HAEMOPTYSIS- AETIOPATHOLOGICAL, RADIOLOGICAL PROFILE AND ITS OUTCOME, OUR EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 17
Abstract
BACKGROUND Haemoptysis is a common complaint in many patients attending chest department. It can be due to a number of aetiologies, having different pathogenesis, radiological presentation and requires optimum management. This study is carried out to evaluate the aetiology, pathogenesis, its radiological profile and outcome in patients of haemoptysis in patients attending TB and Chest Department of Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India. MATERIALS AND METHODS A hospital-based retrospective observational study was done in TB and Chest Department of Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India from December 2016 to February 2018. A total of 254 patient’s records were analysed. Their clinical details, radiological investigations, bronchoscopic findings and outcome were recorded as per a pre-designed proforma and analysed. RESULTS A total of 254 patients of haemoptysis were included in our study. Of these, 61.41% were males and 38.58% were females. Most of the patients fall into age group of 31 - 45 years, i.e. 29.13%. Most common cause of haemoptysis was tuberculosis, both active and its sequel (32.28%) followed by lung malignancy in 14.56%. Non-small cell lung carcinoma (NSCLC) was the common entity among lung malignancy, i.e. 78.37%. Lung carcinoma was more common among active smokers (23.45%). Most of the cases were having mild haemoptysis (34.25%) and were managed conservatively successfully (92.12%). Chest x-ray was done in 100% cases, computed tomography scan (CT scan) in 79.13% and bronchoscopy was done in 59.44% cases to identify the aetiology of haemoptysis. 9.44% patients died despite best available management in our institute. CONCLUSION Tuberculosis either active or post-TB sequel is found to be the most common aetiology of haemoptysis in this part of the world followed by lung malignancy and bronchiectasis. Most of the cases can be managed conservatively and outcome of conservative management remains better in controlling active bleed.
Authors and Affiliations
Manish Shankar, Kalyan Kumar Saha, Praveen Kumar, Mukesh Kumar Tiwari, Samir Kumar
Keywords
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- EP ID EP415131
- DOI 10.14260/jemds/2018/466
- Views 83
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