Diagnostic value of platelet‑derived microparticles in pulmonary thromboembolism: A population‑based study

  • Authors:
    • Minlian Wang
    • Yingyun Fu
    • Lan Xu
    • Lu Xiao
    • Yongjian Yue
    • Shengguo Liu
    • Qijun Huang
    • Shulin Li
    • Yazhen Li
  • View Affiliations

  • Published online on: August 7, 2018     https://doi.org/10.3892/etm.2018.6579
  • Pages: 3099-3106
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Abstract

An early and accurate diagnosis of pulmonary thromboembolism (PTE) remains challenging. The present study aimed to evaluate the diagnostic value of platelet‑derived microparticles in PTE based on a population study. A total of 102 patients with PTE, 102 healthy controls and 40 patients suspected with PTE were enrolled in this study. The platelet count, mean platelet volume and platelet distribution width were assessed using an automated hematology analyzer, P‑selectin was assessed using an ELISA kit and PMPs were explored using flow cytometry using Megamix beads. Receiver operating characteristic curves were established to evaluate the diagnostic values of PMPs, D‑dimer, PMPs combined with D‑dimer, and multiple parameters (including PMPs, platelet distribution width, P‑selectin and D‑dimer in PTE). The PMP levels were significantly higher in the patients with PTE (609.10/µl) compared with those in the healthy controls (230.60/µl) and patients with suspicious PTE (166.70/µl; P<0.01). The accuracy (72.06%) of PMPs in the diagnosis of PTE was similar to those of D‑dimer (P>0.05). The combination of D‑dimer and PMPs significantly increased the sensitivity (86.27%) of D‑dimer and the specificity of PMP for the diagnosis of PTE (P<0.01). The combination of PMPs, platelet distribution width, P‑selectin and D‑dimer exhibited high sensitivity (88.24%), specificity (91.18%) and accuracy (89.71%) in the diagnosis of PTE. These findings suggest that elevated PMP levels are an effective predictor of PTE. The combination of PMPs, platelet distribution width, P‑selectin and D‑dimer may be used in the diagnosis of PTE with high sensitivity and specificity.
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October-2018
Volume 16 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Wang M, Fu Y, Xu L, Xiao L, Yue Y, Liu S, Huang Q, Li S and Li Y: Diagnostic value of platelet‑derived microparticles in pulmonary thromboembolism: A population‑based study. Exp Ther Med 16: 3099-3106, 2018
APA
Wang, M., Fu, Y., Xu, L., Xiao, L., Yue, Y., Liu, S. ... Li, Y. (2018). Diagnostic value of platelet‑derived microparticles in pulmonary thromboembolism: A population‑based study. Experimental and Therapeutic Medicine, 16, 3099-3106. https://doi.org/10.3892/etm.2018.6579
MLA
Wang, M., Fu, Y., Xu, L., Xiao, L., Yue, Y., Liu, S., Huang, Q., Li, S., Li, Y."Diagnostic value of platelet‑derived microparticles in pulmonary thromboembolism: A population‑based study". Experimental and Therapeutic Medicine 16.4 (2018): 3099-3106.
Chicago
Wang, M., Fu, Y., Xu, L., Xiao, L., Yue, Y., Liu, S., Huang, Q., Li, S., Li, Y."Diagnostic value of platelet‑derived microparticles in pulmonary thromboembolism: A population‑based study". Experimental and Therapeutic Medicine 16, no. 4 (2018): 3099-3106. https://doi.org/10.3892/etm.2018.6579