Table. 4—

Comparison of different baseline parameters for the prediction of an arterial oxygen tension (Pa,O2) at altitude of <6.6 kPa at rest using receiver-operating characteristic curves#

AUC95% CICut-off valueFalse-positive rate %p-value
MEF75 % pred0.910.79–1.01<3190.01
FEV1 % pred0.890.77–1.01<4890.01
Tiffeneau index0.890.76–1.10<5690.01
MEF25 % pred0.840.70–0.98<13.5170.004
Pa,O2 baseline kPa0.860.71–1.00<9.5230.004
Sa,O2 baseline %0.850.71–1.00<94280.03
Pa,O2 after HIT kPa0.800.58–1.00<6.8330.02
  • The cut-off values and false-positive rates correspond to a sensitivity of ≥75%. AUC: area under curve; CI: confidence interval; MEF75: maximal expiratory flow when 75% of the forced vital capacity (FVC) remains to be exhaled; FEV1: forced expiratory volume in one second; MEF25: maximal expiratory flow when 25% of the FVC remains to be exhaled; Sa,O2: arterial oxygen saturation; HIT: hypoxia inhalation test; % pred: percentage of the predicted value. #: the greater the AUC the better the predictive value of the baseline parameter (see fig. 1); for example, in the present population, six of 36 (sensitivity 84%) patients with an FEV1 of <48% pred showed resting Pa,O2 at altitude of <6.6 kPa, whereas three of 36 patients (8.6%) showed Pa,O2 of >6.6 kPa; ; FEV1/FVC.