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Emergency Medicine Journal 2003;20:368-369; doi:10.1136/emj.20.4.368
© 2003 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORT

IL D-dimer test in the diagnosis of pulmonary embolism

Kerstin Hogg, Clinical Research Fellow and Russell Boyd, Consultant

Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; kevin.mackway-jones:man.ac.uk

Report by Kerstin Hogg, Clinical Research Fellow
Checked by Russell Boyd, Consultant

ABSTRACT

A short cut review was carried out to establish whether a negative IL D-dimer test alone could be used to rule out a diagnosis of pulmonary embolus. Six papers were found using the reported search, of which four presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.


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