title: [Clinical and analytic diagnostic evaluation of deep venous thrombosis of the lower limbs].
abstract: 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.
authors.affiliation: Unidad de Medicina Interna, Hospital Costa del Sol, Marbella, Málaga. trujillo@hcs.es
authors.forename: A J
authors.initials: AJ
authors.lastname: Trujillo-Santos
authors.forename: M D
authors.initials: MD
authors.lastname: García de Lucas
authors.forename: R
authors.initials: R
authors.lastname: Ríos-Tamayo
authors.forename: A
authors.initials: A
authors.lastname: Jiménez-Puente
authors.forename: J E
authors.initials: JE
authors.lastname: García-Sánchez
mesh_terms: 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
chemical_list: D005338:Fibrin Fibrinogen Degradation Products