Sensitivity and specificity of different spirometry indexes for an asthma diagnosis
Index and threshold | Sensitivity (%) | Specificity (%) | Positive predictive value (%) | Negative predictive value (%) | Ref. |
FEV1 | |||||
<80% predicted | 22 | 95 | 46 | 87 | [20] |
<91% predicted | 43 | 77 | 26 | 88 | [20] |
≤0.8 z-scores | 44 | 77 | 83 | 35 | [12]# |
FEV1/FVC | |||||
<70% predicted | 52 | 73 | 75 | 49 | [11] |
<80% predicted | 12–52 | 72–93 | Not applicable | Not applicable | [12] |
<LLN | 15 | 97 | 48 | 86 | [20] |
BDR | |||||
10% | 58 | 60 | 81 | 33 | [21] |
12% | 35–36 | 90–98 | Not applicable | Not applicable | [12] |
PEF variability 12% | 50 | 72 | 48 | 74 | [11] |
FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; LLN: lower limit of normal; BDR: bronchodilator response; PEF: peak expiratory flow. #: original source of data cited in the European Respiratory Society task force report was [14].