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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Traumatic Brain Injury
SubDisease: Comprehensive
Sub-Domain: Classification
CRF: Baseline Risk Assessment
Item count: 10 (10 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C00008
Age value
AgeVal
Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject.
Age
  
Numeric Values
For children younger than one year born at less than 36 weeks gestation, it is recommended to also collect gestational age. Recording date of birth will give the most detailed information required for calculation of age and is recommended as first choice. However, in some studies recording date of birth may elicit discussions on a potential violation of privacy legislation and specifically HIPAA regulations. In these cases, the calculated age should be recorded.
Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429. Pediatric-specific reference(s): Anderson V, Catroppa C, Morse S, Haritou F, Rosenfeld J (2005) Functional plasticity or vulnerability after early brain injury. Pediatrics 116:1374-1382
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Age value
 
Free-Form Entry
0
1800
month
    
C05457
Hypoxic episode indicator
HypxEpiInd
Indicator of hypoxic episode. Hypoxic episode is defined as partial pressure of oxygen in the blood (paO2) < 8kPa (60mmHg) or oxygen saturation (SaO2) < 90%
Did participant/subject experience hypoxic episode?
Yes;No;Suspected;Unknown;
Yes;No;Suspected;Unknown;
Alphanumeric
Choose one.
McHugh GS, Engel DC, Butcher I, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):287-93. Silverstone P. Pulse oxymetry of at the road side: a study of pulse oxymetry in immediate care. BMJ. Mar 1989;298(6675):711-13. Stocchetti N, Furlan A, Volta F. Hypoxemia and arterial hypotension at the accident side in head injury. J Trauma. 1996;40:764-67. De Witt DS, Jenkins LW, Prough DS. Enhanced vulnerability to secondary ischemic insults after experimental traumatic brain injury. New Horizon. Aug 1995;3(3):376-383. Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429. Signorini DF, Andrews PJ, Jones PA, et al. Adding insult to injury: the prognostic value of early secondary insults for survival after traumatic brain injury. J Neurol Neurosurg Psychiatry. Jan 1999;66(1):26-31 Pediatric-specific reference(s): Adelson PD, Bratton SL, Carney, NA, Chesnut RM, du Coudray HE, Goldstein B, Kochanek PM, Miller HC, Partington MD, Selden NR, Warden CR, Wright DW. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 6. Threshold for treatment of intracranial hypertension. (2003a). Pediatr Crit Care Med 4:S25-S27.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Hypoxic episode indicator
 
Single Pre-Defined Value Selected
       
C05453
Hypotensive episode indicator
HypotnsnEpiInd
Indicator of hypotensive episode. In adults, hypotensive episode is defined as systolic blood pressure < 90 mmHg. In children, it is defined as systolic blood pressure < 5th percentile for age
Did participant/subject experience hypotensive episode?
Yes;No;Suspected;Unknown;
Yes;No;Suspected;Unknown;
Alphanumeric
Choose one.
McHugh GS, Engel DC, Butcher I, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):287-93. Silverstone P. Pulse oxymetry of at the road side: a study of pulse oxymetry in immediate care. BMJ. Mar 1989;298(6675):711-13. Stocchetti N, Furlan A, Volta F. Hypoxemia and arterial hypotension at the accident side in head injury. J Trauma. 1996;40:764-67. De Witt DS, Jenkins LW, Prough DS. Enhanced vulnerability to secondary ischemic insults after experimental traumatic brain injury. New Horizon. Aug 1995;3(3):376-383.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Hypotensive episode indicator
 
Single Pre-Defined Value Selected
       
C01004
Pupil reactivity light left eye result
PupilReactivityLghtLftEyeReslt
Result of testing of the contraction of the participant's/subject's left pupil when a bright light is shone on it from an angle
Left pupil reactivity
Sluggish;Nonreactive;Brisk;Untestable;Unknown;
Abnormal but still responsive;Abnormal;Normal;;;
Alphanumeric
Choose one.
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Pupil reactivity to light left eye result
 
Single Pre-Defined Value Selected
       
C01003
Pupil reactivity light right eye result
PupilReactivityLghtRtEyeReslt
Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle
Right pupil reactivity
Sluggish;Nonreactive;Brisk;Untestable;Unknown;
Abnormal but still responsive;Abnormal;Normal;;;
Alphanumeric
Choose one.
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Pupil reactivity to light right eye result
 
Single Pre-Defined Value Selected
       
C02469
Subarachnoid hemorrhage indicator
SAHStatus
Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging.
Subarachnoid hemorrhage
Present;Absent;Indeterminate;
Present;Absent;Indeterminate;
Alphanumeric
Choose one.
Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Subarachnoid hemorrhage indicator
 
Single Pre-Defined Value Selected
       
C02505
Marshall CT classification code
MrshlCTClassCode
Code for Marshall CT classification
 
1;2;3;4;5;
Diffuse injury, NVP: Intracranial pathology not visible on CT scan;Diffuse injury: Cisterns present with shift 0-5 mm, lesions present, but no high or mixed density lesion >25 cc. May include bone fragments and foreign bodies;Diffuse injury with swelling: Cisterns compressed or absent, shift 0-5 mm, no high or mixed density lesion >25 cc;Diffuse injury with shift: Shift >5 mm, no high or mixed density lesion >25 cc.;Mass lesions: High or mixed density lesion > 25cc.;
Numeric Values
Choose one.
Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Marshall CT classification code
 
Single Pre-Defined Value Selected
       
C01001
Glasgow Coma Scale (GCS) - motor response scale
GCSMotorRespnsScale
Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response.
Motor response
1;2;3;4;5;6;Untestable;Unknown;
No motor response;Abnormal extension/Extensor response;Abnormal flexion;Flexion withdrawal/withdraws from pain;Localizes pain;Obeys command;Untestable;Unknown;
Alphanumeric
Choose one
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429.
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
GCS Motor response
 
Single Pre-Defined Value Selected
       
C01021
Pediatric Glasgow Coma Scale (PGCS) - motor response score
PGCSMotorRespnsScore
Score for the participant's motor response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 18.
Motor response
1;2;3;4;5;6;Untestable;Unknown;
No motor response;Extension to pain;Flexion to pain;Withdrawal from pain;Localizing pain;Obeys commands;Untestable;Unknown;
Alphanumeric
Choose one
Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467.
Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
GCS-Pediatric Motor response
 
Single Pre-Defined Value Selected
       
C01007
Sedation status
SedationStatus
Status of sedation of the participant/subject
Sedation
No sedation/paralysis;After stopping sedation;After pharmacologic reversal;Under sedation;
No sedation/paralysis;After stopping sedation;After pharmacologic reversal;Under sedation;
Alphanumeric
Choose one.
Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Baseline Risk Assessment
Classification
Disease/Injury Related Events
Sedation status
 
Single Pre-Defined Value Selected
       
12-11-2018
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