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만성폐쇄성폐질환 최신 진단지침.
- Source :
- Journal of the Korean Medical Association / Taehan Uisa Hyophoe Chi; Sep2018, Vol. 61 Issue 9, p539-544, 6p, 2 Diagrams, 5 Charts
- Publication Year :
- 2018
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- OBSTRUCTIVE lung disease diagnosis
ANXIETY
CARDIOVASCULAR diseases
COUGH
MENTAL depression
DUST
DYSPNEA
HEALTH status indicators
HOSPITAL care
HOSPITAL admission & discharge
LUNG tumors
OBSTRUCTIVE lung diseases
MEDICAL protocols
METABOLIC disorders
OSTEOPOROSIS
PATIENTS
SMOKING
SPIROMETRY
COMORBIDITY
ENVIRONMENTAL exposure
VITAL capacity (Respiration)
SEVERITY of illness index
DISEASE exacerbation
SKELETAL muscle
DISEASE complications
DISEASE risk factors
Subjects
Details
- Language :
- Korean
- ISSN :
- 19758456
- Volume :
- 61
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Journal of the Korean Medical Association / Taehan Uisa Hyophoe Chi
- Publication Type :
- Academic Journal
- Accession number :
- 132073612
- Full Text :
- https://doi.org/10.5124/jkma.2018.61.9.539