Publication: Prevalance of Elevated D-dimer Levels in Confirmed COVID-19 Cases in Intensive Care Unit of a Tertiary Care Centre of Western Nepal
| creativeworkseries.issn | JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X | |
| dc.contributor.author | Khatri, Prabin | |
| dc.contributor.author | Agrawal, Krishna Kumar | |
| dc.contributor.author | Chhetri, Pradip | |
| dc.contributor.author | Sharma, Dipesh | |
| dc.contributor.author | Neupane, Aryan | |
| dc.contributor.author | Piryani, Rano Mal | |
| dc.contributor.author | Baral, Pawan Puspa | |
| dc.contributor.author | Sapkota, Suman Raj | |
| dc.contributor.author | Banjade, Ashish | |
| dc.contributor.author | Chhetri, Ashmita | |
| dc.contributor.author | Bhandari, Subarna | |
| dc.contributor.author | Bharali, Swaraj | |
| dc.date.accessioned | 2026-03-13T05:12:50Z | |
| dc.date.available | 2026-03-13T05:12:50Z | |
| dc.date.issued | 2021 | |
| dc.description | Prabin Khatri Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal Krishna Kumar Agrawal Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal https://orcid.org/0000-0002-4148-6903 Dipesh Sharma Karuna Hospital. Kathmandu, Nepal https://orcid.org/0000-0002-9032-2219 Pradip Chhetri Department of Community Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal Aryan Neupane Universal College of Medical Sciences, Bhairahawa, Nepal https://orcid.org/0000-0002-6893-7444 Rano Mal Piryani Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal https://orcid.org/0000-0003-2574-7226 Pawan Puspa Baral Department of Anesthesiology, Universal College of Medical Sciences, Bhairahawa, Nepal https://orcid.org/0000-0002-0876-5468 Suman Raj Sapkota Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal Ashish Banjade Universal College of Medical Sciences, Bhairahawa, Nepal https://orcid.org/0000-0001-9138-174X Ashmita Chhetri Universal College of Medical Sciences, Bhairahawa, Nepal Subarna Bhandari Universal College of Medical Sciences, Bhairahawa, Nepal Swaraj Bharali Universal College of Medical Sciences, Bhairahawa, Nepal | |
| dc.description.abstract | Abstract: Introduction: D-dimer is currently the best available marker for COVID-19 associated hemostatic abnormalities. This study aims to find out the prevelance of elevated D-dimer levels in confirmed COVID-19 cases in intensive care unit of a tertiary care hospital of western Nepal. Methods: This descriptive cross-sectional study was conducted among 95 patients admitted to COVID Intensive Care Unit of a teriary care centre from August 2020 to January 2021 after taking ethical clearence from Institutional Review Committee in order to determine the D-dimer levels in confirmed COVID-19 cases. D-dimer value was measured at the admission and the highest D-dimer value was recorded during the course of hospital stay with the risk of mortality in confirmed COVID-19 cases. The normal range of D-dimer was taken as <0.35 mg/dl as per our hospital laboratory standards. Convenience sampling method was used. Data entry and descriptive analysis were done in Statistical Package for the Social Sciences version 25.0, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of total 95 cases of COVID-19 included in this study, 25 (89.3%) patients with age ≥65 years and 42 (62.69%) patients aged <65 years had elevated D-dimer on admission. Data showed that 29 (67.4%) patients having elevated D-dimer at admission had mortality. Conclusions: Elevated D-dimer levels was frequently seen in patients admitted in Intensive Care Unit with COVID-19. Our study suggested that measurement of D-dimer may guide in clinical decision making. | |
| dc.identifier | https://doi.org/10.31729/jnma.6284 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5092 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical Association | |
| dc.subject | COVID-19 | |
| dc.subject | d-dimer | |
| dc.subject | intensive care unit | |
| dc.title | Prevalance of Elevated D-dimer Levels in Confirmed COVID-19 Cases in Intensive Care Unit of a Tertiary Care Centre of Western Nepal | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 247 | |
| oaire.citation.startPage | 243 | |
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