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

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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.

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