Hemoptysis classification: Difference between revisions
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{{CMG}}; {{AE}} {{SSH}} | {{CMG}}; {{AE}} {{SSH}} | ||
==Overview== | ==Overview== | ||
Hemoptysis may be classified into several subtypes based on duration of [[Symptom|symptoms]], severity and origin of the [[bleeding]]. Based on the duration of symptoms, hemoptysis may be classified as either [[Acute (medicine)|acute]] or [[Chronic (medical)|chronic]]. Hemoptysis may be classified according to severity into 3 groups of mild, moderate, and massive [[bleeding]]. Based on the origin of [[bleeding]], hemoptysis may be classified into two groups of [[Lung|pulmonary]] vs extrapulmonary [[bleeding]]. | |||
==Classification== | ==Classification== | ||
*Hemoptysis may be classified into several subtypes based on: | *Hemoptysis may be classified into several subtypes based on:<ref name="pmid12243312">{{cite journal |vauthors=Fidan A, Ozdoğan S, Oruç O, Salepçi B, Ocal Z, Cağlayan B |title=Hemoptysis: a retrospective analysis of 108 cases |journal=Respir Med |volume=96 |issue=9 |pages=677–80 |year=2002 |pmid=12243312 |doi= |url=}}</ref><ref name="NoëJaffé2011">{{cite journal|last1=Noë|first1=G.D.|last2=Jaffé|first2=S.M.|last3=Molan|first3=M.P.|title=CT and CT angiography in massive haemoptysis with emphasis on pre-embolization assessment|journal=Clinical Radiology|volume=66|issue=9|year=2011|pages=869–875|issn=00099260|doi=10.1016/j.crad.2011.03.001}}</ref><ref name="pmid24406077">{{cite journal |vauthors=Lee MK, Kim SH, Yong SJ, Shin KC, Kim HS, Yu TS, Choi EH, Lee WY |title=Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization |journal=Clin Respir J |volume=9 |issue=1 |pages=53–64 |year=2015 |pmid=24406077 |doi=10.1111/crj.12104 |url=}}</ref> | ||
**Duration of symptoms | **Duration of [[Symptom|symptoms]] | ||
**Severity | **Severity | ||
**Origin of bleeding | **Origin of the [[bleeding]]Hemoptysis may be classified according to severity into 3 groups:<ref>{{cite journal |vauthors=Johnson JL |title=Manifestations of hemoptysis. How to manage minor, moderate, and massive bleeding |journal=Postgrad Med |volume=112 |issue=4 |pages=101–6, 108–9, 113 |year=2002 |pmid=12400152 |doi= |url=}}</ref><ref name="pmid12816036">{{cite journal |vauthors=Mal H, Thabut G, Plantier L |title=[Hemoptysis] |language=French |journal=Rev Prat |volume=53 |issue=9 |pages=975–9 |year=2003 |pmid=12816036 |doi= |url=}}</ref><ref name="pmid17018424">{{cite journal |vauthors=Andersen PE |title=Imaging and interventional radiological treatment of hemoptysis |journal=Acta Radiol |volume=47 |issue=8 |pages=780–92 |year=2006 |pmid=17018424 |doi=10.1080/02841850600827577 |url=}}</ref><ref name="pmid20090288">{{cite journal |vauthors=Sakr L, Dutau H |title=Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management |journal=Respiration |volume=80 |issue=1 |pages=38–58 |year=2010 |pmid=20090288 |doi=10.1159/000274492 |url=}}</ref> | ||
*Based on the duration of symptoms, hemoptysis may be classified as either [[Acute (medicine)|acute]] or [[Chronic (medical)|chronic]]. | |||
{| class="wikitable" | {| class="wikitable" | ||
!Category | !Category | ||
| Line 17: | Line 17: | ||
!Percentage | !Percentage | ||
|- | |- | ||
|Mild bleeding | |Mild [[bleeding]] | ||
|<30 ml blood in 24 hours | |<30 ml blood in 24 hours | ||
| | | | ||
|- | |- | ||
|Moderate bleeding | |Moderate [[bleeding]] | ||
|30-300 ml blood in 24 hours | |30-300 ml blood in 24 hours | ||
| | | | ||
|- | |- | ||
|Massive bleeding | |Massive [[bleeding]] | ||
|300-600 ml blood in 24 hours | |300-600 ml blood in 24 hours | ||
|5-15% of patients | |5-15% of patients | ||
|} | |} | ||
* Based on the origin of bleeding, hemoptysis may be classified into two groups:<ref name="pmid12432111">{{cite journal |vauthors=Yoon W, Kim JK, Kim YH, Chung TW, Kang HK |title=Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review |journal=Radiographics |volume=22 |issue=6 |pages=1395–409 |year=2002 |pmid=12432111 |doi=10.1148/rg.226015180 |url=}}</ref> | * Based on the origin of [[bleeding]], hemoptysis may be classified into two groups:<ref name="pmid12432111">{{cite journal |vauthors=Yoon W, Kim JK, Kim YH, Chung TW, Kang HK |title=Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review |journal=Radiographics |volume=22 |issue=6 |pages=1395–409 |year=2002 |pmid=12432111 |doi=10.1148/rg.226015180 |url=}}</ref> | ||
** Pulmonary bleeding (in 90% of patients) | ** [[Lung|Pulmonary]] [[bleeding]] (in 90% of patients) | ||
** | ** Extrapulmonary [[bleeding]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 22:28, 26 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Hemoptysis may be classified into several subtypes based on duration of symptoms, severity and origin of the bleeding. Based on the duration of symptoms, hemoptysis may be classified as either acute or chronic. Hemoptysis may be classified according to severity into 3 groups of mild, moderate, and massive bleeding. Based on the origin of bleeding, hemoptysis may be classified into two groups of pulmonary vs extrapulmonary bleeding.
Classification
- Hemoptysis may be classified into several subtypes based on:[1][2][3]
- Based on the duration of symptoms, hemoptysis may be classified as either acute or chronic.
| Category | Amount | Percentage |
|---|---|---|
| Mild bleeding | <30 ml blood in 24 hours | |
| Moderate bleeding | 30-300 ml blood in 24 hours | |
| Massive bleeding | 300-600 ml blood in 24 hours | 5-15% of patients |
References
- ↑ Fidan A, Ozdoğan S, Oruç O, Salepçi B, Ocal Z, Cağlayan B (2002). "Hemoptysis: a retrospective analysis of 108 cases". Respir Med. 96 (9): 677–80. PMID 12243312.
- ↑ Noë, G.D.; Jaffé, S.M.; Molan, M.P. (2011). "CT and CT angiography in massive haemoptysis with emphasis on pre-embolization assessment". Clinical Radiology. 66 (9): 869–875. doi:10.1016/j.crad.2011.03.001. ISSN 0009-9260.
- ↑ Lee MK, Kim SH, Yong SJ, Shin KC, Kim HS, Yu TS, Choi EH, Lee WY (2015). "Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization". Clin Respir J. 9 (1): 53–64. doi:10.1111/crj.12104. PMID 24406077.
- ↑ Johnson JL (2002). "Manifestations of hemoptysis. How to manage minor, moderate, and massive bleeding". Postgrad Med. 112 (4): 101–6, 108–9, 113. PMID 12400152.
- ↑ Mal H, Thabut G, Plantier L (2003). "[Hemoptysis]". Rev Prat (in French). 53 (9): 975–9. PMID 12816036.
- ↑ Andersen PE (2006). "Imaging and interventional radiological treatment of hemoptysis". Acta Radiol. 47 (8): 780–92. doi:10.1080/02841850600827577. PMID 17018424.
- ↑ Sakr L, Dutau H (2010). "Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management". Respiration. 80 (1): 38–58. doi:10.1159/000274492. PMID 20090288.
- ↑ Yoon W, Kim JK, Kim YH, Chung TW, Kang HK (2002). "Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review". Radiographics. 22 (6): 1395–409. doi:10.1148/rg.226015180. PMID 12432111.