Publications by authors named "Sung Jun Chung"

Background: Previous studies have proposed exercise capacity as a mortality predictor in individuals with interstitial lung disease (ILD). However, limited information is available regarding whether maintaining exercise is associated with improved survival in individuals with ILD.

Objectives: We aimed to evaluate the association between exercise maintenance and mortality in individuals with ILD using a longitudinal, large population-based database.

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Background: The Leicester Cough Questionnaire (LCQ) is a validated instrument for evaluating cough-related impairments within three domains: physical, psychological, and social. This study investigated how the physical, psychological, and social domains of chronic cough are interrelated using the LCQ.

Methods: Adult patients with chronic cough from 16 respiratory centers who completed the LCQ and underwent diagnostic workup were retrospectively reviewed.

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Background And Objective: Chronic obstructive pulmonary disease (COPD) is a heterogeneous disease, with chronic bronchitis (CB) and emphysema phenotypes. The aim of our study was to compare the distinct patterns of correlation networks for respiratory symptoms and predictors of future exacerbations of different COPD phenotypes.

Methods: CB and emphysema were identified using a questionnaire and computed tomography images, respectively, and also included patients with preserved ratio impaired spirometry (PRISm).

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Connective tissue disease (CTD), comprising a range of autoimmune disorders, is often accompanied by lung involvement, which can lead to life-threatening complications. The primary types of CTDs that manifest as interstitial lung disease (ILD) include rheumatoid arthritis, systemic sclerosis, Sjögren's syndrome, mixed CTD, idiopathic inflammatory myopathies, and systemic lupus erythematosus. CTD-ILD presents a significant challenge in clinical diagnosis and management due to its heterogeneous nature and variable prognosis.

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  • Chronic cough is a common problem, affecting about 9.6% of people worldwide, with more women than men experiencing it.
  • A study in South Korea looked at 625 adult patients to see how chronic cough differs between men and women based on age and causes.
  • Results showed that women were generally older, more often had asthma-related coughs, and even though the severity was similar, the prevalence of cough increased significantly in women as they got older.
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  • The study focuses on tuberculosis (TB) prevalence among homeless individuals in Korea, analyzing chest X-ray (CXR) screening results to better understand the disease in this high-risk group.
  • The research revealed that the incidence of suggested TB among the homeless was significantly higher than in the general population, with 29 confirmed cases identified through the screening.
  • The findings suggest that body mass index and CXR results, particularly for inactive TB, are important factors to consider for improving TB screening efforts among homeless populations.
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Introduction: Air pollutants are increasingly recognized to affect long-term outcomes in patients with bronchiectasis. We aimed to figure out the association between air pollutants and the risk of healthcare utilization in patients with bronchiectasis.

Methods: Data for 1,029 subjects with bronchiectasis in Seoul were extracted.

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Background: Gastroesophageal reflux disease (GERD) is a common comorbidity of nontuberculous mycobacteria (NTM) pulmonary disease (PD). Although GERD is associated with more symptoms and severe disease in patients with NTM PD, whether GERD is associated with an increased risk of NTM PD developing is unknown.

Research Question: Does GERD influence the development of NTM PD? Are there any factors associated with an increased risk of NTM PD among patients with GERD? What is the impact of NTM PD on the health-care use of patients with GERD?

Study Design And Methods: Data from the Korean National Health Insurance Service National Sample Cohort between 2002 and 2015 were used.

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Asthmatic patients are generally considered to have an increased risk of mortality compared with subjects without asthma. However, this issue has been less evaluated using nationally representative data. Moreover, it is unclear whether respiratory comorbidities other than chronic obstructive pulmonary disease (COPD) are associated with increased mortality in asthmatic patients compared with subjects without.

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Introduction: Although respiratory infections are common causes of acute respiratory failure (ARF) in patients with myositis-interstitial lung disease (ILD), limited data are available regarding the treatment outcomes by the etiologies of acute exacerbation (AE) of myositis-related ILD (infectious vs. non-infectious). Our study aimed to investigate the treatment outcomes of AE in patients with myositis-related ILD focused on the infectious etiology.

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The aim of this study is to examine the impact of tumor necrosis factor inhibitors (TNFI) on nontuberculous mycobacterium (NTM) infection in rheumatoid arthritis (RA) patients in a mycobacterium tuberculosis (MTB) endemic area. We selected 1089 TNFI-treated RA patients and 4356 untreated RA patients using propensity-matching analysis according to age, gender, and Charlson comorbidity index using the Korean National Health Insurance Service database from July 2009 to December 2010. Both groups were followed-up until the end of 2016 to measure the incidence of mycobacterial diseases.

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Article Synopsis
  • GORD (Gastro-oesophageal reflux disease) is common in patients with bronchiectasis, particularly in those aged 50 and older, and is linked to increased healthcare usage and costs.* -
  • A study of over 44,000 bronchiectasis patients in Korea revealed that those with GORD had significantly more outpatient and emergency visits, as well as higher total medical costs compared to those without GORD.* -
  • Specifically, patients with GORD had 1.44 times more overall ER visits and 1.26 times more respiratory-related hospitalizations than those without GORD, highlighting the increased burden of illness and healthcare spending associated with the condition.*
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Response to vaccines generally varies according to individual factors of the vaccinated subjects such as demographics and immune status. While there are various reports of factors associated with immunogenicity of mRNA COVID-19 vaccines, little is known about those of adenovirus vector vaccines. We conducted a prospective observational study to assess the relationships of antibody level with age, sex, body mass index (BMI), and adverse reactions (ARs) to an adenovirus vector vaccine, ChAdOx1 nCoV-19.

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  • Pneumonia can be a severe illness often diagnosed too late through typical physical and imaging tests, leading to complications or death.
  • Researchers aimed to create an AI-based algorithm to diagnose pneumonia by analyzing cough sounds, using parameters like loudness and energy ratio to assess the sounds.
  • The AI algorithm demonstrated impressive performance, achieving 90% sensitivity and 84.9% overall accuracy in diagnosing pneumonia from cough sounds, significantly outperforming human pulmonologists, who only had 56.4% accuracy.
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Background And Objective: Despite the usefulness of airway hyperresponsiveness (AHR) testing in diagnosing and monitoring asthma, it is challenging to perform in a real-world setting. Forced expiratory flow between 25% and 75% of vital capacity (FEF), a pulmonary measurement that can be obtained easily during routine spirometry, represents the status of medium-sized and small airways. However, the performance of FEF in predicting AHR has not been well elucidated.

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Short-acting β-agonist (SABA) use is known to be lower in Korean patients with asthma than in those from other countries, while the rate of asthma exacerbations in Korea is higher than in other countries. Thus, an epidemiologic study on SABA use and the relationship between SABA overuse and treatment outcomes in asthma is needed in Korea. We performed a cross-sectional study using the National Health Insurance Service-National Sample Cohort 2002-2012 database.

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  • A study was conducted among healthcare workers in Seoul, Korea, to assess severe adverse reactions (ARs) to the ChAdOx1 nCoV-19 vaccine after the first dose.
  • Out of 1,603 participants, 42.7% reported experiencing grade 3 to grade 4 ARs within a week of vaccination.
  • Key risk factors identified include being young, female, underweight, and having diabetes mellitus, all of which increased the likelihood of experiencing severe ARs.
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Besides obesity, there are limited studies regarding the relationship between the individual components of metabolic syndrome and wheezing. It is largely unknown whether the co-existence of other metabolic syndrome components has additive effects on wheezing in the adult population. The association between the individual components of metabolic syndrome and current wheezing was evaluated in adults using data from the Korea National Health and Nutrition Examination Survey from 2008 to 2012.

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  • Allergic bronchopulmonary aspergillosis (ABPA) is caused by a hypersensitivity reaction to fungi in the airways; when caused by Alternaria alternata, it's referred to as Allergic bronchopulmonary mycosis (ABPM).
  • This document presents the first case of ABPM from Alternaria alternata in East Asia, involving a 58-year-old woman with abnormal chest imaging and elevated eosinophil and IgE levels.
  • The patient was successfully treated with prednisolone, highlighting the importance of recognizing Alternaria as a potential cause of allergic pulmonary disease, even when Aspergillus appears in cultures.
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  • * The study found a 1.15 times greater risk of death for bronchiectasis patients, with higher mortality rates observed in elderly individuals and men.
  • * Comorbid conditions like asthma, COPD, pneumonia, lung cancer, and cardiovascular disease substantially increased the mortality risk in bronchiectasis patients compared to those without such comorbidities.
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