Elevated D-dimer and fibrinogen levels in serum of preoperative bone fracture patients

The changes of coagulation parameters in preoperative fracture patients reflect the coagulation status before surgery. We did retrospective assessment of preoperative fracture patients (n = 113) admitted to the hospital between September 2013 and September 2014. The control group were selected from healthy adults (n = 113) with matched age and gender. Platelet, PT INR, APTT, fibrinogen (FIB) and D-dimer values were collected and analyzed. PT INR level was 1.043 +/- 0.119, APTT was 31.91 +/- 7.56 s, FIB was 320.6 +/- 71.8 mg/dl and D-dimer was 1283 +/- 1582 ng/ml for the fracture patients. For the control group, PT INR level was 0.9976 +/- 0.0602, APTT was 33.22 +/- 2.55 s, FIB was 277.3 +/- 44.7 mg/dl and D-dimer was 97.53 +/- 63.90 ng/ml. Meanwhile, D-dimer levels of different sites of fractures were also measured: Femora 2448 +/- 1961 ng/ml; Humerus 792.4 +/- 691.2 ng/ml; Ulna/Radius 619.4 +/- 843.7 ng/ml; Vertebra 647.7 +/- 787.1 ng/ml; Tibia/Fibula 496.3 +/- 268.8 ng/ml; Clavicle 260.9 +/- 170.9 ng/ml; Ankle 415.4 +/- 286.6 ng/ml. To conclude, D-dimer and fibrinogen levels get higher in preoperative fracture patients than controls. Besides, D-dimer levels are significantly different among different locations of fractures, and our data revealed that D-dimer levels of Femora fracture were higher than other sites.