prevalence of elevated D-dimer in COVID-19 patients admitted to a tertiary care center.

Main Methods:

  • A descriptive cross-sectional study was conducted between January and June 2021.
  • Data on D-dimer levels and demographics were collected from 180 hospitalized COVID-19 patients.
  • Convenience sampling and calculation of point estimates with 95% Confidence Intervals were employed.

Main Results:

  • Out of 180 COVID-19 patients, 85 (47.22%) exhibited elevated D-dimer levels.
  • The 95% Confidence Interval for the prevalence was 39.93% to 54.51%.

Conclusions:

  • The prevalence of raised D-dimer among admitted COVID-19 patients in this tertiary care center was 47.22%.
  • This prevalence was observed to be lower compared to findings in similar studies.
Abstract

Related Concept Videos

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
43
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
23
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
24
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
338
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
20
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
19