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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: Therapies
CRF: Therapy Intensity Level
Item count: 4 (4 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
C05137
TBI therapy intensity level global assessment code
TBITherapIntensLvlGlobAsesCod
A summary measure for traumatic brain injury that captures a global categorization of therapy intensity level (TIL) over a given period.
Global categorization of therapy intensity level (TIL)
TIL 0;TIL 1 - Core ICU care;TIL 2 - Mild;TIL 3 - Moderate;TIL 4 - Extreme;
No specific ICP directed therapy;Sedation for ventilator/endotracheal tube tolerance, Volume/Vasoactives for non-CNS cause (e.g. sepsis, myocardial injury), Head-up positioning (ventilator bundle), Normcapnia (PaCO2 greater than or equal to 40 mmHg);Higher levels of sedation, Vasopressors/volume for CPP support, Low dose osmotic therapy, Mild hypocapnia (PaCO2: 4.6 - 5.3 kPa| 35 – 40 mmHg), CSF drainage <120 ml/day (<5 ml/hr);Higher doses of osmotic therapy, Moderate hypocapnia (PaCO2: 4.0 - 4.5 kPa| 30 – 35 mmHg), Mild hypothermia (>35°C), CSF drainage greater than or equal to 120 ml/day (greater than or equal to 5 ml/hr);Profound hypocapnia (PaCO2: <30 mmHg), Temperature <35°C, Metabolic suppression with IV anesthetics, Surgery for refractory ICP (decompression/lobectomy);
Alphanumeric
Choose one.
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Therapy Intensity Level
Therapies
Treatment/Intervention Data
TBI therapy intensity level global assessment code
 
Single Pre-Defined Value Selected
       
C05138
TBI therapy intensity level procedure type
TBITherapIntensLvlProcType
Type of procedure or therapy used to assess the therapy intensity level (TIL) for treating the traumatic brain injury
Type of Procedure used to determine therapy intensity level (TIL):
Nursed flat (180°) for CPP management;Sedation (low dose as required for mechanical ventilation);Higher dose sedation for ICP control (not aiming for burst suppression);Metabolic suppression for ICP control with high dose barbiturates or propofol;Neuromuscular blockade (paralysis);CSF drainage <120 ml/day (<5 ml/hour);CSF drainage greater than or equal to 120 ml (greater than or equal to 5 ml/hour);Fluid loading for maintenance of cerebral perfusion;Vasopressor therapy required for management of cerebral perfusion;Mild hypocapnia for ICP control [PaCO2 4.6 – 5.3 kPa (35 - 40 mmHg)];Moderate hypocapnia for ICP control [PaCO2 greater than or equal to 4 kPa (30 mmHg)];Intensive hypocapnia for ICP control [PaCO2 <4 kPa (30 mmHg)];Hyperosmolar therapy with mannitol up to 2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline up to 0.3 g/kg/24 hours;Hyperosmolar therapy with mannitol >2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline >0.3 g/kg/24 hours;Treatment of fever (temp.>38°C) or spontaneous temp. below 34.5°C;Mild hypothermia for ICP control with a lower limit of 35°C;Hypothermia below 35°C;Intracranial operation for progressive mass lesion, not scheduled on admission;Decompressive craniectomy;Head elevation for ICP control;
Nursed flat (180°) for CPP management;Sedation (low dose as required for mechanical ventilation);Higher dose sedation for ICP control (not aiming for burst suppression);Metabolic suppression for ICP control with high dose barbiturates or propofol;Neuromuscular blockade (paralysis);CSF drainage <120 ml/day (<5 ml/hour);CSF drainage greater than or equal to 120 ml (greater than or equal to 5 ml/hour);Fluid loading for maintenance of cerebral perfusion;Vasopressor therapy required for management of cerebral perfusion;Mild hypocapnia for ICP control [PaCO2 4.6 – 5.3 kPa (35 - 40 mmHg)];Moderate hypocapnia for ICP control [PaCO2 greater than or equal to 4 kPa (30 mmHg)];Intensive hypocapnia for ICP control [PaCO2 <4 kPa (30 mmHg)];Hyperosmolar therapy with mannitol up to 2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline up to 0.3 g/kg/24 hours;Hyperosmolar therapy with mannitol >2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline >0.3 g/kg/24 hours;Treatment of fever (temp.>38°C) or spontaneous temp. below 34.5°C;Mild hypothermia for ICP control with a lower limit of 35°C;Hypothermia below 35°C;Intracranial operation for progressive mass lesion, not scheduled on admission;Decompressive craniectomy;Head elevation for ICP control;
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Therapy Intensity Level
Therapies
Treatment/Intervention Data
TBI therapy intensity level procedure or therapy type
 
Multiple Pre-Defined Values Selected
       
C05139
TBI therapy intensity level procedure indicator
TBITherapIntensLvlProcInd
Indicator of whether the procedure or therapy was administered, which is used to assess the therapy intensity level (TIL) for treating the traumatic brain injury
Was procedure administered (used to determine therapy intensity level (TIL)):
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one.
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Therapy Intensity Level
Therapies
Treatment/Intervention Data
TBI therapy intensity level procedure or therapy indicator
 
Single Pre-Defined Value Selected
       
C07429
Pediatric intensity level of therapy scale score
PediatIntensLvlTherapyScalScr
Pediatric intensity level of therapy (PILOT) scale (0-38)
Pediatric intensity level of therapy (0-38):
  
Numeric Values
Score ranges from 0-38. Daily recording recommended. This element is recommended for pediatric studies.
Shore P, Adelson PD, Kochanek P, Hand L, Roy L. Reliability and validity of the Pediatric Intensity Level of Therapy (PILOT) Scale: A measure of the use of intracranial pressure-directed therapies. (2006) Crit Care Med 34:1981-1987.
Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Therapy Intensity Level
Therapies
Treatment/Intervention Data
Pediatric intensity level of therapy scale score
 
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12-14-2018
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