1887
Volume 2019, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Hemoptysis is an alarming symptom in clinical practice. We reviewed ten years of experience with hemoptysis in a tertiary hospital in Qatar to identify hemoptysis etiologies, patient characteristics, and associated factors. Hemoptysis was defined based on severity as mild ( < 50 ml or streaks of blood), moderate (50–150 ml) and massive (>150 ml) in the 24 hours before admission. Hemodynamically unstable is considered when systolic BP  < 100 mmHg,tachycardia with HR>110/min, tachypnea with RR>22/min, or SpO2  < 92% on room air. A total of 102 patients (41 females and 61 males) with 133 episodes of hemoptysis were identified in this study. Among the hemoptysis patients with co-morbidities, 19 patients had hypertension, 17 patients had cardiovascular disease, and 66 patients with other co-morbidities. COPD patients had a significant (p  <  0.02) association with hemoptysis. Chest X-ray was used in most patients and other modalities like CT scan and bronchoscopies were used less frequently. Pneumonia (12.8%), bronchiectasis (11.8%) and cardiovascular disorders (11.8%) are the primary causes of hemoptysis. Malignancy was less frequent (7.8%), and bronchogenic carcinoma was uncommon (2%). There were 24 (23.5 %) no identified causes of hemoptysis. The overall mortality was 9.8% in this study. Population demographics played a significant role in the severity of hemoptysis and prognosis. Most patients had benign etiologies, lower severity of hemoptysis and good prognosis. Differences in the etiology, initial severity, and prognosis of patients with hemoptysis were found significantly different when compared with those reported in previous studies.

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2019-07-15
2020-09-25
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References

  1. Johnson JL. Manifestations of hemoptysis. How to manage minor, moderate, and massive bleeding. Postgrad Med. 2002 Oct 1; 112:4:101113.
    [Google Scholar]
  2. Fidan A, Özdoğan S, Oruc Ö, Salepci B, Öcal Z, Cağlayan B. Hemoptysis: a retrospective analysis of 108 cases. Respir Med. 2002 Sept 1; 96:9:677680.
    [Google Scholar]
  3. Ibrahim WH. Massive haemoptysis: the definition should be revised. Eur Respir J. Oct. 2008 Oct 1; 32:4:1131.
    [Google Scholar]
  4. Mejía AR, Montero JV, Vásquez-Caicedo ML, de Castro AB, Martínez BC, Domínguez JF. Radiological evaluation and endovascular treatment of hemoptysis. Curr Probl Diagn Radiol. 2016 May 1; 45:3:215224.
    [Google Scholar]
  5. Davoodi M, Kordi M, Gharibvand MM, Shoushtari MH, Borsi H, Bahadoram M. Hemoptysis: comparison of diagnostic accuracy of multi detector CT scan and bronchoscopy. Glob J Health Sci. 2015 May; 7:3:373377. doi: 10.5539/gjhs.v7n3p373..
    [Google Scholar]
  6. Bhalla A, Kandasamy D, Veedu P, Mohan A, Gamanagatti S. A retrospective analysis of 334 cases of hemoptysis treated by bronchial artery embolization. Oman Med J. 2015 Mar; 30:2:119128.
    [Google Scholar]
  7. Cordovilla R, Bollo de Miguel E, Nuñez Ares A, Cosano Povedano FJ, Herráez Ortega I, Jiménez Merchán R. Diagnóstico y tratamiento de la hemoptisi. Arch Bronconeumol. 2016 Jul 1; 52:7:368377.
    [Google Scholar]
  8. Tsoumakidou M, Chrysofakis G, Tsiligianni I, Maltezakis G, Siafakas NM, Tzanakis N. A prospective analysis of 184 hemoptysis cases: diagnostic impact of chest X-ray, computed tomography, bronchoscopy. Respiration. 2006; 73:6:808814. doi: 10.1159/000091189 .
    [Google Scholar]
  9. Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. Chest. 1997 Aug 1; 112:2:440444.
    [Google Scholar]
  10. Lee BR, Yu JY, Ban HJ, Oh IJ, Kim KS, Kwon YS, et al.  Analysis of patients with hemoptysis in a tertiary referral hospital. Tuberc Respir Dis. 2012 Aug; 73:2:107114. doi: 10.4046/trd.2012.73.2.107..
    [Google Scholar]
  11. Santiago S, Tobias J, Williams AJ. A reappraisal of the causes of hemoptysis. Arch Intern Med. 1991 Dec 1; 151:12:24492451.
    [Google Scholar]
  12. Pires FS, Teixeira N, Coelho F, Damas C. Hemoptysis—etiology, evaluation and treatment in a university hospital. Rev Port Pneumol. 2011 Jan 1; 17:1:714.
    [Google Scholar]
  13. World Health Organization, Regional Office for the Eastern Mediterranean [Internet]. 2006;. Country cooperation strategy for WHO and Qatar: 2005–2009. World Health Organization. Regional Office for the Eastern Mediterranean. Available from: http://www.who.int/countries/qat/en/ .
  14. Civil Aviation Authority. Climatological Normals [Internet]. [updated 2019; cited 2016 Mar 08]. Available from: http://qweather.gov.qa/ClimateNormals.aspx .
  15. Lee MK, Kim SH, Yong SJ, Shin KC, Kim HS, Yu TS, et al.  Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization. Clin Respir J. 2015 Jan; 9:1:5364.
    [Google Scholar]
  16. Reechaipichitkul W, Latong S. Etiology and treatment outcomes of massive hemoptysis. Southeast Asian J Trop Med Public Health. 2005 Mar; 36:2:474480.
    [Google Scholar]
  17. Abal AT, Nair PC, Cherian J. Haemoptysis: aetiology, evaluation and outcome—a prospective study in a third-world country. Respir Med. 2001 Jul; 95:7:548552.
    [Google Scholar]
  18. Worldometers. Qatar Population [Internet]. [cited 2016 Dec 20]. Available from: http://www.worldometers.info/world-population/qatar-population/ .
  19. Flume PA, Yankaskas JR, Ebelin M, Hulsey T, Clark LL. Massive hemoptysis in cystic fibrosis. Chest. 2005 Aug 1; 128:2:729738.
    [Google Scholar]
  20. Wahab AA, Dawod ST, Thani GA. Cystic fibrosis in a large kindred family in Qatar. Ann Trop Paediatr. 2000 Sept 1; 20:3:203207.
    [Google Scholar]
  21. World Health Organization. Global Tuberculosis Control 2009. Epidemiology Strategy Financing [Internet]. 2009 [cited 2016 Dec 20]. Available from: http://reliefweb.int/sites/reliefweb.int/files/resources/878BDA5E2504C9F449257584001B5E60-who_mar2009.pdf .
  22. Al-Nesf MA, Al-Ani OI, Al-Ani AAR, Rashed AH. Renal allograft tuberculosis with infected lymphocele transmitted from the donor. Saudi J Kidney Dis Transpl. 2014 Mar 1; 25:2:370375.
    [Google Scholar]
  23. Bidwell JL, Pachner RW. Hemoptysis: diagnosis and management. Am Fam Physician. 2005 Oct 1; 72:7:12531260.
    [Google Scholar]
  24. World Health Organization. Qatar fact sheet 2013 [Internet]. 2013 [cited 2016 Dec 20]. Available from: http://www.emro.who.int/images/stories/tfi/documents/FACT_SHEETS/FS_GATS_Qatar_2013.pdf?ua = 1 .
  25. National Guideline Clearinghouse (NGC). Guideline summary: ACR Appropriateness Criteria® hemoptysis. In: National Guideline Clearinghouse (NGC) [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2014 Jan 01. [cited 2016 Dec 11]. Available from: https://www.guideline.gov .
  26. McGuinness G, Beacher JR, Harkin TJ, Garay SM, Rom WN, Naidich DP. Hemoptysis: prospective high-resolution CT/ bronchoscopic correlation. Chest. 1994 Apr 1; 105:4:11551162.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): causes , hemoptysis , outcome and Qatar population demographics
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