Clinical Profile of Hemoptysis in a Tertiary Care Hospital in Nepal
Keywords:hemoptysis bronchiectasis, tuberculosis
Hemoptysis is a frequent, frightening and alarming symptom in clinical practice. It may range from streaks of blood in sputum to massive life-threatening hemoptysis. Bronchiectasis and active tuberculosis are still the main causes of hemoptysis in developing countries.
This was a cross sectional observational study done in Civil service Hospital from January 2019 to August 2021. All adult patients above 18 years with hemoptysis were enrolled in the study. Detailed history, examinations and relevant investigations were carefully registered in structured proforma.
Total of 197 patients were enrolled in our study with 154 (78.1%) male patients. Hypertension and diabetes were the most common comorbid condition with 43.65% and 31.97% respectively. 42 (21.31%) patients were active smokers. Cough was the most common symptoms followed by anorexia and dyspnea present in 98.98%, 22.84% and 20.31% respectively. Most patients presented with mild hemoptysis with only 12 (6.09%) patients presented with severe hemoptysis. In our study 129 (65.48%) patients had radiological evidence of bronchiectasis. 58(29.44%) patients had history of tuberculosis. 19 (9.64%) patients presented with malignancies.
Bronchiectasis was the most common cause of hemoptysis in our study. Most of the hemoptysis were of mild variety and was managed conservatively.
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Based on a work at https://journal.kistmcth.edu.np/index.php?journal=jssn.