Kim HoJoong, Lee Kye Young, Kim Joung Taek, Uh Soo-taek
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2009 May;24 Suppl 2(Suppl 2):S267-70. doi: 10.3346/jkms.2009.24.S2.S267. Epub 2009 May 31.
The presently used impairment rating guidelines in Korea do not accurately reflect the injury in various lung diseases. Therefore, they need to be made more objective and quantitative with new measurements, using indicators to more precisely represent impairment in the major respiratory diseases. We develop a respiratory impairment rating guideline to ensure that the same grade or impairment rating would be obtained regardless of surgeons who determinate it. Specialists in respiratory medicine and thoracic surgeons determined the impairment grades. Moreover, the impairment should be irreversible for more than 6 months. The impairment rating depends on the level of forced vital capacity, forced expiratory volume 1 second, diffusion capacity of carbon monoxide, arterial oxygen pressure, and arterial carbon dioxide pressure. The degree of whole body impairment is defined by each grade: first 81-95%, second 66-80%, third 51-65%, fourth 36-50%, and fifth 21-35%. In conclusion, we develop a respiratory impairment rating guideline for Koreans. Any qualified specialist can easily use it and judge objective scoring.
韩国目前使用的损伤评级指南不能准确反映各种肺部疾病的损伤情况。因此，需要采用新的测量方法使其更加客观和量化，使用指标更精确地表示主要呼吸系统疾病的损伤。我们制定了一项呼吸损伤评级指南，以确保无论由哪位外科医生确定，都能获得相同的等级或损伤评级。呼吸内科专家和胸外科医生确定损伤等级。此外，损伤应持续不可逆超过6个月。损伤评级取决于用力肺活量、第1秒用力呼气量、一氧化碳弥散量、动脉血氧分压和动脉血二氧化碳分压的水平。全身损伤程度由各等级定义：一级81 - 95%，二级66 - 80%，三级51 - 65%，四级36 - 50%，五级21 - 35%。总之，我们为韩国人制定了一项呼吸损伤评级指南。任何合格的专家都可以轻松使用它并进行客观评分。
