When two manoeuvres fail either of the consistency checks, then the
best individual results of the two are saved (FEV1, FEV6, and PEF
individually).
When any of the above messages appear, instruct the patient on how
to improve their manoeuvre and demonstrate the correct manoeuvre
yourself.
NLHEP QC Grades
The quality of each session is graded according to the following
criteria:
QC
Grade
A
at least two acceptable manoeuvres, with the largest
two FEV1's matching better than 100 mL and the
largest two FEV6's matching better than 100 mL
B
at least two acceptable manoeuvres, with the largest
two FEV1's matching better than 150 mL
C
at least two acceptable manoeuvres, with the largest
two FEV1's matching between 200 mL and 150 mL
D
only one acceptable manoeuvre or two with the largest
two FEV1's matching less than 200 mL
F
No acceptable manoeuvres
NLHEP Interpretation
The interpretation is performed on the best spirometry results and
is based upon the predicted values for the forced expiratory ratio,
FEV1/FEV6, and FEV1. If airways obstruction is detected the level of
severity is reported in accordance with the NLHEP guidelines.
Criteria
70