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Spirometry

Spirometry Normal Values


PEF Normal Values Tables Children and Adults ERS ‘93 (PDF 16K)

Children Normal Values Tables Polgar (PDF 16K)

Adult Normal Values Tables ERS‘93 (PDF 18K)

NHANES III Caucasian Spirometry Predicted Values (PDF 32K)

NHANES III African-American Spirometry Predicted Values (PDF 24K)

NHANES III Mexican-American Spirometry Predicted Values (PDF 24K)

NHANES III Caucasian LLN Values (PDF 15K)

NHANES III African-American LLN Values (PDF 16K)

NHANES III Mexican-American LLN Values (PDF 16K)

The Global Lungs Network

Normal Value Regressions


Men

Units

Regression Equation

r

S.D.

IVC

L

6.10H - 0.028A - 4.65

0.56

0.92

FVC

L

5.76H - 0.026A - 4.34

0.61

1.00

TLC

L

7.99H -7.08

0.70

1.15

RV

L

1.31H - 0.022A - 1.23

0.41

0.67

FRC

L

2.34H + 0.009A - 1.09

0.6

0.99

RV/TLC

0.39A + 13.96

5.46

9.0

FRC/TLC

0.21A + 43.8

6.74

11.1

FEV1

L

4.30H - 0.029A -2.49

0.51

0.84

FEV1/VC

- 0.18A + 87.21

7.17

11.8

FEF 25-75%

L/s

1.94H - 0.043A + 2.70

1.04

1.71

PEF

L/s

6.14H - 0.043A + 015

1.21

1.99

FEF 25%

L/s

5.46H - 0.029A - 0.47

1.71

2.81

FEF 50%

L/s

3.79H - 0.031A - 0.35

1.32

2.17

FEF 75%

L/s

2.61H - 0.026A - 1.34

0.78

1.28




Women

Units

Regression Equation

r

S.D.

IVC

L

4.66H - 0.026A - 3.28

0.42

0.69

FVC

L

4.43H - 0.026A -2.89

0.43

0.71

TLC

L

6.60H - 5.79

0.60

0.99

RV

L

1.81H + 0.016A-2.00

0.35

0.58

FRC

L

2.24H + 0.001A - 1.00

0.50

0.82

RV/TLC

0.34A + 18.96

5.83

9.6

FRC/TLC

0.10A + 45.1

5.93

9.8

FEV1

L

3.95H - 0.025A - 2.60

0.38

0.62

FEV1/FVC

-0.19A + 89.10

6.51

10.7

FEF 25-75%

L/s

1.25H - 0.034A + 2.92

0.85

1.40

PEF

L/s

5.50H - 0.030A - 1.11

0.90

1.48

FEF 25%

L/s

3.221H - 0.025A + 1.60

1.35

2.22

FEF 50%

L/s

2.45H - 0.025A + 1.16

1.10

1.81

FEF 75%

L/s

1.05H - 0.025A + 1.11

0.69

1.13



Ref:
1. ECCS/ERS: Quanjer PhH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. Eur Respir J 1993; 6 suppl. 16: 5-40.


COPD Guidelines

GOLD - Global Initiative for Chronic Obstructive Lung Disease
www.goldcopd.com

BTS COPD Guidelines
http://www.brit-thoracic.org.uk/LibraryGuidelines/GuidelinesStatements/tabid/157/Default.aspx

ERS COPD Guidelines
http://www.ersnet.org/ers/default.aspx?id=98

NHS/NICE/QOF

NHS Library for Life
http://cks.library.nhs.uk/clinical_topics/by_clinical_specialty/respiratory

NICE COPD
http://guidance.nice.org.uk/CG101

QOF
http://www.gpiag.org/opinions/qof_os_final.pdf

Asthma Guidelines

GINA - Global Initiative for Asthma
www.ginasthma.com

BTS/SIGN British Guidelines for Asthma
http://www.brit-thoracic.org.uk/ClinicalInformation/Asthma/AsthmaGuidelines/tabid/83/Default.aspx

Occupational Asthma (British Occupational Health Research Foundation)
http://www.bohrf.org.uk/

OASYS Occupational Asthma Software Free Download (asma-1 USB Data Download)
http://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4443

Spirometry Standards

ISO 26782:2009 Spirometers intended for the measurement of time forced expired volumes in humans
http://www.iso.org/iso/catalogue_detail.htm?csnumber=43761

ISO23747:2007 Spirometers intended for the measurement of time forced expired volumes in humans
http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=41834

Spirometry Guidelines & Best Practice

Joint ATS/ERS:2005 Guidelines on Spirometry
http://www.thoracic.org/statements/resources/pfet/PFT2.pdf

Other ATS Documents: Statements, Guidelines & Reports
http://www.thoracic.org/statements/

BTS/SIGN British Guidelines for Asthma
http://www.sign.ac.uk/guidelines/fulltext/101/index.html

GPIAG Spirometer Guidelines
http://www.gpiag.org/pubs/opinionsheets.php

COPD Consortium - Spirometry in Practice Booklet
http://www.brit-thoracic.org.uk/Portals/0/Clinical%20Information/COPD/COPD%20Consortium/spirometry_in_practice051.pdf

Cough Guidelines

BTS Cough Guidelines
http://www.brit-thoracic.org.uk/Portals/0/Clinical%20Information/COPD/COPD%20Consortium/spirometry_in_practice051.pdf

ACCP Cough Guidelines
http://www.chestjournal.org/content/vol129/1_suppl/

Smoking Cessation Guidelines

NHS
http://www.givingupsmoking.co.uk/

NICE National Institute for Health and Clinical Excellence
http://www.nice.org.uk/page.aspx?o=PHI001