Hemoptysis: Clinicians’ Perspectives RESULTS

15 Apr
2011

The demographic characteristics of participants and their responses to questions about mild hemoptysis in ambulatory outpatients and life-threatening hemop­tysis in critically ill individuals were recorded. Re­sponses were entered on as many as 118 keypads, with a mean±SD of 104 ±9.1 responses per question. Seventy-nine individuals responded to over 80 percent of questions. Data from all respondents are reported. When analysis was limited solely to those who an­swered more than 80 percent of questions, the relative distributions of answers were similar to those of the entire group.

Physician Characteristics

Characteristics of participants are summarized in Table 1. They were predominantly pulmonologists (66 percent), with a smaller number of intensivists and thoracic surgeons. Although their clinical practices were located in diverse settings, most (72 percent) were based in community hospitals. A wide spectrum of experience was represented, ranging from physi­cians in fellowship training to those in practice for >20 years. Participants commonly assessed patients with hemoptysis: 42 percent of them evaluated more than 20 patients annually with nonmassive bleeding. Massive pulmonary hemorrhage (defined at this ses­sion by a bleeding rate exceeding 400 to 600 ml during a 16- to 24-hour period) were encountered much less often, with most evaluating such patients per year.
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Table 1—Characteristics of Physicians

Respondents, %

Primary specialty orientation (n* = 96)

Pulmonary

66

Critical care

11

Internal medicine

7

Thoracic surgery

11

Other surgical

3

Other

1

Setting of practice (n* = 89)

Nonclinician

2

Academician, university based practice

27

University-affiliated community hospital

24

Community hospital

42

Office/clinic

6

Level of experience (n* = 99)

Years of Practice

13

0-5

23

6-10

22

11-20

27

>20

14

Number of patients with hemoptysis seen

annually (n* = 107)

0-10

24

11-20

35

21-30

20

31-50

17

51-100

4

>100

1

Number of patients with massive hemoptysis seen

annually (n* = 103)

0-5

81

6-10

15

11-15

2

16-20

0

>20

2

Responses of the following groups were compared: pulmonologists vs other specialists, academicians vs community hospital practitioners, individuals with >10 years of practice vs those having >10 years experience, respondents caring for <=20 patients an­nually with hemoptysis vs those evaluating >20 per year, and physicians managing patients with mas­sive hemoptysis per year vs those with >5 such patients each year. Unless otherwise indicated, all of these groups had similar patterns of responses to questions about patient management.
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