An Emergency Department doctor tells you that he feels the patient can be discharged. He tells you this because he shows you the D-Dimer result, which is “negative”. The result is shown below.
|D-Dimer 0.08 (Normal range 0-0.18)|
Which of the following statements is true about D-Dimer testing in general patients with a suspected DVT?
a. Following a clinical assessment, clinicians should not rely on the test as a basis to ‘discharge’ or ‘investigate’
b. It is of no use in patients who have had recent surgery (e.g. within the last 12 weeks)
c. It is of no clinical use in patients with malignancy and secondary metastases
d. It can be used to discharge patients based on their underlying estimated clinical risk score
e. None of the listed answers are correct.