Welcome to i-Detect!

This portal contains non-invasive screening tools to help you with your patient’s evaluation process and to facilitate the diagnosis of COPD and identify a history of exacerbations

Once you complete the questionnaire on behalf of your patient, you will have more information to take further steps towards their disease management. You will also be able to download and share the results with your patient

PUMA QUESTIONNAIRE

If you suspect your patient may have COPD

FLARE-UP CHECKLIST

If patient is at risk for a COPD exacerbation

About i-Detect

Despite COPD, a common chronic respiratory disease, being the third leading cause of death worldwide,^1,2 it remains underdiagnosed.^1,3 Early diagnosis and intervention during the course of COPD can have a positive impact on its prognosis.⁴

PUMA

With symptoms of COPD overlapping with those of other respiratory diseases,¹ the increased rate of smoking in low- and middle-income countries¹ and limited access to spirometry in some primary care practices,⁵ a simple questionnaire such as PUMA can be useful in identifying people who need spirometry to confirm or refute COPD diagnosis^6,7

PUMA has 7 questions related to factors predictive of COPD with weighted responses. A total score of 5 or more indicates the need for spirometry assessment.⁷

PUMA QUESTIONNAIRE

FLARE-UP

COPD is often associated with exacerbations, episodes of acute worsening of respiratory symptoms, which require additional therapy.¹ Exacerbations negatively affect the overall health, increase hospitalisation and re-admission rates and contribute to disease progression.¹ Exacerbation history is key for predicting the risk of future exacerbations¹; The FLARE-UP checklist can help understand the patient’s history of exacerbations

FLARE-UP has 4 questions related to the frequency of rescue medication, antibiotics and oral steroid use, and hospitalisation in the past year. A high frequency of these events indicates a potential exacerbation in the past year.

FLARE-UP CHECKLIST

Resources For You

PUMA Questionnaire

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FLARE-UP Checklist

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Patient Education

VISIT PATIENT INFORMATION

REFERENCES:

1. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease 2025 report. https://goldcopd.org/2025-gold-report-2/. Last accessed: July 2025.

2. World Health Organization. Chronic Obstructive Pulmonary Disease (COPD). https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd). Last accessed: July 2025.

3. Diab N, et al. Am J Respir Crit Care Med. 2018;198(9):1130─1139.

4. Sun Y, et al. Int J Chron Obstruct Pulmon Dis. 2019;14:1119─1125.

5. Meiwald A, et al. Int J Chron Obstruct Pulmon Dis. 2022;17:1507─1521.

6. López Varela MV, et al. Respirology. 2016;21(7):1227─1234.

7. López Varela MV, et al. Int J Chron Obstruct Pulmon Dis. 2019;14:1901─1911.