マツモト エツコ   MATSUMOTO Etsuko
  松本 悦子
   所属   医学部 医学科(東京女子医科大学病院)
   職種   教授・基幹分野長
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Causative diseases of bloody sputum and hemoptysis in respiratory clinics in Japan.
掲載誌名 正式名:Respiratory investigation
略  称:Respir Investig
ISSNコード:22125353/22125345
掲載区分国外
巻・号・頁 63(1),pp.156-162
著者・共著者 Atsuta Ryo†, Fujii Hiroaki, Hara Yu, Tanaka Hiroshi, Nakamura Kei, Obase Yasushi, Haranaga Shusaku, Takahashi Hidenori, Shinkai Masaharu, Terada Jiro, Ikari Jun, Katsura Hideki, Yamamoto Kazuko, Suzuki Takuji, Tagaya Etsuko, Hozawa Soichiro, Mukae Hiroshi, Kaneko Takeshi
発行年月 2025/01
概要 BACKGROUND:No previous studies have compared respiratory clinics and respiratory specialized facilities regarding causative diseases for bloody sputum and hemoptysis in Japan.METHODS:We retrospectively compared causative diseases for bloody sputum and hemoptysis between 3 respiratory clinics (clinic group) and 7 departments of respiratory medicine at hospitals (hospital group) in Japan.RESULTS:We collected data from 231 patients (median age, 51 years; age range, 24-96 years; 109 men (47.2%)) in the clinic group and 556 patients (median age, 73 years; age range, 21-98 years; 302 men (54.3%)) in the hospital group. In the former group, the main causative disease was acute bronchitis (91 patients, 39.4%), acute upper respiratory tract infection (34 patients, 14.7%), and bronchiectasis (BE) (29 patients, 12.6%). In the latter group, the main causative diseases were BE (102 patients, 18.3%), lung cancer (97 patients, 17.4%), and non-tuberculous mycobacterial disease (NTM) (89 patients, 16%). In particular, in patients ≥60 years old, BE was an important causative disease for bloody sputum and hemoptysis in both groups.CONCLUSIONS:The present study is the first to compare respiratory clinics and respiratory specialized facilities. Depending on the facility in which the patient is examined, lung cancer, BE, and NTM were identified as diseases requiring special attention as causes of bloody sputum and hemoptysis.
DOI 10.1016/j.resinv.2024.12.006
PMID 39708411