BACKGROUND: Hemoptysis related to upper airways diseases is a rare cause of respiratory bleeding. Aim of the study was to describe the clinical features and the long-term prognostic outcomes of patients with hemoptysis related to upper airways diseases. The diagnostic yield of the most frequently prescribed examinations was computed. METHODS: Observational, prospective, multicenter, Italian study. RESULTS: Twelve patients (mean, SD, age 55.2, 17.7, years) were recruited. Most of them had mild hemoptysis (7/12, 58.3%) with a duration >7 days (5/12, 41.7%). Cough and dyspnea were the most frequently associated symptoms (in 4/12, 33.3%, and 3/12 (25.0%) patients, respectively). Bronchoscopy and (ear, nose and throat) ENT evaluation showed the highest yield (80% and 91.6%, respectively). One death and five recurrence episodes were recorded during the follow-up. No differences in mortality and recurrence rates were detected between smokers and nonsmokers and between patients with and without antiplatelets and/or anticoagulants. CONCLUSIONS: Hemoptysis related to the upper respiratory tract caused by infections and malignancies, is mild and shows an overall good prognosis and a low rate of recurrences, regardless of the smoking history and the antiplatelet/anticoagulant therapy. Bronchoscopy and ENT are crucial for the diagnosis.

Clinical features and long-term prognostic outcomes in patients with hemoptysis related to upper respiratory airways diseases: a prospective, Italian, multicenter study / M. Mondoni, P. Carlucci, R. Rinaldo, G. Cipolla, N. Vanoni, A. Fois, P. Pirina, S. Gasparini, M. Bonifazi, S. Marani, A. Comel, L. Saderi, B. Vigo, F. Alfano, P. Solidoro, S. Centanni, G. Sotgiu. - In: MINERVA RESPIRATORY MEDICINE. - ISSN 2784-8477. - 60:4(2021), pp. 124-130. [10.23736/S2784-8477.21.01952-5]

Clinical features and long-term prognostic outcomes in patients with hemoptysis related to upper respiratory airways diseases: a prospective, Italian, multicenter study

MONDONI, Michele;RINALDO, Rocco;VIGO, Beatrice;ALFANO, Fausta;CENTANNI, Stefano;
2021

Abstract

BACKGROUND: Hemoptysis related to upper airways diseases is a rare cause of respiratory bleeding. Aim of the study was to describe the clinical features and the long-term prognostic outcomes of patients with hemoptysis related to upper airways diseases. The diagnostic yield of the most frequently prescribed examinations was computed. METHODS: Observational, prospective, multicenter, Italian study. RESULTS: Twelve patients (mean, SD, age 55.2, 17.7, years) were recruited. Most of them had mild hemoptysis (7/12, 58.3%) with a duration >7 days (5/12, 41.7%). Cough and dyspnea were the most frequently associated symptoms (in 4/12, 33.3%, and 3/12 (25.0%) patients, respectively). Bronchoscopy and (ear, nose and throat) ENT evaluation showed the highest yield (80% and 91.6%, respectively). One death and five recurrence episodes were recorded during the follow-up. No differences in mortality and recurrence rates were detected between smokers and nonsmokers and between patients with and without antiplatelets and/or anticoagulants. CONCLUSIONS: Hemoptysis related to the upper respiratory tract caused by infections and malignancies, is mild and shows an overall good prognosis and a low rate of recurrences, regardless of the smoking history and the antiplatelet/anticoagulant therapy. Bronchoscopy and ENT are crucial for the diagnosis.
Hemoptysis; Bronchoscopy; Larynx; neoplasms
Settore MED/10 - Malattie dell'Apparato Respiratorio
Article (author)
File in questo prodotto:
File Dimensione Formato  
2021 - Clinical features and long-term prognostic outcomes in patients with hemoptysis related to upper respiratory airways diseases.pdf

non disponibili

Tipologia: Post-print, accepted manuscript ecc. (versione accettata dall'editore)
Dimensione 537.41 kB
Formato Adobe PDF
537.41 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/898444
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? 0
social impact