Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Bronchoscopy as a supplement to computed tomography in patients with haemoptysis may be unnecessary

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. The Danish severe asthma register: an electronic platform for severe asthma management and research

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Automatic oxygen titration with O2matic® to patients admitted with COVID-19 and hypoxemic respiratory failure

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Disease self-management in patients with moderate COPD: a thematic analysis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  5. Clinical and daily respiratory care and clinical trials within the COVID-19 era

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Using structured progress to measure competence in flexible bronchoscopy

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Multimodal soft tissue markers for bridging high-resolution diagnostic imaging with therapeutic intervention

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Career Development Training for Interventional Pulmonary Fellows

    Publikation: Bidrag til tidsskriftLetterForskningpeer review

  4. Lokalanæstesitorakoskopi ved udredning af recidiverende pleuraeffusion

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Increased respiratory morbidity in individuals with interstitial lung abnormalities

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: Haemoptysis is a common symptom and can be an early sign of lung cancer. Careful investigation of patients with haemoptysis may lead to early diagnosis. The strategy for investigation of these patients, however, is still being debated.

OBJECTIVES: We studied whether the combination of computed tomography (CT) and bronchoscopy had a higher sensitivity for malignant and non-malignant causes of haemoptysis than CT alone.

METHODS: The study was a retrospective, non-randomised, two-centre study and included patients who were referred from primary care for the investigation of haemoptysis.

RESULTS: A total of 326 patients were included in the study (mean age 60.5 [SD 15.3] years, 63.3% male). The most common aetiologies of haemoptysis were cryptogenic (52.5%), pneumonia (16.3%), emphysema (8.0%), bronchiectasis (5.8%) and lung cancer (4.0%). In patients diagnosed with lung cancer, bronchoscopy, CT and the combination of bronchoscopy and CT had a sensitivity of 0.61, 0.92 (p<0.05) and 0.97 (p=0.58), respectively. In patients with non-malignant causes of haemoptysis, most aetiologies were diagnosed by CT and comprised mainly pneumonia, emphysema and bronchiectasis. Bronchoscopy did not reveal these conditions and the sensitivity to these conditions was not increased by combining CT and bronchoscopy.

CONCLUSIONS: CT can stand alone as a diagnostic workup for patients with haemoptysis referred to an outpatient clinic. Bronchoscopy does not identify any malignant aetiologies not already diagnosed by CT. Combining the two test modalities does not result in a significant increase in sensitivity for malignant or non-malignant causes of haemoptysis.

OriginalsprogEngelsk
TidsskriftEuropean Clinical Respiratory Journal
Vol/bind3
StatusUdgivet - nov. 2016

ID: 49151187