Predictive norms, etc, About norm extrapolation, About race adjustment – Welch Allyn CP 150 spirometry option - User Manual User Manual
Page 55

Predictive Norms, etc.
About Norm extrapolation
Extrapolation is the practice of applying a norm’s formula to a patient who doesn’t fit that
norm’s demographics. For example, if you were testing an 88-year-old man, and the
primary (selected) norm was based on males 85 or younger, the predicted values would
be extrapolated values.
•
Norm extrapolation is indicated in the test record.
•
Adult norms allow extrapolation of age up, but not down.
•
Adult norms allow extrapolation of height, weight, and smoke years, up and down.
About race adjustment
Although expected values for certain parameters vary significantly between ethnic
groups, some norm studies do not include separate regression equations for different
races. For those studies, the following table describes the adjustments made by the CP
150 software for the FVC and FEV1 predicted values. Where applicable, norm values are
multiplied by the percentages identified in the following table.
Race Choices
FVC & FEV1
Recommendation Source
Caucasian
No adjustment
—
Black
88%
ATS
Asian
94%
NIOSH
Hispanic
No adjustment
None found
Native American
94%
NIOSH
Polynesian
94%
NIOSH
Aboriginal
94%
NIOSH
Indian
94%
NIOSH
Note
Race adjustment applies for adults only.
If a race adjustment percentage is used, the same adjustment is applied to the LLN
value.
51