title: Performance of the automated and rapid STA Liatest D-dimer on the STA-R analyzer.
abstract: OBJECTIVE
  The aim of the present study was to investigate the accuracy indices of the new automated and rapid microlatex D-dimer assay, STA Liatest D-Di, on the STA-R analyzer and to compare it with established D-dimer assays.
  
  
  METHODS
  D-dimer testing has been performed in 103 consecutive outpatients with suspected deep venous thrombosis (DVT). Diagnosis of DVT was established by contrast venography or color-coded duplex ultrasonography. D-dimers plasma concentrations were measured with the STA Liatest D-Di on the STA-R coagulation analyzer, with a reference ELISA technique (Asserachrom), with an automated quantitative latex-based immunoassay (Tinaquant) and with the VIDAS D-dimer test.
  
  
  RESULTS
  In total, 103 eligible outpatients entered the current study and DVT was detected in 46 patients (44.6%). Two duplicate D-dimer measurement with the STA Liatest D-Di revealed excellent correlation (r(S)=0.996) and almost identical sensitivity (each 98%), specificity (49% and 50%), negative predictive value (NPV; each 97%), positive predictive value (PPV; 61% and 62%) and exclusion rate (27% and 28%), respectively. Comparison of the STA Liatest D-Di with the other D-dimer tests revealed highly significant correlations (r(S)=0.951-0.979), highly comparable regression and excellent agreement in clinical interpretation of the test results (kappa coefficients 0.812-0.856). Moreover, sensitivity, specificity, NPV, PPV and exclusion rate at a cut-off level of 500 ng/ml were in the same range for the STA Liatest D-Di when compared with the other D-dimer tests.
  
  
  CONCLUSIONS
  The Liatest D-Di performed on the coagulation analyzer STA-R compares favorable with the VIDAS, Tinaquant and Asserachrom D-dimer tests and is suitable for the safe exclusion of DVT in symptomatic outpatients. The test can be included in an algorithm for DVT diagnosis including other diagnostic tools.
authors.affiliation: Division of Hematology and Central Hematology Laboratory, Kantonsspital Luzern, 6000 Luzern 16, Switzerland.
authors.forename: Gregor
authors.initials: G
authors.lastname: Waser
authors.forename: Silvio
authors.initials: S
authors.lastname: Kathriner
authors.forename: Walter A
authors.initials: WA
authors.lastname: Wuillemin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001331:Automation; D001780:Blood Coagulation Tests / Q000295:instrumentation* / Q000592:standards; D003937:Diagnosis, Differential; D004797:Enzyme-Linked Immunosorbent Assay / Q000592:standards; D005260:Female; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D020246:Venous Thrombosis / Q000175:diagnosis*
chemical_list: D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D