Hemoptysis: Etiology, Evaluation, and Outcome in a Tertiary Referral Hospital

Hirshberg, Boaz; Biran, Iftah; Glazer, Mendel; Kramer, Mordechai R.

doi:10.1378/chest.112.2.440

Cited by 396 publications

(333 citation statements)

References 15 publications

(2 reference statements)

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“…In a retrospective study conducted in 1997 and involving a sample of 208 patients, one of the four main etiologies of hemoptysis identified was pneumonia, which accounted for 16% of the cases, compared with 20% for bronchiectasis, 19% for lung cancer and 18% for bronchitis. (13) In our study, the major noninfectious cause of hemoptysis was cancer, which accounted for 5 cases (10%). The classic symptoms of lung cancer are hemoptysis, cough, dyspnea, chest pain and recurrent chest infections.…”

Section: Resultsmentioning

confidence: 56%

“…In one study, (13) pulmonary vasculitis was the cause of hemoptysis in only 1% of a sample of 208 patients.…”

Section: Discussionmentioning

confidence: 98%

“…In one study, (13) the following classification, based on the amount of blood expectorated, was used to evaluate 208 patients with hemoptysis: mild or trivial hemoptysis (cases presenting with bloody or blood-tinged sputum); moderate hemoptysis (< 500 mL of blood expectorated in 24 h); and massive hemoptysis (≥ 500 mL of blood expectorated in 24 h). The results of that study were quite similar to ours, despite the difference in classification, with hemoptysis being classified as mild 38% of the patients, moderate in 48% and massive in 14%.…”

Section: Discussionmentioning

confidence: 99%

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Hemoptise em hospital de referência em pneumologia

Lundgren¹,

Costa²,

Figueiredo

et al. 2010

J. bras. pneumol.

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OBJETIVO: Determinar as principais causas de hemoptise e classificar esse sintoma quanto ao volume de sangue expectorado em pacientes internados em um hospital de referência em pneumologia. MÉTODOS: Foram incluídos 50 pacientes com hemoptise internados na enfermaria de pneumologia de um hospital geral na cidade do Recife (PE) no período entre julho de 2005 e fevereiro de 2006. Os dados de interesse foram analisados e comparados aos da literatura mundial. RESULTADOS: As infecções foram principais causas de hemoptise - em 39 pacientes (78%) - a maioria delas relacionadas a sequelas de tuberculose pulmonar ou secundárias a tuberculose ativa. Em relação ao grau de hemoptise, as hemoptises moderadas, diagnosticadas em 28 pacientes (56%), foram as mais encontradas. CONCLUSÕES: Nossos resultados sugerem que todos os pacientes com hemoptise devam ser investigados quanto a infecções.

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Section: Resultsmentioning

confidence: 56%

“…In one study, (13) pulmonary vasculitis was the cause of hemoptysis in only 1% of a sample of 208 patients.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hemoptise em hospital de referência em pneumologia

Lundgren¹,

Costa²,

Figueiredo

et al. 2010

J. bras. pneumol.

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“…3 Hemoptysis in adults is most often caused by bronchitis, tumors, tuberculosis or bronchiectasis. 4,5 However, among the pediatric population, blood-tinged sputum is most likely to be secondary to infection, foreign body aspiration, or tracheostomy related problems. 2,6,7 In 1990s, cystic fibrosis and congenital heart diseases (mitral stenosis) were reported as predominant etiologic factors for hemoptysis.…”

Section: Researchmentioning

confidence: 99%

Pediatric Pulmonary Hemorrhage vs. Extrapulmonary Bleeding in the Differential Diagnosis of Hemoptysis

Vaiman

Klin

Rosenfeld

et al. 2017

cajgh

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Introduction: Hemoptysis is an important symptom which causes a major concern, and warrants immediate diagnostic attention. The authors compared a group of patients with pediatric pulmonary hemorrhage with pediatric patients diagnosed with extrapulmonary bleeding focusing on differences in etiology, outcome and differential diagnosis of hemoptysis. Methods: We performed the retrospective analysis of medical charts of 134 pediatric patients admitted to the Emergency Department because of pulmonary and extrapulmonary hemorrhage and were diagnosed with suspected hemoptysis or developed hemoptysis (ICD10-CM code R04.2). The cases with pulmonary hemorrhage (Group 1) were compared with cases of extrapulmonary bleeding (Group 2) using the Fisher Exact test or Pearson's χ 2 test for categorical variables. The t-test was used to assess differences between continuous variables of the patients in the two groups. Results: Bloody cough was the presenting symptom in 73.9% of cases. 30 patients had pulmonary hemorrhage (Group 1), while 104 patients had extrapulmonary bleeding (Group 2). The underlying causes of bleeding in Group 2 included epistaxis, inflammatory diseases of nasopharynx and larynx, foreign bodies, gingivitis, and hypertrophy of adenoids. Mortality rate was 10% in Group 1, whereas Group 2 did not have any mortality outcomes during the observation period. Etiologycal factors were significantly different between hemoptysis and extrapulmonary bleeding in children Conclusions: Our research suggested that pulmonary and extrapulmonary bleeding are two conditions that differ significantly and cannot be unified under one diagnostic code. It is important to differentiate between focal and diffuse cases, and between pulmonary and extrapulmonary hemorrhage due to the diversity of clinical courses and outcomes.

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“…[100][101][102] Routine chest x-ray is readily available and helpful; however, in a retrospective evaluation of 208 patients with hemoptysis, Hirshberg et al 103 found that radiography was diagnostic in only 50% of cases. Bronchoscopy is by far more accurate, but the role of fiberoptic bronchoscopy in the setting of massive active hemoptysis is still controversial.…”

Section: Diagnosis Of Hemoptysismentioning

confidence: 99%

Complications Leading to Sudden Cardiac Death in Pulmonary Arterial Hypertension

Demerouti

Manginas²,

Athanassopoulos

et al. 2012

Respir Care

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SummaryPulmonary arterial hypertension (PAH) is a disease of small pulmonary arteries, characterized by vascular proliferation and remodeling. Progressive increase in pulmonary vascular resistance ultimately leads to right ventricular heart failure and death. PAH-specific drug therapy has improved clinical outcomes and survival. While the survival is better, progression of pulmonary vasculopathy contributes to pulmonary artery dilatation. Left main compression syndrome, pulmonary artery dissection, pulmonary artery rupture, and severe hemoptysis are reported as complications leading to sudden cardiac death, an event encountered more often in PAH patients. The advent of PAHtargeted drug therapy has reduced referral for lung transplantation; however, severe complications require rapid diagnosis, decision making, and possible registration on a lung transplantation waiting list. PAH referral centers provide multidisciplinary emergency care and specific therapeutic management, contributing to improved quality of life and survival for PAH patients. We review the complications leading to sudden death in PAH. Key words: pulmonary hypertension; pulmonary artery dissection; pulmonary artery rupture; left main compression syndrome. [Respir Care 2013;58(7):1246 -1254.

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Hemoptysis: Etiology, Evaluation, and Outcome in a Tertiary Referral Hospital

Cited by 396 publications

References 15 publications

Hemoptise em hospital de referência em pneumologia

Hemoptise em hospital de referência em pneumologia

Pediatric Pulmonary Hemorrhage vs. Extrapulmonary Bleeding in the Differential Diagnosis of Hemoptysis

Complications Leading to Sudden Cardiac Death in Pulmonary Arterial Hypertension

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