지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 363 - 368 (6page)
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초록· 키워드
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Purpose: A new spirometric reference equation was recently developed from the first national chronic obstructive pulmonary disease (COPD) survey in Korea. However,Morris’ equation has been preferred for evaluating spirometric values instead. The objective of this study was to evaluate changes in severity staging in Korean COPD patients by adopting the newly developed Korean equation. Materials and Methods: We evaluated the spirometric data of 441 COPD patients. The presence of airflow limitation was defined as an observed post-bronchodilator forced expiratory volume in one second/forced vital capacity (FEV1/FVC) less than 0.7, and the severity of airflow limitation was assessed according to GOLD stages. Spirometric values were reassessed using the new Korean equation, Morris’ equation and other reference equations. Results: The severity of airflow limitation was differently graded in 143 (32.4%) patients after application of the new Korean equation when compared with Morris’ equation. All 143 patients were reallocated into more severe stages (49 at mild stage, 65 at moderate stage, and 29 at severe stage were changed to moderate,severe and very severe stages, respectively). Stages according to other reference equations were changed in 18.6-49.4% of the patients. Conclusion: These results indicate that equations from different ethnic groups do not sufficiently reflect the airflow limitation of Korean COPD patients. The Korean reference equation should be used for Korean COPD patients in order to administer proper treatment.
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참고문헌 (22)
참고문헌 신청
/ 1983 / Standardized lung function testing. Report working party / Bull Eur Physiopathol Respir 19 (Suppl 5) : 1 ~ 95
/ 1995 / Standardization of Spirometry, 1994 Update. American Thoracic Society / Am J Respir Crit Care Med 152 : 1107 ~ 1136
Aelony Y. / 1991 / Ethnic norms for pulmonary function tests / Chest 99 : 1051 ~
Celli BR / 2003 / Population impact of different definitions of airway obstruction / Eur Respir J 22 : 268 ~ 273
Celli BR / 2004 / ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper / Eur Respir J 23 : 932 ~ 946
/ 1995 / Standardization of Spirometry, 1994 Update. American Thoracic Society / Am J Respir Crit Care Med 152 : 1107 ~ 1136
Aelony Y. / 1991 / Ethnic norms for pulmonary function tests / Chest 99 : 1051 ~
Celli BR / 2003 / Population impact of different definitions of airway obstruction / Eur Respir J 22 : 268 ~ 273
Celli BR / 2004 / ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper / Eur Respir J 23 : 932 ~ 946
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