Chronic Obstructive Pulmonary Disease (COPD) Screening Tool

COPD Screening Tool
Score of 5 or more may indicate COPD
[select name="Q1" value="None of the time (0 points)=0|A little of the time (0 points)=0|Some of the time (1 point)=1|Most of the time (2 points)=2|All of the time (2 points)=2"] <-- 1. During the past 4 weeks, how much of the time did you feel short of breath?
[select name="Q2" value="No, never (0 points)=0|Only with occasional colds or chest infections (0 points)=0|Yes, a few days a month (1 point)=1|Yes, most days a week (1 point)=1|Yes, everyday (2 points)=2"] <-- 2. Do you ever cough up any “stuff,’’ such as mucus or phlegm?
[select name="Q3" value="Strongly disagree (0 points)=0|Disagree (0 points)=0|Unsure (0 points)=0|Agree (1 point)=1|Strongly agree (2 points)=2"] <-- 3. Please select the answer that best describes you in the past 12 months. I do less than I used to because of my breathing problems.
[select name="Q4" value="No (0 points)=0|Yes (2 points)=2|Don't know (0 points)=0"] <-- 4. Have you smoked at least 100 cigarettes in your ENTIRE LIFE?
[select name="Q5" value="35 - 49 (0 points)=0|50 - 59 (1 point)=1|60 - 69 (2 points)=2|70+ (2 points)=2"] <-- 5. How old are you?
Score --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)" memo="Score"] points
Interpretation --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score>4?'Possible Chronic Obstructive Pulmonary Disease':'Low Risk for Chronic Obstructive Pulmonary Disease'" memo="Interpretation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:  
[link url="//www.ncbi.nlm.nih.gov/pubmed/18415807" memo="#1"] Journal of Chronic Obstructive Pulmonary Disease, April 2008, Martinez, F. J., Raczek, A. E., Seifer, F. D., Conoscenti, C. S., Curtice, T. G. & D'Eletto, T., et al. (2008). Development and Initial Validation of a Self-Scored COPD Population Screener Questionnaire (COPD-PS).
[link url="//www.drive4copd.org/" memo="#2"] Screening tool adapted from Drive4COPD campaign.
posted by:  Jonathan Poon[/conditional]