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Record W4239834426 · doi:10.21203/rs.2.13557/v1

Effectiveness of D-dimer test for detecting deep venous thrombosis in pregnant women with threatened premature delivery and abortion

2019· preprint· en· W4239834426 on OpenAlexaff
Haruka Kawauchi, Morikazu Miyamoto, Takahiro Sakamoto, Masaya Nakatsuka, Hiroko Matsuura, Hiroaki Soyama, Hiroki Ishibashi, Hideki Iwahashi, Masashi Yoshida, Kazuki Takasaki, Hidenori Sasa, Masashi Takano

Bibliographic record

VenueResearch Square · 2019
Typepreprint
Languageen
FieldMedicine
TopicVenous Thromboembolism Diagnosis and Management
Canadian institutionsNational Defence Medical Centre
Fundersnot available
KeywordsThreatened abortionObstetricsAbortionMedicineD-dimerThreatened speciesVenous thrombosisPregnancyVenous thromboembolismThrombosisSurgeryBiology

Abstract

fetched live from OpenAlex

Abstract Background Deep vein thrombosis (DVT) in pregnant women often developed pulmonary thrombosis, which could lead to death if detection and treatment are delayed. Thus, early detection and treatment of detect DVT in pregnant women should be performed. The aim of our study was to investigate the normal range of D-dimer levels and identify the cutoff value of D-dimer to detect DVT in pregnant women with threatened premature delivery and abortion.Methods All singleton pregnant women hospitalized for longer than 4 days due to threatened premature delivery and abortion were identified. D-dimer levels were measured at least once per week from hospitalization to delivery. We classified pregnant women into DVT or non-DVT group.Results In our study, 335 pregnant women were included. A total of 3722 blood samples were obtained. There were 6 women in the DVT group and 329 in the non-DVT group. There were more women complicated with thrombophilia in the DVT group (p<0.01). The means and standard deviations of D-dimer levels in the non-DVT group were 1.75±0.19 μg/mL before 28 weeks, 2.75±0.1 μg/mL from 28 to 35 weeks, and 3.22±0.21 μg/mL after 35 weeks. When the cutoff value of the D-dimer to detect DVT was set at 4.8 μg/mL, the sensitivity and specificity were 100% and 85.86%, respectively.Conclusion D-dimer levels of pregnant women with threatened premature delivery and abortion gradually increased as gestational age progressed. The appropriate D-dimer cut-off levels might be useful in the detection of DVT.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.012
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.011

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.012
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.032
GPT teacher head0.348
Teacher spread0.316 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2019
Admission routes1
Has abstractyes

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