Proposal of New Criteria for Assessing Respiratory Impairment / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 199-205, 2011.
Article
in Korean
| WPRIM
| ID: wpr-169155
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Respiratory Function Tests
/
Respiratory System
/
Social Welfare
/
Spirometry
/
Blood Gas Analysis
/
Pulmonary Diffusing Capacity
/
Vital Capacity
/
Forced Expiratory Volume
/
Disability Evaluation
Type of study:
Practice guideline
/
Qualitative research
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Tuberculosis and Respiratory Diseases
Year:
2011
Type:
Article
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