[Monitoring after total hip prosthesis. Value of semi-quantitative D-dimer assay].
Criteria for positive assay of the D-dimer were defined in order to establish its diagnostic value for phlebitis in the post-operative period. A retrospective study was carried out on the files of 94 patients who had received a total hip prosthesis in 1990. A semi-quantitative assay technique was used to measure the D-dimer because it is the only method giving immediate results. Three criteria were used to classify the results: criterium A: D-dimer greater than or equal to 2 micrograms/ml; criterium B: D-dimer greater than or equal to 4 times the preceding test; absence of both of these criteria. The results were compared to echo-doppler results and confirmed by phlebography when necessary. The incidence of proximal phlebitis was low (2 percent); criterium B showed a 100 percent negative predictability and a 29 percent positive predictability. None of the cases of phlebitis diagnosed with this test had been suspected clinically. This test provides a means of patient screening and spares the need for other explorations.
Levy
G
G
Laboratoire du Département d'Anesthésie-Réanimation, CHU Timone, Marseille.
Levy
P Y
PY
Monin
P
P
Nivelleau
E
E
Auquier
P
P
Tessier
J L
JL
Moghrabi
A
A
Dravet
F
F
Colombani
G
G
Duyck
J P
JP
D015150:Echocardiography, Doppler; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008991:Monitoring, Physiologic; D010689:Phlebitis / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology / Q000517:prevention & control*; D010690:Phlebography; D011182:Postoperative Care; D011237:Predictive Value of Tests; D012189:Retrospective Studies
D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D
Surveillance après prothèse totale de hanche. Intérêt du dosage semi-quantitatif du D-dimère.