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한국 성인을 대상으로 한 미국 및 유럽 폐활량 검사 재현성 기준의 유용성

Other Titles
 Applicability of American and European Spirometry Repeatability Criteria to Korean Adults 
 박병훈  ;  박무석  ;  변민관  ;  김영삼  ;  이상도  ;  오연목  ;  안성복  ;  김성규  ;  장준  ;  김세규  ;  문지애  ;  정경수  ;  전한호  ;  신상윤  ;  박선철  ;  변민광  ;  정우영 
 Tuberculosis and Respiratory Diseases, Vol.63(5) : 405-411, 2007 
Journal Title
 Tuberculosis and Respiratory Diseases 
Issue Date
Background: The objective of this study was to evaluate the clinical applicability of the repeatability criteria recommended by the American Thoracic Society/European Respiratory Society (ATS/ERS) spirometry guidelines and to determine which factors affect the repeatability of spirometry in Korean adults. Methods: We reviewed the spirometry data of 4,663 Korean adults from the Korean National Health and Nutritional Examination Survey (KNHANES) Chronic Obstructive Pulmonary Disease Cohort (COPD cohort) and the Community-based Cohort Study VI-Fishing village/Islands (community cohort). We measured the anthropometric factors and differences between the highest and second-highest FVC (dFVC) and FEV1 (dFEV1) from prebronchodilator spirometry. Analyses included the distribution of dFVC and dFEV1, comparison of the values meeting the 1994 ATS repeatability criteria with the values meeting the 2005 ATS/ERS repeatability criteria, and the performance of linear regression for evaluating the influence of subject characteristics and the change of criteria on the spiro-metric variability. Results: About 95% of subjects were able to reproduce FVC and FEV1 within 150 ml. The KNHANES based on the 1994 ATS guidelines showed poorer repeatability than the COPD cohort and community cohort based on the 2005 ATS/ERS guidelines. Demographic and anthropometric factors had little effect on repeatability, explaining only 0.5 to 3%. Conclusion: We conclude that the new spirometry repeatability criteria recommended by the 2005 ATS/ERS guidelines is also applicable to Korean adults. The repeatability of spirometry depends little on individual characteristics when an experienced technician performs testing. Therefore, we suggest that sustained efforts for public awareness of new repeatability criteria, quality control of spirograms, and education of personnel are needed for reliable spirometric results.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
김성규(Kim, Sung Kyu)
김세규(Kim, Se Kyu)
김영삼(Kim, Young Sam) ORCID logo https://orcid.org/0000-0001-9656-8482
문지애(Moon, Ji Ae)
박무석(Park, Moo Suk) ORCID logo https://orcid.org/0000-0003-0820-7615
변민광(Byun, Min Kwang) ORCID logo https://orcid.org/0000-0003-1525-1745
장준(Chang, Joon) ORCID logo https://orcid.org/0000-0003-4542-6841
정우영(Jung, Woo Young)
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