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Korean Asthma Guideline 2014: Summary of Major Updates to the Korean Asthma Guideline 2014

机译：2014年韩国哮喘指南：2014年韩国哮喘指南的主要更新摘要

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摘要

Asthma is a prevalent and serious health problem in Korea. Recently, the Korean Asthma Guideline has been updated by The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) in an effort to improve the clinical management of asthma. This guideline focuses on adult patients with asthma and aims to deliver up to date scientific evidence and recommendations to general physicians for the management of asthma. For this purpose, this guideline was updated following systematic review and meta-analysis of recent studies and adapting some points of international guidelines (Global Initiative for Asthma [GINA] report 2014, National Asthma Education and Prevention Program [NAEPP] 2007, British Thoracic Society [BTS/SIGN] asthma guideline 2012, and Canadian asthma guideline 2012). Updated issues include recommendations derived using the population, intervention, comparison, and outcomes (PICO) model, which produced 20 clinical questions on the management of asthma. It also covers a new definition of asthma, the importance of confirming various airflow limitations with spirometry, the epidemiology and the diagnostic flow of asthma in Korea, the importance and evidence for inhaled corticosteroids (ICS) and ICS/formoterol as a single maintenance and acute therapy in the stepwise management of asthma, assessment of severity of asthma and management of exacerbation, and an action plan to cope with exacerbation. This guideline includes clinical assessments, and treatment of asthma–chronic obstructive pulmonary disease overlap syndrome, management of asthma in specific conditions including severe asthma, elderly asthma, cough variant asthma, exercise-induced bronchial contraction, etc. The revised Korean Asthma Guideline is expected to be a useful resource in the management of asthma.
机译：哮喘是韩国普遍存在的严重健康问题。最近，韩国结核病和呼吸疾病学会（KATRD）更新了《韩国哮喘指南》，以改善哮喘的临床管理。本指南的重点是成年哮喘患者，旨在向普通医师提供最新的科学证据和建议以治疗哮喘。为此，在对近期研究进行系统回顾和荟萃分析并适应国际准则的某些要点后，对本指南进行了更新（2014年全球哮喘倡议[GINA]报告，2007年国家哮喘教育和预防计划[NAEPP]，英国胸科学会[BTS / SIGN] 2012年哮喘指南和2012年加拿大哮喘指南）。更新的问题包括使用人群，干预，比较和结果（PICO）模型得出的建议，该模型产生了有关哮喘管理的20个临床问题。它还涵盖了哮喘的新定义，通过肺活量测定法确定各种气流受限的重要性，韩国哮喘的流行病学和诊断流程，作为单一维持和急性吸入性糖皮质激素（ICS）和ICS /福莫特罗的重要性和证据逐步控制哮喘的治疗，哮喘严重程度的评估和加重的治疗以及应对加重的行动计划。该指南包括临床评估和哮喘-慢性阻塞性肺疾病重叠综合征的治疗，在严重哮喘，老年哮喘，咳嗽变异性哮喘，运动引起的支气管收缩等特定疾病下的哮喘治疗。预计将修订韩国哮喘指南成为治疗哮喘的有用资源。

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