PFT What does this mean?

L

lostone1

Member
Registered Member
Reactive airway disease
ICD code 518.89
no inhaler
no diagnosed asthma
chest xray normal

Pre broncho dialator
FEV-1 71% predicted
FVC 73% predicted
FEV-1/FVC 78.9%

Post bronchodialotor
FEV-1 53% predicted
FVC 55% predicted
FEV-1/FVC 78.2%
 
Below are the ratings from Chapter 38 for asthma and COPD - dependent on other factors these are two general categories that may apply to you. These may not be your exact diagnosis, but they reflect the rating cutoffs. For the pre bronchodilator, you fall into the 10% range based on FEV-1. Post Bronchodilator is in 60% range.

But here's the catch, the rater gets to choose which one best reflects your functioning based upon other information in the medical records. It can be argued that the pre bronchodilator best represents your general functioning since you are on no medication or inhalers, and therefore is how you are most of the time.

The fact that you get worse on a bronchdilator is best discussed with your physician and whether this is significant or not.

But this is how it falls in terms of FEV-1 and FEV-1

Best of luck...Bob


6602 Asthma, bronchial:
FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than
40 percent, or; more than one attack per week with episodes of
respiratory failure, or; requires daily use of systemic (oral or
parenteral) high dose corticosteroids or immuno-suppressive
medications 100
FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55
percent, or; at least monthly visits to a physician for required
care of exacerbations, or; intermittent (at least three per year)
courses of systemic (oral or parenteral) corticosteroids.......................................... 60
FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70
percent, or; daily inhalational or oral bronchodilator therapy,
or; inhalational anti-inflammatory medication.......................................................... 30
FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80
percent, or; intermittent inhalational or oral bronchodilator therapy......................... 10

Note: In the absence of clinical findings of asthma at time of examination, a verified history of asthmatic attacks must be of record.

6604 Chronic obstructive pulmonary disease:
FEV-1 less than 40 percent of predicted value, or; the ratio of
Forced Expiratory Volume in one second to Forced Vital Capacity
(FEV-1/FVC) less than 40 percent, or; Diffusion Capacity of the
Lung for Carbon Monoxide by the Single Breath Method (DLCO
(SB)) less than 40-percent predicted, or; maximum exercise capacity
less than 15 ml/kg/min oxygen consumption (with cardiac or
respiratory limitation), or; cor pulmonale (right heart failure), or;
right ventricular hypertrophy, or; pulmonary hypertension (shown
by Echo or cardiac catheterization), or; episode(s) of acute
respiratory failure, or; requires outpatient oxygen therapy..................................... 100
FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55
percent, or; DLCO (SB) of 40- to 55-percent predicted, or;
maximum oxygen consumption of 15 to 20 ml/kg/min (with
cardiorespiratory limit) ......................................................................................... 60
FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70
percent, or; DLCO (SB) 56- to 65-percent predicted........................................... 30
FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80
percent, or; DLCO (SB) 66- to 80-percent predicted........................................... 10
Click to expand...
 
lostone1 said:
Reactive airway disease
ICD code 518.89
no inhaler
no diagnosed asthma
chest xray normal

Pre broncho dialator
FEV-1 71% predicted
FVC 73% predicted
FEV-1/FVC 78.9%

Post bronchodialotor
FEV-1 53% predicted
FVC 55% predicted
FEV-1/FVC 78.2%
Click to expand...

lostone1, is it possible you have the pre-Broncho dilator and post-Broncho dilator number inversed? Typically one expects FEV-1.... to go higher (better) with treatment. The way you have this presented you got worse with treatment not better. Its possible, but highly irregular.
 
chaplaincharlie said:
lostone1, is it possible you have the pre-Broncho dilator and post-Broncho dilator number inversed? Typically one expects FEV-1.... to go higher (better) with treatment. The way you have this presented you got worse with treatment not better. Its possible, but highly irregular.
Click to expand...
Thats how it is typed into the document. Perhaps they got it backwards?
 
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