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Abstract: Poster Presentations |

Characteristics and Outcomes of Patients With Hemoptysis FREE TO VIEW

Dipakkumar P. Malli, MD; Rajendra Sajjan, MD; Mazen Alakhras, MD; Vijay Baimeedi, MD; Rashmikant Doshi, MD; Kanchan Gupta, MD; Padmanabhan Krishnan, MD
Author and Funding Information

Coney Island Hospital, Brooklyn, NY


Chest


Chest. 2003;124(4_MeetingAbstracts):136S. doi:10.1378/chest.124.4_MeetingAbstracts.136S-b
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Abstract

PURPOSE:  To determine etiology, prognosis and relationship between severity and etiology in-patients presenting with hemoptysis.

METHODS:  A retrospective analysis of 101 patients admitted with hemoptysis at Coney Island Hospital between 2000-2002 for etiology, prognosis and relation between etiology and severity of hemoptysis. Hemoptysis was classified as mild (<30ml), moderate (30-100ml), severe (100-600ml) and massive (>600ml) based on 24 hours collection. Chest X-ray findings were noted.

RESULTS:  Of the 101 cases 66 were men and 35 were women, 49.6 was mean age. 88(87.1%) patients had mild hemoptysis, 10 (9.9%) patients moderate, 1(0.99%) patient severe and 3 (2.97%) patients had massive hemoptysis. In 49/101(48.5%) patient’s chest x-ray finding was inconclusive to establish etiology and in only four (8.16%) of these patient further work up establish a diagnosis in form of laryngeal cancer in three patients and laryngeal ulcer in one patient. Bronchitis (39.6%), cancer (13.8%), pneumonia (10.8%), bronchiectasis (8.9%), pulmonary tuberculosis (7.9%), coagulopathy (3.9%) accounted for most of causes of hemoptysis. All but one of these patient’s with a diagnosis had mild to moderate hemoptysis. 39/40 (97.5%) patient with bronchitis had mild hemoptysis and 3/4 (75%) patients with sever to massive hemoptysis no etiology was found and chest x-ray was inconclusive. All patients with hemoptysis survived.CONCLUSIONS: Airway disease like bronchitis and bronchiectasis continue to be the commonest cause of hemoptysis. Majority patients had mild hemoptysis and prognosis was good. The severity of hemoptysis was not a good indicator of the underlying etiology. Even in the patients with severe & massive hemoptysis etiology was not established despite extensive work up. Patients with hemoptysis and in conclusive chest x-ray and chest CT scan show low yield on further work up.

CLINICAL IMPLICATIONS:  In-patient presenting with hemoptysis with non-diagnostic chest x-ray and chest CT scan further work up for etiology carries low yield and should be done only for specific purpose.

DISCLOSURE:  D.P. Malli, None.

Wednesday, October 29, 2003

12:30 PM- 2:00 PM


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