Assessing the Impact of D‐Dimer on Stroke Diagnosis Within 24 h
2024

Impact of D-Dimer on Stroke Diagnosis

Sample size: 3 publication Evidence: moderate

Author Information

Author(s): I‐Shiang Tzeng, Yiang Giou‐Teng, Wu Meng‐Yu, Chen Mao‐Liang

Primary Institution: Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation

Hypothesis

Does D-Dimer level within 24 hours effectively differentiate between stroke patients and stroke mimics?

Conclusion

The study suggests that D-Dimer levels may help in diagnosing strokes, but more research is needed to confirm these findings.

Supporting Evidence

  • The analysis revealed a positive effect size for D-Dimer in the stroke group.
  • The updated results showed SMD = 0.49; 95% CI = [0.03, 0.95]; and p = 0.045.
  • Correlation does not imply causation, highlighting the need for careful interpretation of results.

Takeaway

D-Dimer is a blood test that might help doctors tell if someone has had a stroke, but we need more studies to be sure.

Methodology

The study reanalyzed data from previous meta-analyses using random effects models with Hartung and Knapp adjustments.

Potential Biases

Potential small-study bias due to the limited number of studies included in the meta-analysis.

Limitations

The small number of studies included in the analysis increases the risk of bias and limits the robustness of the findings.

Statistical Information

P-Value

0.045

Confidence Interval

[0.03, 0.95]

Statistical Significance

p=0.045

Digital Object Identifier (DOI)

10.1002/jcla.25133

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