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KMID : 1141720180060010007
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폐쇄성폐질환
2018 Volume.6 No. 1 p.7 ~ p.10
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Kim Ki-Uk
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Abstract
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The Global Initiative for Chronic Obstructive Lung Disease (GOLD) has recently published its updated report on diagnosis and management of Chronic Obstructive Pulmonary Disease (COPD). Compared to the previous version, this documents has been an extensively revised including the role of spirometry. Spirometry is still required for the diagnosis, and it is described as fundamental tool for evaluating prognosis, disease progression, and non-pharmacologic treatment. However, differently from the previous version, spirometry is no longer included in the ABCD tool, which is now centered exclusively on respiratory symptoms and history of exacerbation. This is a brief review of the potential pitfalls of the revised assessment of COPD without the forced expiratory volume in the first second (FEV1).
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KEYWORD
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COPD, Spirometry, Exacerbation
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