慢性阻塞性肺疾病(COPD)提出了重大的全球性挑战,影响卫生系统,经济,和社会。由于人口老龄化,预计其患病率将上升。尽管PUMA和CAPTURE问卷可用于COPD筛查,它们的比较有效性尚未在印度尼西亚进行研究。这项研究的目的是评估PUMA和CAPTURE问卷作为吸烟者COPD筛查工具的有效性。在苏门答腊Utara医院和H.AdamMalik总医院进行了一项横断面研究,棉兰,印度尼西亚,从2022年12月到2023年2月。研究中纳入了年龄超过40岁或以上的吸烟者,他们一生中吸烟超过100支香烟,以前没有COPD诊断。为了收集对PUMA和CAPTURE问卷的答复,进行了面对面的采访,然后进行肺活量测试.共有76名吸烟者被纳入研究;主要年龄组为51-60岁(36.8%),大多数是男性(81.6%)。大多数参与者在15-20岁(65.8%)开始吸烟,并以中等强度(44.8%)吸烟20-30年(36.8%)。肺活量测定测试表明50名参与者有阻塞性模式,有17人被归类为严重梗阻。在≥6分的截止分数时,PUMA问卷的敏感性为72.55%,特异性为84%。相比之下,捕获问卷,截止评分≥4分,敏感性为70.83%,特异性为64.29%.这些结果表明,与CAPTURE问卷相比,PUMA问卷在COPD筛查中可能更有效。
Chronic obstructive pulmonary disease (COPD) presents a significant global challenge, impacting health systems, economies, and societies. Its prevalence is anticipated to rise owing to an aging demographic. Although the PUMA and
CAPTURE questionnaires are available for COPD screening, their comparative effectiveness has not been studied in Indonesia. The aim of this study was to evaluate the effectiveness of the PUMA and
CAPTURE questionnaires as screening tools for COPD among smokers. A cross-sectional study was conducted at Universitas Sumatera Utara Hospital and H. Adam Malik General Hospital, Medan, Indonesia, from December 2022 to February 2023. Smokers aged over 40 or above with a history of smoking more than 100 cigarettes in their lifetime and no previous COPD diagnosis were included in the study. To collect the responses to PUMA and
CAPTURE questionnaire, face-to-face interviews were conducted, followed by a spirometry test. A total of 76 smokers were included in the study; the predominant age group was 51-60 years (36.8%), with the majority being male (81.6%). Most participants began smoking at ages 15-20 years (65.8%) and had been smoking for 20-30 years (36.8%) at a moderate intensity (44.8%). Spirometry tests indicated obstructive patterns in 50 participants, with 17 classified as severe obstruction. At a cut-off score of ≥6, the PUMA questionnaire yielded a sensitivity of 72.55% and a specificity of 84%. In contrast, the
CAPTURE questionnaire, with a cut-off score of ≥4, exhibited a sensitivity of 70.83% and a specificity of 64.29%. These results imply that the PUMA questionnaire could be more efficient in COPD screening compared to the
CAPTURE questionnaire.