[Clinical and analytic diagnostic evaluation of deep venous thrombosis of the lower limbs].
BACKGROUND
Diagnosis of deep-vein thrombosis (DVT) of lower limbs has changed in recent years. The objective of our study was to analyze the diagnostic accuracy of a combination of clinical and epidemiological data and the D-Dimer plasma levels in this entity.


METHODS
Clinical (symptoms and signs) and epidemiological data, personal and family history, and D-dimer plasma levels or positivity were reviewed, on the admittance, in 108 patients to whom a phlebography was performed due to a suspected DVT.


RESULTS
Phlebography was positive in 76 cases (70.37%). Logistic regression analysis determined a prediction model of the diagnostic of DVI including a combination of both D-dimer plasma levels or positivity and pain along the deep venous involved area.


CONCLUSIONS
Combination of D-dimer testing and pain along the distribution of the deep venous area is useful as an initial diagnostic approach to the DVI of the lower limbs.
Trujillo-Santos
A J
AJ
Unidad de Medicina Interna, Hospital Costa del Sol, Marbella, Málaga. trujillo@hcs.es
García de Lucas
M D
MD
Ríos-Tamayo
R
R
Jiménez-Puente
A
A
García-Sánchez
J E
JE
D000368:Aged; D003627:Data Interpretation, Statistical; D005260:Female; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D013924:Thrombophlebitis / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging
D005338:Fibrin Fibrinogen Degradation Products