Proposal of New Criteria for Assessing Respiratory Impairment.
10.4046/trd.2011.70.3.199
- Author:
Joo Hun PARK
1
;
Jae Seung LEE
;
Jin Won HUH
;
Yeon Mok OH
;
Sang Do LEE
;
Sei Won LEE
;
Ho Il YOON
;
Deog Kyeom KIM
;
Chang Hoon LEE
;
Myung Jae PARK
;
Eun Kyung KIM
;
Yong Bum PARK
;
Yong Il HWANG
;
Ki Suck JUNG
;
Hye Yoon PARK
;
Seong Yong LIM
;
Ji Ye JUNG
;
Young Sam KIM
;
Hui Jung KIM
;
Chin Kook RHEE
;
Hyoung Kyu YOON
;
Young Kyoon KIM
;
Jin Woo KIM
;
Jee Hong YOO
;
Kwang Ha YOO
Author Information
1. Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Korea.
- Publication Type:Review
- Keywords:
Respiratory System;
Disability Evaluation;
Respiratory Function Tests;
Spirometry;
Pulmonary Diffusing Capacity
- MeSH:
Blood Gas Analysis;
Disability Evaluation;
Dyspnea;
Forced Expiratory Volume;
Humans;
Korea;
Oxygen;
Pulmonary Diffusing Capacity;
Respiratory Function Tests;
Respiratory System;
Social Welfare;
Spirometry;
Vital Capacity
- From:Tuberculosis and Respiratory Diseases
2011;70(3):199-205
- CountryRepublic of Korea
- Language:Korean
-
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.
