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resources:pulm:interpreting_pfts [2023/12/20 19:54] – [Spirometric Severity] adminresources:pulm:interpreting_pfts [2024/03/08 18:32] (current) – [Assessing Restriction] admin
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 === GOLD Criteria === === GOLD Criteria ===
 [[https://goldcopd.org/wp-content/uploads/2016/04/GOLD_Spirometry_2010.pdf | Source]] [[https://goldcopd.org/wp-content/uploads/2016/04/GOLD_Spirometry_2010.pdf | Source]]
-^ Grade ^ FEV1 Percent Predicted ^ Severity ^ +^ Grade  ^ FEV1 Percent Predicted  ^ Severity     
-|1| ≥80%|Mild| +| 1      | ≥80%                    | Mild         
-|2|50% − 79%|Moderate| +| 2      | 50% − 79%               | Moderate     
-|3|30% − 49%|Severe| +| 3      | 30% − 49%               | Severe       
-|4|<30%|Very Severe|+| 4      | <30% or <50% with CHRF  | Very Severe  |
  
 ==== Bronchodilator Response ==== ==== Bronchodilator Response ====
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     - $\Delta FEV1_{volume} >200 mL$     - $\Delta FEV1_{volume} >200 mL$
  
 +=== GOLD Definition ===
 +  - Required:
 +    - $BDR >12%$
 +    - $\Delta FEV1_{volume} \geq 200 mL$
 +
 +  - Calculation 
 +    - $ BDR = \frac{FEV1_{postBD} - FEV1_{preBD}}{FEV1_{preBD}}$
 +    - **NOTE: this differs from ERS/ATS calculation**
 +
 +==== Methacholine Challenge ====
 +[[https://doi.org/10.1183/13993003.01526-2016 | Source, ERS 2017]]
 +
 +===Response Categorization ===
 +{{:resources:pulm:methacholine_response.png?900|}}
 +
 +=== Testing Protocol ===
 +{{:resources:pulm:methacholine_challenge.png?600|}}
 ===== DLCO Severity===== ===== DLCO Severity=====
 === ERS / ATS Definition === === ERS / ATS Definition ===
Line 98: Line 115:
  
 === GOLD Definition === === GOLD Definition ===
-^ TLC Percent Predicted ^ Severity ^+  - Required: 
 +    - FVC <80% predicted 
 + 
 +^TLC Percent Predicted^Severity^
 |>70% | Mild | |>70% | Mild |
 |50%-69% | Moderate | |50%-69% | Moderate |
resources/pulm/interpreting_pfts.1703102070.txt.gz · Last modified: 2023/12/20 19:54 by admin