Tuberc Respir Dis > Volume 70(3); 2011 > Article
Tuberculosis and Respiratory Diseases 2011;70(3):199-205.
DOI: https://doi.org/10.4046/trd.2011.70.3.199    Published online March 1, 2011.
Proposal of New Criteria for Assessing Respiratory Impairment.
Joo Hun Park, 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
1Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Korea.
2Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
3Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
4Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
5Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Korea.
6Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
7Department of Internal Medicine, Hallym University Sacred Heart Hospital, Seoul, Korea.
8Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
9Department of Internal Medicine, Samsung Medical Center, Seoul, Korea.
10Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
11Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
12Department of Internal Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea.
13Department of Internal Medicine, St. Mary's Hospital, Seoul, Korea.
14Department of Internal Medicine, Uijeongbu St. Marry's Hospital, Uijeongbu, Korea.
15Department of Internal Medicine, Yeouido St. Marry's Hosital, The Catholic University of Korea College of Medicine, Seoul, Korea.
16Department of Internal Medicine, Konkuk University College of Medicine, Seoul, Korea. khyou@kuh.ac.kr
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.
Key Words: Respiratory System, Disability Evaluation, Respiratory Function Tests, Spirometry, Pulmonary Diffusing Capacity


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