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D dimer

Manufactured by Siemens
Sourced in Germany, United States

D-dimer is a lab equipment product that measures the presence and levels of D-dimer, a protein fragment that is released into the bloodstream when a blood clot is broken down. It is commonly used as a diagnostic test to help detect and rule out the presence of blood clots, such as deep vein thrombosis or pulmonary embolism.

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5 protocols using d dimer

1

Hemostatic Profile Characterization

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Hematological parameters (i.e., red blood cell (RBC) counts and platelet counts) were assessed by using an automated hematology analyser (Sysmex XE 2100, Kobe, Japan). Total plasma protein content was determined by the method of Bradford using coomassie blue G250 as the staining agent. PC (Hyphen BioMed, Neuville-sur-oise, France) and antithrombin III (AT III) (Sekisui Diagnostics, LLC, Stamford, USA) were measured with chromogenic substrate assays, and VWF:Ag was performed by using an enzyme-linked immunosobent assay (Hyphen BioMed, Neuville-sur-oise, France) with SpectraMax M2e (Molecular Devices, Sunnyvale, CA, USA). All other assays were performed according to manufacturer’s instructions on a CA-1500 automated coagulation analyzer (Sysmex Corporation, Kobe, Japan). FII, FV, FVII, FVIII, FIX, FX, FXI, FXII, D-dimer and protein S (PS) reagents were purchased from Siemens Healthcare Diagnostics Products GmbH (Marburg, Germany). Prothrombin time (PT), activated partial thromboplastin time (aPTT), thrombin time (TT) and fibrinogen (Fbg) reagents were from Chengdu Union Biotechnology Co., Ltd. (Chengdu, China).
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2

Comprehensive Biochemical Panel for ICU Patients

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Serum concentrations of glucose and other biochemical variables were measured with an Architect c16000/i2000-analyzer (Abbot Diagnostics, Maidenhead, UK) and HbA1c by high-performance liquid chromatography (A. Menarini Diagnostics, Bagno a Ripoli, Italy). Immunoanalysis was employed for the measurement of C-reactive protein (CRP), procalcitonin (Abbott, Illinois, IL, USA) and D-dimer (Siemens, Münich, Germany), and interleukins 6 (IL-6) and 12 (IL-12) by enzyme-linked immunosorbent assay (Invitrogen, Waltham, MA, USA) at ICU admission. Serum osteocalcin was measured by electrochemiluminescence Cobas-e601 (Roche Diagnostics, Rotkreuz ZG, Switzerland), with normal range of 15.0–45.0 µg/L also at ICU admission. The intra- and inter-assay coefficients of variation were below 10%.
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3

Biochemical Markers in Clinical Evaluation

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Serum biochemical variables were measured with an Architect c16000/i2000 analyzer (Abbott Diagnostics, City, UK). Serum copper was analyzed by atomic absorption spectrophotometry (AAnalyst 800, Perkin Elmer, City, CA, USA). Serum zinc was analyzed by a colorimetric method (Sentinel Diagnostics, Milano, Italy). The normal ranges were 60 to 150 µg/dL for zinc and 75 to 150 µg/dL for copper. Immunoanalysis was used to measure C-reactive protein, procalcitonin (Abbott Diagnostics, City, ST, US) and D dimer (Siemens, City, Germany), and interleukin-6 and interleukin-12 by enzyme-linked immunosorbent assay (Invitrogen, City, CA, USA). The intra- and interassay coefficients of variation were below 10%.
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4

Cytokine and D-dimer Levels in COVID-19

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The laboratory values were defined to be abnormal when they are out of their normal prescribed range. These ranges for various parameters are as follows: IL-6, 0 to 7 pg/mL; CRP, 0.068 to 8.2 mg/L; white blood cells, 3.97 to 9.15 × 109/L; neutrophils, 2 to 7 × 109/L; leucocytes, 0.8 to 4.0 × 109/L; eosinophils, 0.02 to 0.5 × 109/L; total T cells, 690 to 2540/μL; CD4, 410 to 1590/μL; CD8, 190 to 1140/μL; and D-dimer, less than 0.55 mg/L. The values were defined as low or high if they were below or above the indicated values.4
,18 (link) The levels of cytokines and D-dimer were measured using chemiluminescence immunoassay assay kits (CRP from Beckman, Carlsbad, Calif; IL-6 from Roche Diagnostics, Mannheim, Germany; and D-dimer from Siemens Healthineers, Marburg, Germany).
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5

Coagulation Parameters Measurement Protocol

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Blood from all subjects was collected into 3.2% trisodium citrate tubes (9:1 v/v, Becton Dickinson) and centrifuged 15 min at 2500g at room temperature, followed by 20 000g for 10 min. The obtained platelet‐poor plasma was stored in aliquots at −80°C until thawed at 37°C immediately before use. Fibrinogen levels were measured using the Clauss assay (Thrombin Reagent, Siemens Healthineers), factor VIII (FVIII) levels using a one‐stage clotting assay and FXIII levels with a chromogenic assay using the Berichrom FXIII kit (Siemens Healthineers). In addition, levels of D‐dimer (Siemens Healthineers) and anti‐Xa (Werfen) were routinely measured. All parameters were measured on the Sysmex CS5100 coagulation analyzer (Siemens Healthcare Diagnostics B.V.). Other relevant parameters (e.g., C‐reactive protein) were routinely measured. PAI‐1 levels were measured using the human Serpin E1/PAI‐1 DuoSet ELISA kit (DY1786, R&D Systems) according to the protocol provided by the manufacturers, with some minor changes in the volumes of samples, detection antibody, and streptavidin‐horseradish peroxidase (50 µl instead of 100 μl). Values above the standard of the ELISA were given the maximum value of the standard (40 ng/ml).
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