Follow-up and retrospective analysis of the results of patients with HİGH D-dimer value and discharged with no emergency pathology

The aim of our study is to retrospectively examine the patient in the emergency room in terms of morbidity and treatment in the follow-up period after the discharge of the patient with a high D-dimer value and no disease pathology. Patients over the age of 18, who applied to Bursa Uludağ University Faculty of Medicine in the two-year period between January 2018 and December 2019, were included in the study. Cases with high D-dimer values and no pathology detected and discharged were considered as the patient group. As the control group, it consisted of patients who were D-dimer negative and no pathology was found and were discharged. A total of 594 cases, 297 of which were D-dimer (+) and 297 D-dimer (-), were included in the study. While the rate of patients in the D-dimer (-) group was 1.68% (n=5), this rate was 56 18.86% (n=56) in the D-dimer (+) group, the difference was statistically significant (p=0.001) . The most common diseases in the dimer (+) group were pneumonia (n=11) and Coronary Artery Disease (n=5). While the exitus rate was 1.68% (n=5) in the D-dimer (-) group, this rate was 11.78% (n=35) in the D-dimer (+) group, and the difference was statistically significant (p=0.001). As a result, both morbidity and mortality rates were found to be statistically significantly higher in the D-dimer positive group.