[Standardization of spirometry: 2015 update. Published by German Atemwegsliga, German Respiratory Society and German Society of Occupational and Environmental Medicine].
Spirometry is a simple test and considered the gold standard in lung function. An obstructive ventilatory defect is a disproportionate reduction of maximal airflow from the lung in relation to the maximal volume that can be displaced from the lung. It implies airway narrowing and is defined by a reduced FEV1/FVC ratio below the 5th percentile of the predicted value (lower limit of normal, LLN). A restrictive disorder may be suspected when vital capacity (FVC) is reduced and FEV1/FVC is normal. It is definitely proven, however, only by a decrease in TLC below the 5th percentile of predicted value (LLN). The measurement of TLC by body plethysmography is necessary to confirm or exclude a restrictive defect or hyperinflation of the lung when FVC is below the LLN. 2012 a task force of the ERS published new reference values based on 74,187 records from healthy non-smoking males and females from 26 countries. The new reference equations for the 3-95 age range are now available that include appropriate age-dependent mean values and lower limits of normal (LLN). This presentation aims at providing the reader with recommendations dealing with standardization and interpretation of spirometry.
Ev. Krankenhaus, Göttingen-Weende.
C-P
CP
Criée
Charité - Universitätsklinik Berlin, Berlin.
X
X
Baur
Marien-Hospital, Wesel.
D
D
Berdel
Pneumologische Klinik Dingolfing - Deggendorf, Donau Isar Klinikum.
D
D
Bösch
Marien-Hospital, Wesel.
M
M
Gappa
Fachkrankenhaus Kloster Grafschaft, Schmallenberg.
P
P
Haidl
Robert-Bosch-Krankenhaus/Klinik Schillerhöhe, Gerlingen.
K
K
Husemann
Arbeits-, Sozial-, Umweltmedizin, Klinikum Universität München.
R A
RA
Jörres
II. Medizinische Klinik, Klinikum Konstanz.
H-J
HJ
Kabitz
Internistische Facharztpraxis und Zentrum für Allergologie, Pneumologie Schlafmedizin an der Klinik Maingau, Frankfurt am Main.
P
P
Kardos
Klinik Kloster Grafschaft, Schmallenberg, seit Mitte 2013 Ruhestand.
D
D
Köhler
Pneumologisches Forschungsinstitut an der LungenClinic Großhansdorf.
H
H
Magnussen
Institut für Prävention und Arbeitsmedizin der Deutschen Gesetzlichen Unfallversicherung, Institut der Ruhr-Universität-Bochum (IPA).
R
R
Merget
MVZ Bethanien, Remscheid.
H
H
Mitfessel
Arbeits-, Sozial-, Umweltmedizin, Klinikum Universität München.
D
D
Nowak
Arbeits-, Sozial-, Umweltmedizin, Klinikum Universität München.
U
U
Ochmann
Pneumologische Praxis, Marburg.
W
W
Schürmann
Höchberg.
H-J
HJ
Smith
RKK-Klinikum, St. Josefskrankenhaus, Freiburg.
S
S
Sorichter
Lungenzentrum Bethanien, Moers.
T
T
Voshaar
Fachärzteforum Fürth.
H
H
Worth
D003936:Diagnosis, Computer-Assisted / Q000592:standards*; D019550:Environmental Medicine / Q000592:standards*; D005858:Germany; D009787:Occupational Medicine / Q000592:standards*; D017410:Practice Guidelines as Topic; D015272:Pulmonary Medicine / Q000592:standards*; D013147:Spirometry / Q000592:standards*