ABSTRACT NUMBER: ESOC2026A1642 LIMITED INCREMENTAL VALUE OF D-DIMERS COMBINED WITH GFAP FOR ACUTE STROKE SUBTYPE DIFFERENTIATION

Julien Paul, Florence Barrette, Catherine Brassard, Sarah-Emilie Godin, Ralph Nuhay, David Chiasson-Ricard, Laura Gioia · 2026

Read ABSTRACT NUMBER: ESOC2026A1642 LIMITED INCREMENTAL VALUE OF D-DIMERS COMBINED WITH GFAP FOR ACUTE STROKE SUBTYPE DIFFERENTIATION by Julien Paul, Florence Barrette, Catherine Brassard, Sarah-Emilie Godin, Ralph Nuhay, David Chiasson-Ricard, Laura Gioia (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13145844.txt.

Description

Julien Paul and six co-authors test whether adding a clotting marker to a brain protein test sharpens emergency stroke sorting. Their 2026 conference abstract uses a prospective cohort of 315 suspected stroke patients seen within a day of onset. The protein, GFAP, already separates brain bleeds from blocked-vessel strokes well.

GFAP ran far higher in hemorrhage, with discrimination of 0.87 and a best cutoff giving 69 percent sensitivity at 87 percent specificity. D-dimers ran higher in large-vessel blockages but discriminated weakly at 0.66. Among patients below the GFAP cutoff, adding D-dimers did not improve blockage detection at all. The authors conclude the second test adds little to the first. For triage teams, the abstract's message is restraint: one good marker beats a hopeful pair.

Catalog record

CREATORJulien Paul, Florence Barrette, Catherine Brassard, Sarah-Emilie Godin, Ralph Nuhay, David Chiasson-Ricard, Laura Gioia
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE2 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13145844

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