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KMID : 0383820110700030199
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Tuberculosis and Respiratory Diseases
2011 Volume.70 No. 3 p.199 ~ p.205
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Proposal of New Criteria for Assessing Respiratory Impairment
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Park Joo-Hun
Lee Jae-Seung
Huh Jin-Won
Oh Yeon-Mok
Lee Sang-Do
Lee Sei-Won
Yoon Ho-Il
Kim Deog-Kyeom
Lee Chang-Hoon
Park Myung-Jae
Kim Eun-Kyung
Park Yong-Bum
Hwang Yong-Il
Jung Ki-Suck
Park Hye-Yoon
Lim Seong-Yong
Jung Ji-Ye
Kim Young-Sam
Kim Hui-Jung
Rhee Chin-Kook
Yoon Hyoung-Kyu
Kim Young-Kyoon
Kim Jin-Woo
Yoo Jee-Hong
Yoo Kwang-Ha
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Abstract
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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.
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KEYWORD
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Respiratory System, Disability Evaluation, Respiratory Function Tests, Spirometry, Pulmonary Diffusing Capacity
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