{"id":1985,"date":"2026-06-27T22:34:14","date_gmt":"2026-06-27T22:34:14","guid":{"rendered":"https:\/\/noonjs.laa.edu.ly\/?p=1985"},"modified":"2026-07-07T02:18:57","modified_gmt":"2026-07-07T02:18:57","slug":"article-view-27","status":"publish","type":"post","link":"https:\/\/noonjs.laa.edu.ly\/index.php\/2026\/06\/27\/article-view-27\/","title":{"rendered":"DIAGNOSTIC ACCURACY OF D-DIMER FOR PULMONARY EMBOLISM: DETERMINATION OF AN OPTIMAL HIGH CUT-OFF VALUE"},"content":{"rendered":"<p>Views: 108<\/p>\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1985\" class=\"elementor elementor-1985\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70f563e e-flex e-con-boxed e-con e-parent\" data-id=\"70f563e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-56e42df e-con-full e-flex e-con e-child\" data-id=\"56e42df\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9288c55 e-con-full e-flex e-con e-child\" data-id=\"9288c55\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-59a0f24 elementor-widget elementor-widget-text-editor\" data-id=\"59a0f24\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/noonjs.laa.edu.ly\/\">Home<\/a> \\ <a href=\"https:\/\/noonjs.laa.edu.ly\/index.php\/archives\/\">Archives<\/a>\\vol 2, No 1, 2026\\ Articles<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4746a70 elementor-widget elementor-widget-text-editor\" data-id=\"4746a70\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>DIAGNOSTIC ACCURACY OF D-DIMER FOR PULMONARY EMBOLISM: DETERMINATION OF AN OPTIMAL HIGH CUT-OFF VALUE<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fb52d1a e-con-full e-flex e-con e-child\" data-id=\"fb52d1a\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9d1dae2 e-con-full e-flex e-con e-child\" data-id=\"9d1dae2\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2bc334d elementor-widget__width-initial elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"2bc334d\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-user-friends\" viewBox=\"0 0 640 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M192 256c61.9 0 112-50.1 112-112S253.9 32 192 32 80 82.1 80 144s50.1 112 112 112zm76.8 32h-8.3c-20.8 10-43.9 16-68.5 16s-47.6-6-68.5-16h-8.3C51.6 288 0 339.6 0 403.2V432c0 26.5 21.5 48 48 48h288c26.5 0 48-21.5 48-48v-28.8c0-63.6-51.6-115.2-115.2-115.2zM480 256c53 0 96-43 96-96s-43-96-96-96-96 43-96 96 43 96 96 96zm48 32h-3.8c-13.9 4.8-28.6 8-44.2 8s-30.3-3.2-44.2-8H432c-20.4 0-39.2 5.9-55.7 15.4 24.4 26.3 39.7 61.2 39.7 99.8v38.4c0 2.2-.5 4.3-.6 6.4H592c26.5 0 48-21.5 48-48 0-61.9-50.1-112-112-112z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">ABDALBASET ALDEEP*, SEHAM ALBADRI, FATMA SOOF, ADEL  A. SOUED & HASSAN SULIMAN MUFTAH <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-university\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M496 128v16a8 8 0 0 1-8 8h-24v12c0 6.627-5.373 12-12 12H60c-6.627 0-12-5.373-12-12v-12H24a8 8 0 0 1-8-8v-16a8 8 0 0 1 4.941-7.392l232-88a7.996 7.996 0 0 1 6.118 0l232 88A8 8 0 0 1 496 128zm-24 304H40c-13.255 0-24 10.745-24 24v16a8 8 0 0 0 8 8h464a8 8 0 0 0 8-8v-16c0-13.255-10.745-24-24-24zM96 192v192H60c-6.627 0-12 5.373-12 12v20h416v-20c0-6.627-5.373-12-12-12h-36V192h-64v192h-64V192h-64v192h-64V192H96z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79f917d elementor-widget elementor-widget-text-editor\" data-id=\"79f917d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>DOI<\/b>:10.64587\/NOONSJ.v26i.813 \u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f06876 elementor-widget elementor-widget-button\" data-id=\"9f06876\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/noonjs.laa.edu.ly\/wp-content\/uploads\/2026\/07\/PDF_8_13_2026.pdf\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M369.9 97.9L286 14C277 5 264.8-.1 252.1-.1H48C21.5 0 0 21.5 0 48v416c0 26.5 21.5 48 48 48h288c26.5 0 48-21.5 48-48V131.9c0-12.7-5.1-25-14.1-34zM332.1 128H256V51.9l76.1 76.1zM48 464V48h160v104c0 13.3 10.7 24 24 24h104v288H48zm250.2-143.7c-12.2-12-47-8.7-64.4-6.5-17.2-10.5-28.7-25-36.8-46.3 3.9-16.1 10.1-40.6 5.4-56-4.2-26.2-37.8-23.6-42.6-5.9-4.4 16.1-.4 38.5 7 67.1-10 23.9-24.9 56-35.4 74.4-20 10.3-47 26.2-51 46.2-3.3 15.8 26 55.2 76.1-31.2 22.4-7.4 46.8-16.5 68.4-20.1 18.9 10.2 41 17 55.8 17 25.5 0 28-28.2 17.5-38.7zm-198.1 77.8c5.1-13.7 24.5-29.5 30.4-35-19 30.3-30.4 35.7-30.4 35zm81.6-190.6c7.4 0 6.7 32.1 1.8 40.8-4.4-13.9-4.3-40.8-1.8-40.8zm-24.4 136.6c9.7-16.9 18-37 24.7-54.7 8.3 15.1 18.9 27.2 30.1 35.5-20.8 4.3-38.9 13.1-54.8 19.2zm131.6-5s-5 6-37.3-7.8c35.1-2.6 40.9 5.4 37.3 7.8z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">pdf(Article)<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d913351 e-con-full e-flex e-con e-child\" data-id=\"d913351\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-79f4f67 e-con-full e-flex e-con e-child\" data-id=\"79f4f67\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-750ad99 e-con-full e-flex e-con e-child\" data-id=\"750ad99\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-437ae66 elementor-widget elementor-widget-text-editor\" data-id=\"437ae66\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Volume (2), Issue (1) , June 2026<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1c38b27 e-con-full e-flex e-con e-child\" data-id=\"1c38b27\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-156e467 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"156e467\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"724\" height=\"1024\" src=\"https:\/\/noonjs.laa.edu.ly\/wp-content\/uploads\/2025\/06\/\u0627\u0644\u0645\u062c\u0644\u06292025.png\" class=\"attachment-large size-large wp-image-174\" alt=\"\" srcset=\"https:\/\/noonjs.laa.edu.ly\/wp-content\/uploads\/2025\/06\/\u0627\u0644\u0645\u062c\u0644\u06292025.png 1414w, https:\/\/noonjs.laa.edu.ly\/wp-content\/uploads\/2025\/06\/\u0627\u0644\u0645\u062c\u0644\u06292025-212x300.png 212w\" sizes=\"(max-width: 724px) 100vw, 724px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-03ca3ff e-con-full e-flex e-con e-child\" data-id=\"03ca3ff\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f3379e0 elementor-widget elementor-widget-text-editor\" data-id=\"f3379e0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Published: 06\/30\/2026<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a9a42e9 e-con-full e-flex e-con e-child\" data-id=\"a9a42e9\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3356830 elementor-widget elementor-widget-text-editor\" data-id=\"3356830\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>Abstract: <\/b>It might be difficult to diagnose acute pulmonary embolism (APE) in a timely manner since it is a potentially lethal illness. The preferred modality is now computed tomography pulmonary angiography (CTPA), which adds to the growing strain on CT scanners in emergency rooms.Objective: To evaluate the diagnostic role of D-dimer and determine an optimal cut-off value for predicting PE and retain a high sensitivity and negative predictive value (NPV) while lowering the need for CTPA.Methods: A retrospective analysis was conducted on 70 patients. Demographic data, D-dimer levels, and PE status were analyzed. ROC curve analysis was used to determine the optimal cut-off value, and sensitivity, specificity, PPV, and NPV were calculated. The results showed that the mean age was 57.8 \u00b1 18.86 years, with 71.4% females. PE was present in 31.4% of patients. The optimal D-dimer cut-off value was 3500 ng\/ml, yielding a sensitivity of 90.9%, specificity of 95.8%, PPV of 90.9%, and NPV of 95.8%. Higher D-dimer levels were associated with proximal PE. It is concluded that D-dimer demonstrated excellent diagnostic accuracy for PE. A higher cut-off value improved specificity while maintaining high sensitivity, supporting its clinical utility in both ruling in and ruling out PE.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fcdde03 e-con-full e-flex e-con e-child\" data-id=\"fcdde03\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fb14522 elementor-widget elementor-widget-text-editor\" data-id=\"fb14522\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>Keywords<\/b>: Computed tomography; pulmonary embolism; sensitivity<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6ac3bcc e-con-full e-flex e-con e-child\" data-id=\"6ac3bcc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a90316a elementor-widget elementor-widget-text-editor\" data-id=\"a90316a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>References<\/strong><\/p><p>Abcarian, P.W., Sweet, J. D., Watabe, J.T., &amp; Yoon, H.-C. (2004). Role of a quantitative D-dimer assay in determining the need for CT angiography of acute pulmonary embolism. AJR. American Journal of Roentgenology, 182(6), 1377\u20131381.<\/p><p>Arularasu, P., Sekar, G., &amp; Nagesh, N.J. (2024). Precision in pulmonary embolism diagnosis: Leveraging D-dimer levels with computed tomography pulmonary angiography (CTPA) insights. Cureus, 16(8), Article e67765. <a href=\"https:\/\/doi.org\/10.7759\/cureus.67765\">https:\/\/doi.org\/10.7759\/cureus.67765.<\/a><\/p><p>Douma, R.A., le Gal, G., S\u00f6hne, M., Righini, M., Kamphuisen, P.W., Perrier, A., Kruip, M.J., Bounameaux, H., B\u00fcller, H. R., &amp; Roy, P. M. (2010). Potential of an age adjusted D-dimer cut-off value to improve the exclusion of pulmonary embolism in older patients: a retrospective analysis of three large cohorts. BMJ (Clinical research ed.), 340, c1475. <a href=\"https:\/\/doi.org\/10.1136\/bmj.c1475\">https:\/\/doi.org\/10.1136\/bmj.c1475<\/a><\/p><p>Gao, H., Liu, H., &amp; Li, Y. (2018). Value of D-dimer levels for the diagnosis of pulmonary embolism: An analysis of 32 cases with computed tomography pulmonary angiography. Experimental and Therapeutic Medicine, 16(2), 1554\u20131560.<\/p><p>Gimber, L.H., Leong, J., Todoki, L., &amp; Yoon, H.-C. (2013). Avoiding unnecessary pulmonary CT angiography by using a combination of clinical criteria and D-dimer thresholds. Open Journal of Radiology, 3(2), 78\u201384.<\/p><p>Ji, Y., Sun, B., Juggessur-Mungur, K.S., Li, Z., &amp; Zhang, Z. (2014). Correlation of D-dimer level with the radiological severity indexes of pulmonary embolism on computed tomography pulmonary angiography. Chinese Medical Journal, 127(11), 2022\u20132027.<\/p><p>Kearon, C., de Wit, K., Parpia, S., Schulman, S., Afilalo, M., Hirsch, A., Spencer, F.A., Sharma, S.D\u2019Aragon, F., Deshaies, J.-F., Le Gal, G., Lazo-Langner, A., Wu, C., Rudd-Scott, L., Bates, S. M., &amp; Julian, J. A. (2019). Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability. New England Journal of Medicine, 381(22), 2125\u20132134. <a href=\"https:\/\/doi.org\/10.1056\/nejmoa1909159\">https:\/\/doi.org\/10.1056\/nejmoa1909159<\/a> Konstantinides, S. V., Meyer, G., Becattini, C., Bueno, H., Geersing, G. J., Harjola, V. P., Huisman, M. V., Humbert, M., Jennings, C.S., Jim\u00e9nez, D., Kucher, N., Lang, I.M., Lankeit, M., Lorusso, R., Mazzolai, L., Meneveau, N., \u00c1inle, F. N., Prandoni, P., Pruszczyk, P., Righini, M., \u2026 (2019). The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC) (2019). 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(2016). Elevated d-dimer cut-off values for computed tomography pulmonary angiography\u2013d-dimer correlates with location of embolism. Annals of Translational Medicine, 4(11), Article 212. <a href=\"https:\/\/doi.org\/10.21037\/atm.2016.05.55\">https:\/\/doi.org\/10.21037\/atm.2016.05.55.<\/a><\/p><p>Righini, M., Es, J.V., Exter, P.L.D., Roy, P.-M., Verschuren, F., Ghuysen, A., Rutschmann, O.T., Sanchez,<\/p><p>O., Jaffrelot, M., Trinh-Duc, A., Gall, C.L., Moustafa, F., Principe, A., Houten, A.A.V., Wolde, M.T., Douma, R.A., Hazelaar, G., Erkens, P.M.G., Kralingen, K.W.V., &amp; Grootenboers, M.J. J.H. (2014). Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism: The ADJUST-PE Study, 311(11), 1117\u20131124. <a href=\"https:\/\/doi.org\/10.1001\/jama.2014.2135\">https:\/\/doi.org\/10.1001\/jama.2014.2135<\/a><\/p><p>Schouten, H.J., Geersing, G.J., Koek, H.L., Zuithoff, N.P.A., Janssen, K.J.M., Douma, R.A., van Delden, J.J.M., Moons, K.G.M., &amp; Reitsma, J.B. (2013). Diagnostic accuracy of conventional or age adjusted D-dimer cut-off values in older patients with suspected venous thromboembolism: systematic review and meta-analysis. BMJ, 346(may03 1), f2492\u2013f2492. <a href=\"https:\/\/doi.org\/10.1136\/bmj.f2492\">https:\/\/doi.org\/10.1136\/bmj.f2492<\/a><\/p><p>Sikora-Skrabaka, M., Skrabaka, D., Ruggeri, P., Caramori, G., Skoczy\u0144ski, S., &amp; Barczyk, A. (2019). D-dimer value in the diagnosis of pulmonary embolism\u2014may it exclude only? Journal of Thoracic Disease, 11(3), 664\u2013672.<\/p><p>Stein, P.D., Fowler, S.E., Goodman, L.R., Gottschalk, A., Hales, C.A., Hull, R.D., Leeper, K.V., Jr,<\/p><p>Popovich, J., Jr, Quinn, D.A., Sos, T.A., Sostman, H.D., Tapson, V.F., Wakefield, T.W., Weg, J.G., Woodard, P. K., &amp; PIOPED II Investigators (2006). Multidetector computed tomography for acute pulmonary embolism. The New England journal of medicine, 354(22), 2317\u20132327. <a href=\"https:\/\/doi.org\/10.1056\/NEJMoa052367\">https:\/\/doi.org\/10.1056\/NEJMoa052367<\/a><\/p><p>Stuppner, S., &amp; Ruiu, A. (2019). Correlation of acute pulmonal embolism with D-dimer levels and the diameter of the pulmonary trunk in thoracic multislice computed tomography: A single-centre retrospective analysis of 100 patients. Polish Journal of Radiology, 84, e347\u2013e352. <a href=\"https:\/\/doi.org\/10.5114\/pjr.2019.88330\">https:\/\/doi.org\/10.5114\/pjr.2019.88330.<\/a><\/p><p>Talabani, S.S.H., &amp; AlZuhairy, A.K.A. (2025). Role of CT pulmonary angiography in clinically suspected cases of acute pulmonary embolism: Correlation with Wells score. Journal of Pioneering Medical Sciences, 14(5), 41\u201349. <a href=\"https:\/\/doi.org\/10.47310\/jpms2025140508\">https:\/\/doi.org\/10.47310\/jpms2025140508.<\/a><\/p><p>van der Hulle, T., Cheung, W.Y., Kooij, S., Beenen, L.F.M., van Bemmel, T., van Es, J., Faber, L. M., Hazelaar, G.M., Heringhaus, C., Hofstee, H., Hovens, M.M.C., Kaasjager, K.A.H., van Klink, R.C. J., Kruip, M.J.H.A., Loeffen, R.F., Mairuhu, A.T.A., Middeldorp, S., Nijkeuter, M., van der Pol, L.M., Schol-Gelok, S., \u2026 YEARS study group (2017). Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. Lancet (London, England), 390(10091), 289\u2013297. <a href=\"https:\/\/doi.org\/10.1016\/S0140-6736(17)30885-1\">https:\/\/doi.org\/10.1016\/S0140-6736(17)30885-1.<\/a><\/p><p>Vural, N., \u00c7ete, Y., &amp; Duyan, M. (2022). Correlation of pulmonary embolism with D-dimer level and determination of cut-off values according to age. Anatolian Journal of Emergency Medicine, 5(4), 153\u2013<\/p><ol start=\"159\"><li><a href=\"https:\/\/doi.org\/10.54996\/anatolianjem.1063767\">https:\/\/doi.org\/10.54996\/anatolianjem.1063767.<\/a><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Views: 108 Home Archivesvol 2, No 1, 2026 Articles DIAGNOSTIC ACCURACY OF D-DIMER FOR PULMONARY EMBOLISM: DETERMINATION OF AN OPTIMAL HIGH CUT-OFF VALUE ABDALBASET ALDEEP*, SEHAM ALBADRI, FATMA SOOF, ADEL A. SOUED &#038; HASSAN SULIMAN MUFTAH DOI:10.64587\/NOONSJ.v26i.813 \u00a0 pdf(Article) Volume (2), Issue (1) , June 2026 Published: 06\/30\/2026 Abstract: It might be difficult to diagnose &#8230; <a title=\"DIAGNOSTIC ACCURACY OF D-DIMER FOR PULMONARY EMBOLISM: DETERMINATION OF AN OPTIMAL HIGH CUT-OFF VALUE\" class=\"read-more\" href=\"https:\/\/noonjs.laa.edu.ly\/index.php\/2026\/06\/27\/article-view-27\/\" aria-label=\"Read more about DIAGNOSTIC ACCURACY OF D-DIMER FOR PULMONARY EMBOLISM: DETERMINATION OF AN OPTIMAL HIGH CUT-OFF VALUE\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[69],"tags":[],"class_list":["post-1985","post","type-post","status-publish","format-standard","hentry","category-vol2"],"_links":{"self":[{"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/posts\/1985","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/comments?post=1985"}],"version-history":[{"count":10,"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/posts\/1985\/revisions"}],"predecessor-version":[{"id":2301,"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/posts\/1985\/revisions\/2301"}],"wp:attachment":[{"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/media?parent=1985"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/categories?post=1985"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/noonjs.laa.edu.ly\/index.php\/wp-json\/wp\/v2\/tags?post=1985"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}