Table 1:

Criteria for study diagnosis of obstructive airway disorders in patients with shortness of breath

DiseaseStudy diagnosisCriteria4,5
AsthmaDefinite asthmaIncrease in FEV1 > 200 mL and > 12% above prebronchodilator FEV1
OR
Positive response to methacholine provocation test: an airway hyperresponsiveness as defined by use of PC20
Probable asthmaDiagnosis by two-thirds consensus of the expert physician panel from review of examination, current respiratory symptoms and prior medical records
COPDDefinite COPDPostbronchodilator FEV1 < 80% predicted together with an FEV1/FVC < 0.70
Probable COPDDiagnosis by two-thirds consensus of the expert physician panel from review of examination, current respiratory symptoms and prior medical records
Non-OADsProbable normal or with other entitiesDoes not fulfill criteria for definite or probable asthma or COPD diagnoses*
  • Note: COPD = chronic obstructive pulmonary disease, FEV1 = forced expiratory volume in 1 second, FVC = forced vital capacity, OAD = obstructive airway disorder, PC20 = the provocative concentration of methacholine that results in a 20% drop in FEV1.

  • * In patients with a brain natriuretic peptide measurement > 100 pg/mL, a cardiologist consultation was obtained to evaluate the patient for heart failure.