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What Is Significant Spirometric Variability?
D. Robert McCaffree, MD;
Ralph C. Beckett, MD
Arch Intern Med. 1982;142(8):1443.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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A number of investigators have studied the normal variability of spirometric indices. In general, airway obstruction increases the variability of measurements made on patients within a single day, between days, and from week to week. The greater the interval between tests, the greater the variability.1-3 The authors of the article entitled "Daily Spirometric Variability," published in the ARCHIVES (1982;142:1287-1291), have focused on the variability that exists between consecutive days for the forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) in a more controlled environment than previously studied. The authors concluded that if a patient with previously normal spirometric findings shows a decline in FVC or FEV1 of greater than 5%, or if a patient without asthma with a preexisting obstructive pattern on spirometry shows a decline of 15% or 17% in these tests, respectively, then significant deterioration should be suspected. The findings are of practical
. . . [Full Text PDF of this Article]
Author Affiliations
Pulmonary Disease and Critical Care Section Department of Medicine University of Oklahoma Oklahoma City, OK 73190
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