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Proposal of New Criteria for Assessing Respiratory Impairment

Other Title
새로운 호흡기 장애 판정 기준의 제안
Authors
박, 주헌; 이, 재승; 허, 진원; 오, 연목; 이, 상도; 이, 세원; 윤, 호일; 김, 덕겸; 이, 창훈; 박, 명재; 김, 은경; 박, 용범; 황, 용일; 정, 기석; 박, 혜윤; 임, 성용; 정, 지예; 김, 영삼; 김, 휘정; 이, 진국; 윤, 형규; 김, 영균; 김, 진우; 유, 지홍; 유, 광하
Citation
Tuberculosis and respiratory diseases, 70(3):199-205, 2011
Journal Title
Tuberculosis and respiratory diseases
ISSN
1738-35362005-6184
Abstract
Social welfare services for respiratory-disabled persons in Korea are offered based on the respiratory impairment grade, which is determined by 3 clinical parameters; dyspnea, forced expiratory volume in 1 second (FEV1), and arterial oxygen tension. This grading system has several limitations in the objective assessment of respiratory impairment. We reviewed several guidelines for the evaluation of respiratory impairment and relevant articles. Then, we discussed a new grading system with respiratory physicians. Both researchers and respiratory physicians agreed that pulmonary function tests are essential in assessing the severity of respiratory impairment, forced vital capacity (FVC), FEV1 and single breath diffusing capacity (DLco) are the primarily recommended tests. In addition, we agreed that arterial blood gas analysis should be reserved for selected patients. In conclusion, we propose a new respiratory impairment grading system utilizing a combination FVC, FEV1 and DLco scores, with more social discussion included.
Keywords
Respiratory SystemDisability EvaluationRespiratory Function TestsSpirometryPulmonary Diffusing Capacity
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pulmonary & Critical Care Medicine
AJOU Authors
박, 주헌
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