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 ERS93 (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)
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