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KMID : 1141720150030010003
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폐쇄성폐질환
2015 Volume.3 No. 1 p.3 ~ p.3
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Kim Deog-Kyeom
Park Yong-Bum
Yoo Kwang-Ha
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Abstract
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Asthma is a prevalent and serious health problem in Korea. Recently, the Korean asthma guideline has been revised by The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) to improve the clinical management of asthma. This guideline focused on managing adult asthma patients and it aimed to deliver the upto-date scientific evidence and recommendations to general physicians in managing asthma. For this purpose, Korean asthma guideline was updated with the systematic review and meta-analysis of recent researches and adapting some points of international guidelines (GINA 2014, NAEPP 2007, SIGN 2012, Candadian guideline 2012). Updated issues include the recommendations derived from PICO model for 20 clinical questions on management of asthma. It also covers the new definition of asthma, the importance of confirming various airflow limitation with spirometry, epidemiology of asthma in Korea, diagnostic flow of asthma, the importance and evidence of inhaled corticosteroids (ICS) and ICS/formoterol as single maintenance and reliever therapy in stepwise management of asthma, assessment of severity and management of asthma exacerbation, and asthma action plan to cope with asthma exacerbation. This guideline includes new definition, clinical assessment, and treatment of asthma-COPD overlap syndrome (ACOS), management of asthma in specific conditions including severe asthma, elderly asthma, cough variant asthma, exercise induced bronchial contraction etc. Conclusively, the revised Korean asthma guideline is expected to be a useful resource in the management of asthma.
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KEYWORD
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Asthma, Exacerbation, Clinical guideline, PICO
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