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Summary of criteria

Expiratory airway obstruction FEV1%(F)VC (corrected for age and gender)
No obstruction
above 5th percentile, and no bronchodilator response
Mild obstruction
below 5th percentile and FEV1 > 60% predicted, or
above 5th percentile and bronchodilator response
Moderate obstruction
below 5th percentile and 40% < FEV1 < 60% predicted
Severe obstruction
below 5th percentile and FEV1 < 40% predicted
 
Bronchodilator response
No responsiveness
Increase in FEV1< 200 mL and < 9% initial FEV1
Mild responsiveness
Increase in FEV1 > 200 mL and/or > 9% initial FEV1
Marked responsiveness
Increase in FEV1 > 12% initial FEV1 and > 200 mL
Possibly a response
According to FEV1 no bronchodilator responsiveness, but increase in (F)VC > 340 mL and/or > 12% predicted value and fall in FEV1%(F)VC < 2%: the increase in (F)VC might reflect better subject cooperation.
 
Reversibility of airway obstruction
No reversibility
Airway obstruction but no response to bronchilator drug
Partial reversibility
In spite of the response to a bronchodilator drug the FEV1%(F)VC is still below the 5th percentile
Completely reversible
FEV1%(F)VC after the bronchodilator drug is above the 5th percentile
 
VC too low
Moderate
below 5th percentile but SDS* > -3
Severe
SDS* < -3.0
 
FEV1
Too low
below 5th percentile

* SDS = Z-score = standard deviation score

See also:
Reference values for adults
SpirXpert software

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