Chest
Clinical InvestigationsHemoptysis: Etiology, Evaluation, and Outcome in a Tertiary Referral Hospital
Section snippets
Materials and Methods
We retrospectively reviewed the records of both inpatients and outpatients with hemoptysis at the Hadassah University Hospital, Jerusalem, Israel. Between January 1980 and August 1995, 249 inpatient and 50 outpatient files were identified. Ninety-one files were excluded owing to lack of adequate information or they were files of children younger than 13 years old. After exclusion, 208 files were evaluated.
Medical records with a hospital discharge diagnosis of hemoptysis were reviewed for the
Results
Of the 208 patients evaluated, 127 (61%) were male and 81 (39%) were female. The average age was 58±17 years with a range of 20 to 96 years of age. One hundred ten (53%) patients had a positive smoking history and most of them were male (90/110, 82%).
Discussion
Bronchiectasis, lung cancer, bronchitis, and pneumonia are the leading causes of hemoptysis in the cohort studied. Most of the data regarding hemoptysis are based on retrospective studies published between 1930 and 1960, although new data have been gathered lately in studies that examined the utility of CT scan and fiberoptic bronchoscopy in the evaluation of hemoptysis. In most of the studies, one can find a bias secondary to patient selection or the diagnostic investigation employed. Table 5
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