Risk Factors for a Second Episode of Hemoptysis

Journal Title: Asian Pacific Journal of Health Sciences - Year 2018, Vol 5, Issue 3

Abstract

Background: Of lung diseases, Hemoptysis is an alarming symptom. It is difficult for clinicians to choose how to deal with patients who had a single episode of hemoptysis, especially if the cause is unknown. Using multivariate analysis, investigations were done to see whether any factor in the initial episode could be a predictor of second episode. Aim: In this study, by using multivariate analysis, to check whether any clinical factor present during initial episode of hemoptysis are useful predictors of second episode of hemoptysis. Materials and Methods: 100 Patients with initial episode of hemoptysis, their medical records were reviewed. Patients who had undergone both chest CT and bronchoscopic examinations were selected in the study. Results: 100 patients were selected. From bronchial lavage fluid, active and inactive fluid were isolated in 17 (17%) cases. On further examination, diagnosis was not established in 27 (27%) cases. The predictors of hemoptysis were bacteria from bronchial lavage which has shown a 62 patients were negative for bacteria and 7 patients were positive for bacteria out of a total of 69 patients in initial episode and 21 patients showed negative to bacteria and 10 patients showed positive to bacteria out of a total of 31 patients in reccurent episode. All the demographic details of initial episode and recurrent cases are insignificant on comparision. Most of the cases of recurrent cases are positive for bacteria from bronchial lavage and ethiology is known. Regardless of the volume of the initial episode, the failure to determine the etiology of an initial episode of hemoptysis was associated with an increased risk of a massive second episode (P = 0.040).Conclusion: There is an increased possibility of a second episode of hemoptysis in patients with bacterial colonization of the respiratory tract or an initial episode of hemoptysis of unknown etiology.

Authors and Affiliations

Keywords

Related Articles

Community attitudes towards mental illness

This article reviews the literature on the community attitudes and suggestions are made for future research and lessons to be learnt from the experience in Zambia. Stigma, discrimination and social exclusion have been id...

Preferences and Perceptions about Malaria Prevention methods in Kimasala – Solwezi-A cross sectional Study

Malaria still contributes greatly to morbidity and mortality in Africa. Sub - Saharan Africa accounts for about 90% of all Malaria cases worldwide.In Zambia, Malaria contributes significantly to maternal deaths, maternal...

Prevalence and risk factors associated with Syphilis at the Copperbelt University Riverside campus, Kitwe Zambia

Background: Syphilis among other sexually transmitted diseases is a major health concern among college and university students. Studies have proven that university students in Africa comprise of sexually active populatio...

Occupational health hazards among mortuary attendants at ndola teaching and arthur davison children’s hospitals

Background: Just like employees from other occupations, Mortuary attendants are exposed to various hazards that may put their health at risk as they perform their duties. Objectives: The study was aimed at identifying oc...

Chronotherapeutic drug delivery systems

Chronobiology is the study of biological rhythms. A lot of diseases have been found that have shown rhythm in their symptoms and severity. For the treatment of such diseases, the timing of drug administration has to be m...

Download PDF file
  • EP ID EP516616
  • DOI 10.21276/apjhs.2018.5.3.6
  • Views 322
  • Downloads 0

How To Cite

(2018). Risk Factors for a Second Episode of Hemoptysis. Asian Pacific Journal of Health Sciences, 5(3), 37-40. https://europub.co.uk/articles/-A-516616