Evaluation of serum D-dimer levels in children with pneumonia Pnömonili Çocuk olgularda D-dimer düzeylerinin değerlendirilmesi

KARTAL Ö., Duru N. S., ELEVLİ M., Çivilibal M., ŞAHİN K.

Haseki Tip Bulteni, cilt.54, sa.1, ss.26-31, 2016 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 54 Sayı: 1
  • Basım Tarihi: 2016
  • Doi Numarası: 10.4274/haseki.2736
  • Dergi Adı: Haseki Tip Bulteni
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.26-31
  • Anahtar Kelimeler: D-dimer, fibrinogen, pneumonia, acute-phase reactant
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Aim: The aim of this study was to investigate the relationship of plasma D-dimer levels with duration of hospitalization and radiological and laboratory findings in patients with pneumonia. Methods: Forty-seven patients with pneumonia (31 boys and 16 girls, mean age: 4.2±4.7 years) were included in the study. The patients were divided into two groups according to duration of hospitalization and three groups according to radiological findings. D-dimer and other laboratory findings were compared between the groups. Results: The mean serum D-dimer level was 1333.5±1364.4 ng/L. There was no statistically significant difference in D-dimer, leukocyte, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) between the groups divided according to duration of hospitalization. In addition, there was no statistically difference in D-dimer levels between the groups divided according to radiological findings. Age, percentage of neutrophils, ESR and fibrinogen levels were higher in patients with lobar pneumonia when compared with the other groups and CRP level was higher in lobar pneumonia group when compared to interstitial pneumonia group. D-dimer levels were negatively correlated with age and positively correlated with ESR, CRP, and fibrinogen. Conclusion: In our study, D-dimer levels were high in patient with pneumonia. Further studies with a larger number of patients are necessary to determine the role of D-dimer levels as an acutephase\ reactant in patients with pneumonia.