JOPIC
Journal of Pulmonology and Intensive Care

The JoPIC is an independent-unbiased, peer-reviewed, and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, surgical techniques, differential diagnoses, editorial opinions, letters to the editor, and educational papers in pulmonology, thoracic surgery, occupational diseases, allergology, and intensive care medicine. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
Frightening symptom hemoptysis: Analysis of etiology, mortality, and treatment outcomes in a large cohort from the chest disease center in Turkiye
Abstract
Aims: Hemoptysis can indicate serious, potentially life-threatening conditions. The etiology varies by region and can include tuberculosis (TB) in developing countries and malignancies in developed regions.
Methods: This retrospective cohort study reviewed medical records of 400 hospitalized hemoptysis patients between June 2012 and March 2016. Data collected included patient demographics, comorbidities, hemoptysis volume, diagnostic tests, treatments, and outcomes. Survival rates and readmissions were tracked for 2-6 years post-discharge.
Results: Of the 400 patients, 88 (22%) were female and 312 (78%) were male. The leading causes of hemoptysis were bronchiectasis (14%), sequela of tuberculosis (TB sequelae; 19%), and malignancy (22.8%). The most common causes in male patients were lung cancer (27.2%) and TB sequelae (21.8%). Bronchiectasis accounted for 28.4% of cases in female patients, followed by drug-induced hemoptysis at 14.8%. The in-hospital mortality rate was 1% (n = 4), with severe hemoptysis present in all four patients who died during admission for hemoptysis. The 2–6-year survival rate was 70.8% for women and 56.1% for men (p = 0.005). The factors found to significantly worsen mortality risk were lung malignancy, age >65, diabetes, and chronic obstructive pulmonary disease (COPD).
Conclusion: Overall, lung cancer was found to be the leading cause of hemoptysis, with bronchiectasis being the leading cause in female patients and malignancy in male patients. Close monitoring of male patients is crucial due to higher mortality risk. Careful assessment of patients with hemoptysis having comorbidities such as diabetes and COPD is required due to the reduced survival rates associated with these conditions. Early detection and intervention for lung cancer is essential to optimize the prognosis of affected individuals.

Keywords : Hemoptysis, malignancy, survival rate

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Article available in :
Volume 2, Issue 3, 2024
Page : 52-57
https://doi.org/10.51271/JOPIC-0036
Article Information
Received : 24 Tem 2024
Accepted : 07 Ağu 2024
Published : 15 Ağu 2024
Corresponding Author :

Nazan Beyhan: Department of Chest Diseases, Yedikule Pulmonary Diseases and Thoracic Surgery Training and Research Hospital, University of Health Sciences, İstanbul, Turkiye

[email protected]
Citation : Beyhan N, Kanmaz ZD, Aras G, Altın S, Tuncay E. Frightening symptom hemoptysis: analysis of etiology, mortality, and treatment outcomes in a large cohort from the chest disease center in Turkiye. J Pulmonol Intens Care. 2024;2(3):52-57.

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