Evidence map›Paper›PMID 37653556›Full record

Observational studyJournal of orthopaedic surgery and research2023

D-dimer-albumin ratio (DAR) as a new biomarker for predicting preoperative deep vein thrombosis after geriatric hip fracture patients.

Wei Yao, Kaihua Zhang, Qiaomei Lv, Ziyang Deng, Wenbo Ding

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 10 citations in OpenAlex.

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  12. Predictive Value of D-Dimer for In-Hospital Mortality in Non-Diabetic Patients with Non-ST-segment Elevation Myocardial Infarction.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  13. New Predictive Model and Predictors for Perioperative Deep Vein Thrombosis Formation in Fractures of the Lower Extremity Versus Traditional Scoring.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

5 authors at 2 institutions in 1 country.

Wei Yao *Department of Orthopedics, Dandong Central Hospital, China Medical University, Dandong, China.
Kaihua Zhang *Department of Orthopedics, Third Affiliated Hospital of Jinzhou Medical University, Jinzhou, China.
Qiaomei LvDepartment of Oncology, Dandong Central Hospital, China Medical University, Dandong, China.
Ziyang DengDepartment of Orthopedics, Third Affiliated Hospital of Jinzhou Medical University, Jinzhou, China. dzy_23@126.com.
Wenbo DingDepartment of Orthopedics, Dandong Central Hospital, China Medical University, Dandong, China. dwb98003007@163.com.
China Medical University · CNJinzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHip fractures in the elderly are complicated by preoperative deep vein thrombosis (DVT). The objective of this study is to determine the usefulness of blood-based biomarkers, particularly the D-dimer-albumin ratio (DAR), in predicting preoperative DVT.

methodsA retrospective observational study was carried out on 1149 patients from a single hospital, and subsequently validated on an additional 626 patients from a separate hospital. The aim was to evaluate the prognostic and predictive value of 10 biomarkers, with a specific emphasis on DAR, in both cohorts. The primary measure of interest was the occurrence of preoperative DVT.

resultsThe ratio of D-dimer to albumin demonstrated superior predictive capability for preoperative DVT in older patients with hip fractures compared to other biomarkers (AUC = 0.677). Using the optimal cutoff point of 0.24, high DAR was significantly associated with preoperative DVT (OR 3.45, 95% CI 2.00-5.95). Notably, all the DAR definitions detailed above were successfully validated in an external, independent cohort.

conclusionsDAR may be a valuable biomarker for predicting preoperative DVT in elderly patients with hip fractures.

Indexed as

Hip FracturesVenous ThrombosisAgedAlbuminsBiomarkersFibrin Fibrinogen Degradation ProductsHumansAlbuminsBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DD-dimer-albumin ratioGeriatricHip fracturePreoperative deep vein thrombosisPrognosis

Identifiers

PMID37653556
PMCPMC10470167
OpenAlexW4386329452

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.