title: [Monitoring after total hip prosthesis. Value of semi-quantitative D-dimer assay].
abstract: 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.
authors.affiliation: Laboratoire du Département d'Anesthésie-Réanimation, CHU Timone, Marseille.
authors.forename: G
authors.initials: G
authors.lastname: Levy
authors.forename: P Y
authors.initials: PY
authors.lastname: Levy
authors.forename: P
authors.initials: P
authors.lastname: Monin
authors.forename: E
authors.initials: E
authors.lastname: Nivelleau
authors.forename: P
authors.initials: P
authors.lastname: Auquier
authors.forename: J L
authors.initials: JL
authors.lastname: Tessier
authors.forename: A
authors.initials: A
authors.lastname: Moghrabi
authors.forename: F
authors.initials: F
authors.lastname: Dravet
authors.forename: G
authors.initials: G
authors.lastname: Colombani
authors.forename: J P
authors.initials: JP
authors.lastname: Duyck
mesh_terms: 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
chemical_list: D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D
vernacular_title: Surveillance après prothèse totale de hanche. Intérêt du dosage semi-quantitatif du D-dimère.