Etiologies and Outcomes of Pulmonary Hemorrhage in Children: A Single Institutional Series

摘要: Rationale Many pediatric conditions are associated with the rare, potentially catastrophic complication of pulmonary hemorrhage. Flexible bronchoscopy is often performed for both diagnostic and therapeutic reasons for pulmonary hemorrhage. Our aim was to describe etiologies, interventions, and outcomes among children undergoing bronchoscopy for pulmonary hemorrhage in our institution. Methods We conducted a retrospective chart review of all patients who underwent flexible bronchoscopy at Cincinnati Children’s Hospital Medical Center for an indication of hemoptysis or pulmonary hemorrhage between 2010 and 2017. Positive bronchoscopic findings included the presence of active bleeding, blood clots, mucosal hemorrhage, bloody bronchoalveolar lavage fluid or an abundance of hemosiderin-laden macrophages on cytology. The primary outcome was survival at 12 months post-hemorrhage. Results …