TABLE 2

Diagnostic characteristics for the hypoxia-altitude simulation test (HAST) to predict altitude-related adverse health effects (ARAHE) in patients with COPD travelling to 3100 m

SpO2 criterionPositiveNegativeTotal
ARAHE502575
HAST274875
ARAHE positiveARAHE negative
HAST by SpO2 positive23
TP
4
FP
27
HAST by SpO2 negative27
FN
21
TN
48
Total patients502575
PaO2 criterionPositiveNegativeTotal
ARAHE442064
HAST125264
ARAHE positiveARAHE negativeTotal patients
HAST by PaO2 positive11
TP
1
FP
12
HAST by PaO2 negative33
FN
19
TN
52
Total patients442064

Cut-off values for a positive HAST are set as SpO2 <85% and/or PaO2 <6.6 kPa according to the British Thoracic Society (BTS). Positive ARAHE is defined as development of acute mountain sickness, need of oxygen therapy due to severe hypoxaemia (resting SpO2 <80% >30 min or <75% for >15 min) or any other intercurrent illness needing treatment such as chest pain, severe dyspnoea, arrhythmia, hypertensive crisis or others (see text). SpO2: oxygen saturation measured by pulse oximetry; PaO2: arterial oxygen tension; TP: true positive; FP: false positive; FN: false negative; TN: true negative.