Cochrane Database Syst Rev. 2016 Aug 5;8:CD010864. [Epub ahead of print]. D-dimer test for excluding the diagnosis of pulmonary embolism. Crawford F(1) .A total of 4,346 patients had D-dimer testing, of whom 2,930 (67%) were women. Many factors are associated with a positive D-dimer test. Peter B. Richman, Department of Emergency Medicine, Mayo Clinic Arizona, Scottsdale.D-dimer testing to rule out deep vein thrombosis is less useful in older patients because of a lower specificity. An age-adjusted D-dimer cut-off value increased .Uses of different D-dimer levels can reduce the need for venous duplex scanning to rule out deep vein thrombosis in patients with symptomatic pulmonary .The D-dimer test is a quick way to check if you might have a serious blood clot. Learn about the test, when you would need one, and what the results.