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새로운 호흡기 장애 판정 기준의 제안

Other Titles
 Proposal of New Criteria for Assessing Respiratory Impairment. 
Authors
 박주헌  ;  이재승  ;  허진원  ;  오연목  ;  이상도  ;  이세원  ;  윤호일  ;  김덕겸  ;  이창훈  ;  박명재  ;  김은경  ;  박용범  ;  황용일  ;  정기석  ;  박혜윤  ;  임성용  ;  정지예  ;  김영삼  ;  김휘정  ;  이진국  ;  윤형규  ;  김영균  ;  김진우  ;  유지홍  ;  유광하 
Citation
 Tuberculosis and Respiratory Diseases, Vol.70(3) : 199-205, 2011 
Journal Title
 Tuberculosis and Respiratory Diseases 
ISSN
 1738-3536 
Issue Date
2011
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93957
Files in This Item:
T201103139.pdf Download
DOI
10.4046/trd.2011.70.3.199
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김영삼(Kim, Young Sam)
정지예(Jung, Ji Ye) ORCID logo https://orcid.org/0000-0003-1589-4142
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