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Etiology of Hemoptysis in Children and Adolescents — Multicentric Retrospective Data (2012–2021) From Chennai

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Abstract

Objective

To analyze the etiology of hemoptysis in children and to correlate the severity of bleed with the etiology.

Methods

This retrospective multicentre study reviewed data from inpatient units of four tertiary care public and private sector pediatric hospitals in Tamil Nadu.

Methods

Inpatient case records of children (aged 2 month-15 years) treated for hemoptysis at the four institutions between April, 2012 and March, 2021 were identified, after ethical clearance from respective institutions. Data of children with underlying known bleeding disorders like hemophilia or platelet abnormality were excluded from the study. Hemoptysis was categorized as mild, moderate and severe

Results

Of the 73 children who had presented with hemoptysis during the study period, 60 (82.2%) children had mild, 9 (12.3%) had moderate and rest had severe hemoptysis. Idiopathic pulmonary hemorrhage was the most common cause of hemoptysis. The common causes of mild hemoptysis in children were idiopathic pulmonary hemorrhage (n=15, 25%), pulmonary tuberculosis (n=12, 20%) and pneumonia (n=8, 13.3%). Congenital airway anomalies and vascular anomalies were more likely to present with moderate to severe bleed.

Conclusion

Etiology of hemoptysis is broad and categorizing them into mild, moderate and severe may give a clue about the possible etiology, there by restricting to the required investigations.

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Author information

Authors and Affiliations

  1. Apollo Children’s Hospital and Kanchi Kamakoti Child’s Trust Hospital, Chennai, Tamil Nadu, India

    D. Vijayasekaran

  2. Department of Pediatrics-Operations, Mehta Multispeciality Hospitals, Chennai, Tamil Nadu, India

    N. C. Gowrishankar

  3. Department of Pediatrics, Institute of Child Health and Hospital for Children, Chennai, Tamil Nadu, India

    B. Sarath Balaji

  4. Department of Pediatris, Government Vellore Medical College, Adukamparai, Vellore, Tamil Nadu, India

    Sivasambo Kalpana

  5. Department of Research and Academics Quality, Mehta Multispeciality Hospitals, Chennai, Tamil Nadu, India

    K. Nedunchelian

  6. No 1, 2nd Cross Street, 3rd Main Road, Nolambur, Chennai, 600 037, India

    Sivasambo Kalpana

Authors
  1. D. Vijayasekaran
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  2. N. C. Gowrishankar
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  3. B. Sarath Balaji
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  4. Sivasambo Kalpana
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  5. K. Nedunchelian
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Corresponding author

Correspondence to Sivasambo Kalpana.

Additional information

Ethic clearance

EIC, Apollo Hospital, Chennai; No. ACH-C-S-009/07-22 dated July 25, 2022.

Contributors

DV: conceptualized the study, was involved in designing the study, analysing data, manuscript preparation and case management; NCG: collection of data, case management, analysing data and manuscript preparation; BSB: case management, data collection; SK: designing the study, data collections, analyzing the data and manuscript preparation; NK: manuscript preparation. All authors approved the final version of manu-script, and are accountable for all aspects related to the study.

Funding

None

Competing interests

None stated.

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Vijayasekaran, D., Gowrishankar, N.C., Balaji, B.S. et al. Etiology of Hemoptysis in Children and Adolescents — Multicentric Retrospective Data (2012–2021) From Chennai. Indian Pediatr 60, 290–293 (2023). https://doi.org/10.1007/s13312-023-2861-1

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  • DOI: https://doi.org/10.1007/s13312-023-2861-1

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