Dynamic BTPS correction factors for spirometric data

Because it is often difficult to completely control ambient temperature, a study was conducted to investigate dynamic body temperature pressure saturated (BTPS) correction factors for spirometric data. A forced expiratory simulator system was heated to 37 degrees C and loaded with air saturated with water vapor. This air was then forced from the simulator into a dry rolling-seal spirometer maintained at various ambient temperatures from 3 to 32 degrees C. Errors in forced expiratory volume in 1 s (FEV1) and peak flow from assuming a constant BTPS correction ranged from 7.7 and 14.1% at 3 degrees C to 2.1 and 4.6% at 23 degrees C. Differences between errors observed when saturated and dry air were forced into the spirometer indicate that water vapor condensation introduces an added heat load to the spirometer, adding approximately one percent to the error in FEV1 at lower temperatures. By use of a model to estimate the dynamic BTPS correction factor, errors in FEV1 at all temperatures between 3 and 32 degrees C were reduced to less than 1.5%.