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Discharge Criteria of Patient with Hemoptysis and Evaluation for One Month in Persahabatan Hospital
Introduction: Hemoptysis is one of respiratory emergencies that need immediate managements in the hospital. In Dept.of Pulrnonoloqy and Respiratory Medicine I Persahabatan Hospital, all patient with hemoptysis must be addmitted. Discharge criteria for hemoptysis patient is if they had already free from hemoptysis for 3 days, but there is a need for evidence to support this policy. Therefore, the aim of this study was to find factors that influence the recurrence of hemoptysis and the effective time needed for observation in hemoptysis patients,we compare them between one day and three days free from hemoptysis
Method: Desain of this study was one month cohort study, consist of 50 hemoptysis patients who addmitted from September to October 2009 in Persahabatan Hospital.
Result: The main cause of hemoptysis was pulmonary TB (52%) and the recurence of hemoptysis in one month was 22%. We found there was no significant relationship in factors that influence the recurence of hemoptysis, such as age, sex, diagnosis, day free from hemoptysis, hemoptyis volume, causative and symptomatic therapy, radiologic lession and hystory of hemoptysis. Moreover, in this study we found that hemoglobin level was a significant factor that influence the recurence of hemoptysis, that every incremence of 1 mg/dl of hemoglobin will reduce the risk for recurence of hemoptysis (48,2% [95% Cl 0,274 - 0,978 ; P=0,043]).
Conclusion: There was no significance between one day and three days observational hemoptysis for the recurance of hemoptysis.
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