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Comparison of Korean COPD Guideline and GOLD Initiative Report in Term of Acute Exacerbation: A Validation Study for Korean COPD Guideline

Authors
Hwang, Yong IlPark, Yong BumOh, Yeon MokLee, Ji HyunKim, Tae HyungYoo, Kwang HaYoon, Hyoung KyuRhee, Chin KookKim, Deog KyeomShin, Kyeong CheolLee, Sang YeubJung, Ki-Suck
Issue Date
8월-2014
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
COPD; Guidelines; Assessment; Exacerbation; FEV1
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.29, no.8, pp.1108 - 1112
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
29
Number
8
Start Page
1108
End Page
1112
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/97833
DOI
10.3346/jkms.2014.29.8.1108
ISSN
1011-8934
Abstract
The purpose of this study was to compare the Korean COPD guideline to GOLD consensus report in terms of acute exacerbation. A total of 361 patients were enrolled in this study, and 16.9% of them experienced acute exacerbation during the follow-up. A total of 6.3% of patients in GOLD A, 9.5% in GOLD B, 7.7% in GOLD C and 17.0% of GOLD D experienced exacerbation during the first year of follow-up, respectively (P = 0.09). There was no one who experienced exacerbation during the first year of follow-up in the Korean group 'ga'. The 12-month exacerbation rates of Korean group 'na' and 'da' were 4.5% and 16.0%, respectively (P < 0.001). We explore the experience of exacerbation in patients with change of their risk group after applying Korean COPD guideline. A total of 16.0% of the patients who were reclassified from GOLD A to Korean group 'da' experienced acute exacerbation, and 15.3% from GOLD B to Korean group 'da' experienced acute exacerbation. In summary, the Korean COPD guideline is useful to differentiate the high risk from low risk for exacerbation in terms of spirometry. This indicates that application of Korean COPD guideline is appropriate to treat Korean COPD patients.
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