TABLE 3

General sample: diagnostic parameters of bronchodilator reversibility cut-off points for current doctor-diagnosed asthma and asthma–COPD overlap (ACO)

Sensitivity % (95% CI)Specificity % (95% CI)Positive predictive value % (95% CI)Negative predictive value % (95% CI)Positive likelihood ratio (95% CI)Negative likelihood ratio (95% CI)Diagnostic OR (95% CI)
Asthma
 ΔFEV1 (mL) ULN#16 (11–23)92 (91–93)11 (7–16)95 (94–96)2.09 (1.42–3.09)0.91 (0.85–0.98)2.30 (1.45–3.65)
 ΔFEV1% of initial FEV1 ULN20 (14–27)92 (91–93)13 (9–19)95 (94–96)2.58 (1.81–3.68)0.87 (0.80–0.94)2.97 (1.93–4.57)
 ΔFEV1% of predicted FEV1 ULN+15 (10–21)94 (93–95)13 (8–19)95 (94–96)2.40 (1.58–3.63)0.91 (0.85–0.97)2.64 (1.63–4.27)
 ΔFEV1 12% of initial+200 mL9 (6–15)97 (96–98)16 (9–26)95 (94–96)3.26 (1.89–5.65)0.93 (0.89–0.98)3.50 (1.92–6.37)
 ΔFEV1 15% of initial+400 mL5 (2–9)99 (99–99)23 (10–41)95 (94–95)4.83 (2.12–11.02)0.96 (0.93–1.00)5.02 (2.13–11.85)
ACO
 ΔFEV1 (mL) ULN#42 (28–57)92 (91–93)9 (5–13)99 (98–99)5.40 (3.70–7.88)0.63 (0.49–0.81)8.56 (4.59–15.98)
 ΔFEV1% of initial FEV1 ULN60 (46–74)92 (91–93)12 (8–17)99 (99–100)7.96 (6.03–10.52)0.43 (0.30–0.62)18.62 (9.92–34.93)
 ΔFEV1% of predicted FEV1 ULN+40 (26–54)94 (93–95)10 (6–16)99 (98–99)6.37 (4.27–9.51)0.65 (0.51–0.82)9.89 (5.25–18.62)
 ΔFEV1 12% of initial+200 mL47 (33–61)97 (96–98)22 (14–32)99 (99–99)16.05 (10.82–23.80)0.55 (0.42–0.73)29.14 (15.30–55.48)
 ΔFEV1 15% of initial+400 mL12 (5–24)99 (99–99)17 (6–36)98 (98–99)11.87 (4.75–29.64)0.89 (0.80–1.00)13.30 (4.82–36.72)

ΔFEV1: change in forced expiratory volume in 1 s; ULN: upper limit of normal. #: 280 mL; : 9.2%; +: 8.8%.