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만성폐쇄성폐질환 최신 진단지침

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Author(s)
Hyun Jung KimYeon-Mok Oh
Keimyung Author(s)
Kim, Hyun Jung
Department
Dept. of Internal Medicine (내과학)
Journal Title
대한의사협회지
Issued Date
2018
Volume
61
Issue
9
Keyword
Pulmonary diseasechronic obstructiveDyspneaSpirometryRespiratory function tests
Abstract
Chronic obstructive pulmonary disease (COPD) should be considered in any patient who has dyspnea, chronic cough or sputum production, and/or a history of exposure to risk factors for the disease, such as cigarette smoking, biomass exposure, and occupational dust. Spirometry is required to make the diagnosis, and a post-bronchodilator forced expiratory volume in one second/forced vital capacity ratio <0.7 confirms the presence of persistent airflow limitation. The goal of COPD assessment is to determine the severity of the disease, including the severity of airflow limitation, the impact of the disease on the patient’s health status, the risk of future events (such as exacerbations, hospital admission, or death), and comorbidities in order to guide therapy. Concomitant chronic diseases occur frequently in COPD patients, including cardiovascular disease, skeletal muscle dysfunction, metabolic syndrome, osteoporosis, depression, anxiety, and lung cancer. These comorbidities should be actively surveilled and treated appropriately when present, as they can independently influence mortality and hospitalization. Above all, further efforts are required to increase the diagnosis rate of COPD in Korea.
Alternative Title
The diagnosis of chronic obstructive pulmonary disease according to current guidelines
Keimyung Author(s)(Kor)
김현정
Publisher
School of Medicine (의과대학)
Citation
Hyun Jung Kim and Yeon-Mok Oh. (2018). 만성폐쇄성폐질환 최신 진단지침. 대한의사협회지, 61(9), 539–544. doi: 10.5124/jkma.2018.61.9.539
Type
Article
ISSN
2093-5951
Source
https://jkma.org/DOIx.php?id=10.5124/jkma.2018.61.9.539
DOI
10.5124/jkma.2018.61.9.539
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42216
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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