Tuberculosis and Respiratory Diseases
- Volume 47 Issue 3
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- Pages.356-364
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- 1999
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
The Predictable Factors for the Mortality of Fatal Asthma with Acute Respiratory Failure
호흡부전을 동반한 중증천식환자의 사망 예측 인자
- Park, Joo-Hun (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
- Moon, Hee-Bom (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
- Na, Joo-Ock (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
- Song, Hun-Ho (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
-
Lim, Chae-Man
(Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
-
Lee, Moo-Song
(Department of Internal Medicine, Preventive Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
- Shim, Tae-Sun (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
-
Lee,, Sang-Do
(Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
- Kim, Woo-Sung (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
- Kim, Dong-Soon (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
- Kim, Won-Dong (Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
-
Koh, Youn-Suck
(Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan, College of Medicine)
- 박주헌 (울산대학교 서울중앙병원 내과학교실) ;
- 문희범 (울산대학교 서울중앙병원 내과학교실) ;
- 나주옥 (울산대학교 서울중앙병원 내과학교실) ;
- 송헌호 (울산대학교 서울중앙병원 내과학교실) ;
-
임채만
(울산대학교 서울중앙병원 내과학교실) ;
-
이무송
(울산대학교 서울중앙병원 예방의학교실) ;
- 심태선 (울산대학교 서울중앙병원 내과학교실) ;
-
이상도
(울산대학교 서울중앙병원 내과학교실) ;
- 김우성 (울산대학교 서울중앙병원 내과학교실) ;
- 김동순 (울산대학교 서울중앙병원 내과학교실) ;
- 김원동 (울산대학교 서울중앙병원 내과학교실) ;
-
고윤석
(울산대학교 서울중앙병원 내과학교실)
- Published : 1999.09.30
Abstract
Backgrounds: Previous reports have revealed a high morbidity and mortality in fatal asthma patients, especially those treated in the medical intensive care unit(MICU). But it has not been well known about the predictable factors for the mortality of fatal asthma(F A) with acute respiratory failure. In order to define the predictable factors for the mortality of FA at the admission to MICU, we analyzed the relationship between the clinical parameters and the prognosis of FA patients. Methods: A retrospective analysis of all medical records of 59 patients who had admitted for FA to MICU at a tertiary care MICU from January 1992 to March 1997 was performed. Results: Over all mortality rate was 32.2% and 43 patients were mechanically ventilated. In uni-variate analysis, the death group had significantly older age (
연구배경: 천식은 발병 기전의 규명과 새로운 치료 방법의 개발에도 불구하고 그 사망률은 줄지 않고 있다. 천식의 사망과 관련이 추정되어 온 몇몇 인지들이 알려져 있으나 중환자실 입실 시점에서 호흡부전을 동반한 천식 환자들의 사망과 관련된 예후 인자들에 대해서는 잘 알려져 있지 않았다. 본 내과계중환자실로 입실하였던 중증천식환자들을 대상으로 중환자실 입실 시점에서 사망과 관련될 수 인자들을 알아보고자 하였다. 방법: 내과계중환자실에 호흡부전을 동반한 기관지 천식으로 입실하였던 59명(나이