지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.12
- 수록면
- 1 - 7 (7page)
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초록· 키워드
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Background: Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease characterized by persistent airflow limitation. Therefore, both work ability and workday length may be affected in individuals with this disease. We studied a worker with suspected COPD and assessed fitness to work using post-bronchodilator spirometry, symptom assessment scales, and the exercise stress test.
Case report: The patient was a 58-year-old man due to work as a field supervisor in the ship construction sector. He had a 40 pack-year smoking history and experienced occasional dyspnea when climbing stairs. He visited this hospital to receive cardiopulmonary function tests and to determine his ability to work. Post-bronchodilator spirometry revealed severe irreversible airway obstruction corresponding to a modified Medical Research Council grade of 2 on the dyspnea scale. His COPD Assessment Test score was 12, placing him in patient group D (high risk, more symptoms) based on the Global Initiative for Chronic Obstructive Lung Disease classification system. His maximum oxygen uptake (VO<SUB>2max</SUB>) was determined to be 19.16 ml/kg/min, as measured by the exercise stress test, and his acceptable workload for 8 h of physical work was calculated to be 6.51 ml/kg/min. His work tasks required an oxygen demand of 6.89 ml/kg/min, which exceeded the acceptable workload calculated. Accordingly, he was advised to adjust the work tasks that were deemed inappropriate for his exercise capacity.
Conclusion: As COPD incidence is expected to rise, early COPD diagnosis and determination of fitness to work is becoming increasingly important. Performing the exercise stress test, to evaluate the functional capacity of workers with COPD, is considered an acceptable solution.
Case report: The patient was a 58-year-old man due to work as a field supervisor in the ship construction sector. He had a 40 pack-year smoking history and experienced occasional dyspnea when climbing stairs. He visited this hospital to receive cardiopulmonary function tests and to determine his ability to work. Post-bronchodilator spirometry revealed severe irreversible airway obstruction corresponding to a modified Medical Research Council grade of 2 on the dyspnea scale. His COPD Assessment Test score was 12, placing him in patient group D (high risk, more symptoms) based on the Global Initiative for Chronic Obstructive Lung Disease classification system. His maximum oxygen uptake (VO<SUB>2max</SUB>) was determined to be 19.16 ml/kg/min, as measured by the exercise stress test, and his acceptable workload for 8 h of physical work was calculated to be 6.51 ml/kg/min. His work tasks required an oxygen demand of 6.89 ml/kg/min, which exceeded the acceptable workload calculated. Accordingly, he was advised to adjust the work tasks that were deemed inappropriate for his exercise capacity.
Conclusion: As COPD incidence is expected to rise, early COPD diagnosis and determination of fitness to work is becoming increasingly important. Performing the exercise stress test, to evaluate the functional capacity of workers with COPD, is considered an acceptable solution.
목차
Abstract
Background
Case presentation
Conclusions
References
참고문헌 (36)
참고문헌 신청
Yoo KH / 2011 / Prevalence of chronic obstructive pulmonary disease in Korea : the fourth Korean National Health and Nutrition Examination Survey, 2008 / Respirology 16:659~665
Trupin L / 2003 / The occupational burden of chronic obstructive pulmonary disease / Eur Respir J 22:462~469
Hnizdo E / 2004 / Airflow obstruction attributable to work in industry and occupation among US race/ethnic groups : a study of NHANES III data / Am J Ind Med 46:126~135
Martínez GC / 2013 / Recommendations for fitness for work medical evaluations in chronic respiratory patients / Arch Bronconeumol 49:480~490
나운태 / 2009 / 만성 폐쇄성폐질환의 폐기능 검사와 운동 검사의 비교 / 대한내과학회지 76(5):571~577
Trupin L / 2003 / The occupational burden of chronic obstructive pulmonary disease / Eur Respir J 22:462~469
Hnizdo E / 2004 / Airflow obstruction attributable to work in industry and occupation among US race/ethnic groups : a study of NHANES III data / Am J Ind Med 46:126~135
Martínez GC / 2013 / Recommendations for fitness for work medical evaluations in chronic respiratory patients / Arch Bronconeumol 49:480~490
나운태 / 2009 / 만성 폐쇄성폐질환의 폐기능 검사와 운동 검사의 비교 / 대한내과학회지 76(5):571~577
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UCI(KEPA) : I410-ECN-0101-2016-517-002433575