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10743

The Utility of Fibrinogen/C-reactive protein Ratio versus D-dimer and Fibrin Degradation Product in Diagnosis of Overt Disseminated Intravascular Coagulation in Intensive Care Un

Article

Last updated: 03 Jan 2025

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Abstract

Background: Coagulopathies in ICU are one of the most common complications in ICU. DIC is one of the most threatening coagulopathies in ICU.It is accompanied with high mortality rates in ICU.Early diagnosis of DIC is very important for early intervention for better prognosis.DIC is caused by several pathologies like sepsis, trauma, obstetric causes and malignancies. Aim of the Work: to compare between the sensitivity between fibrinogen/CRP ratio and FDP and D-dimer. Patients and Methods: After obtaining approval from the medical ethical committee at Ain Shams University, this observational prospective study was conducted at Ain Shams University Intensive Care Units. The study included 70 patients in Demerdash ICU after including patients with ISTH score ≥5.  2 samples were collected from each patient. Results: The results were in favor to the classical parameters of diagnosis of overt DIC in comparison with the new parameter of DIC. It showed that D-dimer and FDPs together were more sensitive than fibrinogen/CRP ratio. Conclusion: The D-dimer and FDP tests offered the best test panel in the diagnosis of DIC especially in overt DIC due to their high sensitivity.

DOI

10.21608/ejhm.2018.10743

Keywords

Fibrinogen, C-reactive protein, D-Dimer, fibrin degradation product, overt disseminated intravascular coagulation, ICU

Authors

First Name

Sherif W.

Last Name

Nashed

MiddleName

-

Affiliation

Department of Anesthesiology, Faculty of Medicine – Ain Shams University

Email

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City

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Orcid

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First Name

Ahmed A.

Last Name

Elshebieny

MiddleName

-

Affiliation

Department of Anesthesiology, Faculty of Medicine – Ain Shams University

Email

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City

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Orcid

-

First Name

Mohammed M.

Last Name

Maarouf

MiddleName

-

Affiliation

Department of Anesthesiology, Faculty of Medicine – Ain Shams University

Email

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City

-

Orcid

-

First Name

Nancy R.

Last Name

Nawar

MiddleName

-

Affiliation

Department of Anesthesiology, Faculty of Medicine – Ain Shams University

Email

nancy_raouf1@hotmail.com

City

-

Orcid

-

Volume

72

Article Issue

9

Related Issue

2085

Issue Date

2018-07-01

Receive Date

2018-08-11

Publish Date

2018-07-01

Page Start

5,210

Page End

5,214

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_10743.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=10743

Order

12

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Utility of Fibrinogen/C-reactive protein Ratio versus D-dimer and Fibrin Degradation Product in Diagnosis of Overt Disseminated Intravascular Coagulation in Intensive Care Un

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Article

Created At

22 Jan 2023