Evidence map›Paper›PMID 35118733›Full record

SynthesisJournal of clinical laboratory analysis2022

The correlation of D-dimer to stroke diagnosis within 24 hours: A meta-analysis.

Adeel Ahmad, Zara Islam, Saad Manzoor Ahmad, Zouina Sarfraz, Azza Sarfraz, Miguel Felix, Ivan Cherrez-Ojeda

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of clinical laboratory analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Assessing the Impact of D-Dimer on Stroke Diagnosis Within 24 h.Journal of clinical laboratory analysis · 2024
    Article
  8. Review
  9. Clinical Significance and Dynamic Change of Coagulation Parameters in Ischemic Stroke Patients Treated with Intravenous Thrombolysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 2 countries.

Adeel AhmadShalamar Medical and Dental College, Lahore, Pakistan.
Zara IslamSahiwal Medical College, Sahiwal, Pakistan.
Saad Manzoor AhmadCMH Lahore Medical College & Institute of Dentistry, Lahore, Pakistan.
Zouina SarfrazFatima Jinnah Medical University, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-5132-7455
Azza SarfrazThe Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-8206-5745
Miguel FelixUniversidad Espíritu Santo, Samborondón, Ecuador.ORCID https://orcid.org/0000-0002-2243-3646
Ivan Cherrez-OjedaUniversidad Espíritu Santo, Samborondón, Ecuador.ORCID https://orcid.org/0000-0002-1610-239X
Universidad de Especialidades Espíritu Santo · ECAga Khan University · PKCMH Lahore Medical College and Institute of Dentistry · PKFatima Jinnah Medical University · PKRashid Latif Medical College · PKShalamar Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosing D-Dimer early is essential to optimize clinical treatment and quality of life and reduce mortality. This study aims to identify the difference of D-Dimer levels (ng/ml) in patients with stroke within the 6- and 24-h period compared to patients that mimic stroke.

methodsAn electronic database search across PubMed/MEDLINE, Cochrane, Web of Science, CINAHL, EMBASE, and Scopus was conducted until December 10, 2021. Studies were eligible if they included adult patients with stroke compared to stroke mimics or controls reporting D-Dimer values. Quality assessment was conducted using GRADE. The standardized mean difference and 95% confidence intervals were calculated in addition to the difference of means in the crude form. Heterogeneity was assessed using Cochran's Q statistic and the I

resultsOut of 2901, there were 318 (11%) participants from upper-middle-income countries, whereas the others were from high-income countries. Large positive effect size was found for D-Dimer in the stroke group (Cohen's d = 2.82 [1.73-3.9]; p < 0.00001), meaning that those with stroke had higher D-Dimer values on presentation compared to the stroke mimics/controls. A large difference in means was found in the two groups (MD = 685.1 [324.2, 1045.99]; p < 0.00001), suggesting that there was a significantly higher laboratory value in the stroke group.

conclusionOur findings must be used in caution as the most reliable diagnostic tests for stroke are CT and MRI. Laboratory testing such as D-Dimer values is a valuable clinical adjuvant in diagnosing total stroke.

Indexed as

Quality of LifeStrokeAdultFibrin Fibrinogen Degradation ProductsHumansFibrin Fibrinogen Degradation Productsfibrin fragment DcardiovascularD-dimerdiagnostichematologicallaboratorystroke

Identifiers

PMID35118733
PMCPMC8906038
OpenAlexW4210767107

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.