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Record W4408274976 · doi:10.4081/ecj.2025.13407

Association between “D-dimeritis” in the emergency department and COVID-19 hospital burden

2025· article· en· W4408274976 on OpenAlexaff
Giuseppe Lippi, Alessandra Chiara Francesca Ferrari, Antonio Maccagnani, Ciro Paolillo

Bibliographic record

VenueEmergency Care Journal · 2025
Typearticle
Languageen
FieldMedicine
TopicGenital Health and Disease
Canadian institutionsUniversity Hospital Foundation
Fundersnot available
KeywordsMedicineEmergency departmentCoronavirus disease 2019 (COVID-19)Emergency medicine2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Medical emergencyInternal medicineVirologyOutbreakNursingDiseaseInfectious disease (medical specialty)

Abstract

fetched live from OpenAlex

This study analyzed D-dimer tests requested by the two emergency departments of the University Hospital Trust of Verona during the Coronavirus disease 2019 (COVID-19) pandemic. Our findings show that the aggregate monthly number of D-dimer test requests from both emergency departments increased significantly (+39%) in 2021 compared to 2019, followed by a steady decline until 2024, when the aggregate monthly test requests were nearly threefold lower than before the pandemic. A strong association was observed between monthly D-dimer test requests and ICU admissions for COVID-19 in Verona (r=0.90; p=0.037), whereas no significant correlation was found with COVID-19 positive cases (r=0.11; p=0.855) or COVID-19 hospitalizations (r=0.70; p=0.118) in Verona. These results suggest that the heightened severity of COVID-19 cases during the early pandemic phase was a key driver of increased D-dimer test requests, while the subsequent decline may reflect reduced disease burden, improved test appropriateness through enhanced healthcare staff education, and a better understanding of COVID-19 pathophysiology.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation 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 score0.055
Threshold uncertainty score0.814

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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 head0.014
GPT teacher head0.343
Teacher spread0.329 · 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 teacher head, 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
Published2025
Admission routes1
Has abstractyes

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