Risk Factors for Hemoptysis in Pulmonary Tuberculosis Patients from Southern China: A Retrospective Study

Abstract

Clinical characteristics of tuberculosis (TB) patients from southern China with pulmonary tuberculosis hemoptysis (PTH) were analyzed retrospectively in order to improve the diagnosis of TB, reduce mortality and prevent the transmission of TB. A total of 1227 cases of pulmonary TB patients hospitalized in the Third Affiliated Hospital of Sun Yat-sen University and Guangzhou Chest Hospital from January to December of 2011 were analyzed retrospectively. 1) The male/female ratio of the 1227 tuberculosis cases was 2.15:1. There were 403 cases (32.8%) of PTH with a male/ female ratio of 3.03:1. 2) The ratio of patients with PTH to those with TB was designated as Rh. The Rh in the male group (36.2%, 303 cases) was higher than that in the female group (25.6%, 100 cases, risk ratio (RR) = 1.41, P ≤ 0.001). 3) The Rh in the elderly group (≥60 years old, 20.3%, 56 cases) was lower than that in the younger patients group (20-39 years old, 45.4%, 189 cases, RR = 2.51, P ≤ 0.001). 4) The Rh in initial treatment group (29.6%, 296 cases) was lower than that in the retreatment group (46.9%, 107 cases, RR = 1.58, P ≤ 0.001). 5) The Rh in sputum-positive TB patients (44.5%, 297 cases) was significantly higher than that in the smear-negative TB patients (18.9%, 106 cases, RR = 2.35, P ≤ 0.001). 6) The Rh of patients with lung lesions range < 3 lung fields (31.7%, 105 cases) was not significantly different with that of patients with lung lesions range ≥ 3 lung fields (33.3%, 298 cases, RR = 1.05, P = 0.96 > 0.05). 7) The Rh of patients with cavities (51.8%, 309 cases) was higher than that of patients without cavities (14.9%, 94 cases, RR = 3.48, P ≤ 0.001). Male, young, retreated, sputum-positive TB patients and those with cavitary TB * Corresponding authors. S. Y. Tan et al. 174 were more predisposed to PTH in southern China. TB patients with such characteristics should be sensitized and accorded good care.

Clinical Profile of Paediatric Drug Resistant Tuberculosis at a Tertiary Care Hospital in Mumbai, India- A Sanguine Study

“…Shouyong Tan et al observed haemoptysis in 32.8% of PTB in adult population. 16 In our study 2.5% had haemoptysis. Studies quoting incidence of these complications in paediatric DRTB patients are lacking.…”

Factores asociados a hemoptisis en pacientes con tuberculosis pulmonar en el Hospital Nacional Dos de Mayo, Lima - Perú

“…En nuestra serie, el 88% de casos y 23% de controles tuvieron anomalías radiológicas o tomográficas; según el análisis de regresión logística, estos pacientes tuvieron alrededor de 15 veces mayor riesgo de presentar hemoptisis, siendo mayor la probabilidad de sangrado en las bronquiectasias (OR: 16,9 IC: 6,2 -45,8) y cavitaciones (OR: 7,9 IC: 3,2 -19,2), resultado similar a lo reportado por Tan y Parmasivan quienes encontraron una mayor proporción de hemoptisis en pacientes con lesiones cavitarias (19,20) .…”

Lobektomi Life Saving pada Hemoptisis Berulang Pada Tuberkulosis Paru

“…Ukuran partikel yang biasa digunakan di BAE adalah 300-500mikron. 10,11 BAE sangat efektif dalam mengendalikan hemoptisis akut sekitar 73-98% tanpa kekambuhan. Kateterisasi yang selektif dan komplit embolisasi berpengaruh terhadap tingkat keberhasilan.…”

“…10-52% tingkat kekambuhan tergantung pada beberapa faktor termasuk kondisi penyakit primer dan ketepatan prosedur. 10,11 Komplikasi tindakan BAE ini yang paling sering dikeluhkan adalah nyeri dada. Disfagia bisa terjadi pada embolisasi cabang esophagus dan biasanya sembuh dengan sendirinya.…”