id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-030051-kzkpu94o	O’Brien, Michelle Mary Clare	Opportunistic Diagnosis of Extensive Pulmonary Embolus Following “COVID-19 Blood Battery” in Very Frail Older Patients	2020-08-04		.txt	text/plain	2512	150	51	In the absence of clinical improvement following treatment of other conditions in frail older patients, D-dimer testing could be indicated with pursuit of specific diagnostic evaluation for venous thromboembolism when significantly elevated. COVID-19 was not detected, and they were subsequently transferred to an acute geriatric ward specifically designated to manage older patients (>75 years) with negative nasopharyngeal swab results. What are the implications of the diagnosis of an extensive PE causing right heart strain in these very frail older patients, mainly arising from a markedly elevated D-dimer level identified as part of an agreed battery of tests performed on all COVID-19 infection suspects in our institution? Secondly, these may indeed be true negative swab results and in the absence of clinical improvement following treatment of other conditions in very frail older patients without COVID-19 infection, D-dimer testing may be appropriate and subsequent specific testing for VTE if elevated significantly.	./cache/cord-030051-kzkpu94o.txt	./txt/cord-030051-kzkpu94o.txt