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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: Vital Signs and Other Body Measures
CRF: Vital Signs and Blood Gases
Item count: 24 (24 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
C18404
Body temperature anatomic site other text
BodyTempAntmicSiteOtherTxt
Specify in text the anatomic site other than those listed where the temperature was measured
Temperature other method
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
 
255
Free-Form Entry
       
C18408
Blood gases pressure unit of measure
BldGasPresMeasrUnit
Unit of measure for the pressure of blood gases (i.e. O2 , CO2) in the blood stream (i.e. arterial, venous)
Unit of measure for blood gases (O2, CO2)
mmHg;kPa;
mmHg (milimeter of mercury);kPa (kilopascal);
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C01551
Respiration type
RespTyp
Type of respiration.
Type of respiration
Spontaneous;Ventilated;Apneic;Unknown;
Spontaneous;Ventilated;Apneic;Unknown;
Alphanumeric
Choose one. This is especially relevant to collect at the time respiratory rate is measured. When recording respiratory rate, we consider it essential to link the rate to the type of ventilation (spontaneous or ventilated) at the same time. Hypoxia, hypercapnia, and hypocapnia have all been associated with poor outcome.
Davis, DP. Early ventilation in traumatic brain injury. Resuscitation. Mar 2008;76(3):333-340. Guidelines for the management of severe traumatic brain injury. XIV. Hyperventilation. J Neurotrauma. 2008;25:276-8. Murray GD, Butcher I, McHugh GS, et al. Multivariable prognostic analysis in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):329-337.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Respiration type
 
Single Pre-Defined Value Selected
       
C01557
Respiratory support type
RespSuppTyp
Type of respiratory support participant/subject received
Respiratory support device
Bag mask ventilation (BMV);Intubation;CPAP;BiPAP;No support needed;Oral airway;
Bag mask ventilation (BMV);Intubation;CPAP (Continuous positive airway pressure);BiPAP (bilevel positive airway pressure);No support needed;Oral airway;
Alphanumeric
Choose all that apply. Recommend collection immediately upon arrival in the ER, prior to resuscitation therapy.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Respiratory support type
 
Multiple Pre-Defined Values Selected
       
C01535
Respiratory rate
RespRate
Rate of the participant/subject's breathing (inhalation and exhalation).
Respiratory rate
  
Numeric Values
Add date stamp for when assessed. Hypoxia, hypercapnia, and hypocapnia have all been associated with poor outcome.
Davis, DP. Early ventilation in traumatic brain injury. Resuscitation. Mar 2008;76(3):333-340. Guidelines for the management of severe traumatic brain injury. XIV. Hyperventilation. J Neurotrauma. 2008;25:276-8. Murray GD, Butcher I, McHugh GS, et al. Multivariable prognostic analysis in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):329-337.
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Respiratory rate
 
Free-Form Entry
0
120
breaths per minute
  
2644399
 
C01518
Circulation support type
CircSuppTyp
Therapies or procedures the participant/subject received to support circulation
Type of circulation support
No specific therapy;IV fluids - Crystalloids;IV fluids - Hypertonic saline;IV fluids - Colloids;IV fluids - Blood;Vasopressors;CPR;Ventricular assistive device;Other;Unknown;
No specific therapy;IV fluids - Crystalloids;IV fluids - Hypertonic saline;IV fluids - Colloids;IV fluids - Blood;Vasopressors;CPR;Ventricular assistive device;Other;Unknown;
Alphanumeric
Choose all that apply. Assess (and document later) the ABC status immediately upon arrival in the ER, prior to resuscitation therapy. Problems with the ABC status may cause substantial second insults (hypoxia and hypotension), exacerbating the brain injury in TBI.
Murray GD, Butcher I, McHugh GS, et al. Multivariable prognostic analysis in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):329-337. Brain Trauma Foundation, American Association of Neurological Surgeons (AANS), Congress of Neurological Surgeons (CNS), AANS/CNS Joint Section on Neurotrauma and Critical Care: Guidelines for the management of severe traumatic brain injury. I. Blood pressure and oxygenation. J Neurotrauma. 2007;24 (Suppl 1):S7-S13.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Circulation support type
 
Multiple Pre-Defined Values Selected
       
C01521
Heart rate
HeartRate
The participant/subject's pulse or number of contractions (heart beats) per minute
Heart rate
  
Numeric Values
Record heart rate from monitor or by counting pulse rate. The suggested range is 0-300. Add date stamp for when assessed. Heart rate may be altered by trauma in a couple of ways. Tachycardia may indicate volume depletion, pain or stress, and higher heart rates have been found in patients that do not survive traumatic injuries. Bradycardia may be seen with elevated intracranial pressure. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set).
Shoemaker WC, Bayard DS, Botnen A, et al. Mathematical program for outcome prediction and therapeutic support for trauma beginning within 1 hr of admission: a preliminary report. Crit Care Med. Jul 2005;33(7):1499-1506. Agrawal A, Timothy J, Cincu R, et al. Bradycardia in neurosurgery. Clin Neurol Neurosurg. Apr 2008;110(4):321-7.
Adult;Pediatric
Supplemental
3.0
8/28/2013
SCI CDEs: PULSE
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Heart rate
 
Free-Form Entry
0
300
beats per minute
  
2767073
 
C01550
Temperature measurement anatomic site
TempMeasrAntmicSite
Anatomic site on or within the body where the temperature was measured.
Temperature method
Oral;Rectal;Tympanic;Axillary;Forehead Cutaneous Infrared;Bladder;Esophageal;Brain;Other, specify;Unknown;
Oral;Rectal;Tympanic;Axillary;Forehead Cutaneous Infrared;Bladder;Esophageal;Brain;Other, specify;Unknown;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
SCI CDEs: TEMPMETH
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Temperature measurement anatomic site
 
Single Pre-Defined Value Selected
     
3151195
 
C18767
Temperature measurement other text
TempMeasrOTH
The free-text field related to 'Temperature measurement anatomic site' specifying other text. Anatomic site on or within the body where the temperature was measured.
Other, specify
  
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
 
4000
Free-Form Entry
     
3151195
 
C01539
Temperature measurement
TempMeasr
Measurement of the participant's/subject's body temperature.
Body temperature
  
Numeric Values
Response is measured in Celsius. Add date stamp for when assessed. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set).
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
SCI CDEs: TEMPMEAS
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Temperature measurement
 
Free-Form Entry
0
50
degree Celsius
  
2644401
 
C01564
Temperature maximum daily measurement
TempMaxDailyMeasr
Measurement of the participant's/ subject's highest temperature over a 24-hour period
Maximum daily body temperature
  
Alphanumeric
The suggested range is 32-120 degrees Fahrenheit and 0-50 degrees Celsius.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Temperature maximum daily measurement
255
Free-Form Entry
       
C01536
Temperature mean daily measurement
TempMeanDayMeasr
Measurement of the participant's/subject's average temperature over a 24-hour period
Mean daily body temperature
  
Alphanumeric
The suggested range is 32-120 degrees Fahrenheit and 0-50 degrees Celsius.
No references available
Adult;Pediatric
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Temperature mean daily measurement
255
Free-Form Entry
       
C01565
Blood pressure systolic measurement
BldPressrSystMeasr
Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg)
Blood pressure
  
Numeric Values
Record blood pressure from the blood pressure monitor or measure manually by sphygmanometry. The suggested range is 0-300 mmHg. Add date stamp for when assessed.When hourly values are documented, we recommend to take readings at a fixed time point, for example the last minute of the hour. Exclude values which may be influenced by artifacts. The injured brain is often not able to pressure autoregulate normally, adequate perfusion may be more dependent on perfusion pressure; lower blood pressure and low perfusion pressure can aggravate ischemic damage to the injured brain whilst conversely a high blood pressure may lead to increased intracranial pressure and carries an increased risk of neurogenic lung edema. Hypotensive episodes before and after admission adversely affect outcome. In patients with severe traumatic brain injury, routine calculation of the cerebral perfusion pressure on an hourly basis is recommended. Pediatric-specific notes: This element is recommended for pediatric studies. As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set).
Management and prognosis of severe traumatic brain injury, J Neurotrauma 2000;17:591-595. Butcher I, Maas AI, Lu J , et al. Prognostic value of admission blood pressure in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):294-302. Murray GD, Butcher I, McHugh GS, et al. Multivariate prognostic analysis in traumatic brain injury. J Neurotrauma. Feb 2007;24(2):329-377.
Adult;Pediatric
Supplemental
3.0
7/25/2013
SCI CDEs: BPSYS
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Blood pressure systolic measurement
 
Free-Form Entry
0
300
millimeter of mercury
  
2004289
 
C01507
Blood pressure diastolic measurement
BldPressrDiastlMeasr
Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg)
Blood pressure
  
Numeric Values
Record blood pressure from the blood pressure monitor or measure manually by sphygmanometry. The suggested range is 0-300 mmHg. Add date stamp for when assessed.When hourly values are documented, we recommend to take readings at a fixed time point, for example the last minute of the hour. Exclude values which may be influenced by artifacts. Add date stamp for when assessed. The injured brain is often not able to pressure autoregulate normally, adequate perfusion may be more dependent on perfusion pressure; lower blood pressure and low perfusion pressure can aggravate ischemic damage to the injured brain whilst conversely a high blood pressure may lead to increased intracranial pressure and carries an increased risk of neurogenic lung edema. Hypotensive episodes before and after admission adversely affect outcome. In patients with severe traumatic brain injury, routine calculation of the cerebral perfusion pressure on an hourly basis is recommended. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the Core datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set).
Management and prognosis of severe traumatic brain injury, J Neurotrauma 2000;17:591-595.; Butcher I, Maas AI, Lu J , et al. Prognostic value of admission blood pressure in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):294-302.; Murray GD, Butcher I, McHugh GS, et al. Multivariate prognostic analysis in traumatic brain injury. J Neurotrauma. Feb 2007;24(2):329-377.
Adult;Pediatric
Supplemental
3.0
7/25/2013
SCI CDEs: BPDIAS
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Blood pressure diastolic measurement
 
Free-Form Entry
0
300
millimeter of mercury
  
2004291
 
C01510
Blood pressure systolic mean daily measurement
BloodPressSystMeanDayMeasr
Mean measurement of the participant's/subject's systolic blood pressure over a 24-hour period
Daily mean value of blood pressure in mmHg (Systolic)
  
Numeric Values
The suggested range is 0-300 mmHg.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Blood pressure systolic mean daily measurement
 
Free-Form Entry
0
300
millimeter of mercury
    
C01502
Blood pressure diastolic mean daily measurement
BloodPressDiastMeanDayMeasr
Mean measurement of the participant's/subject's diastolic blood pressure over a 24-hour period
Daily mean value of blood pressure in mmHg (Diastolic)
  
Numeric Values
The suggested range is 0-300 mmHg.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Blood pressure diastolic mean daily measurement
 
Free-Form Entry
  
millimeter of mercury
    
C01554
Oxygen saturation measurement
O2SatMeasr
Value, as a percent, of baseline O2 saturation (SPO2) in nocturnal oximetry, as part of Nocturnal Oximetry.
Oxygen saturation (%)
  
Numeric Values
The suggested range is 0-100. Add date stamp for when assessed. Recommended for collection on admission and daily as required by protocol.
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Oxygen saturation measurement
 
Free-Form Entry
0
100
percent
    
C01532
Oxygen saturation mean daily measurement
O2SaturMeanDailyMeasr
Value of the mean of the participant's/subject's oxygen saturation over a 24-hour period.
Oxygen saturation
  
Numeric Values
The suggested range is 0-100. Add date stamp for when assessed. Recommended for collection on admission and daily as required by protocol. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set).
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Oxygen saturation mean daily measurement
 
Free-Form Entry
0
100
percent
    
C01534
Oxygen saturation minimum daily value
O2SaturMinDailyVal
Lowest measurement of the participant's/subject's oxygen saturation over the 24-hour period.
Daily minimal value of oxygen saturation (%)
  
Numeric Values
The suggested range is 0-100. Add date stamp for when assessed. Recommended for collection on admission and daily as required by protocol.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Oxygen saturation minimum daily measurement
 
Free-Form Entry
0
100
percent
    
C01559
Arterial partial pressure carbon dioxide value
ArterialPPCO2Val
Measurement of how much carbon dioxide is dissolved in the arterial blood and how well carbon dioxide is able to move out of the body (PaCO2)
Partial pressure of carbon dioxide in aterial vessles
  
Numeric Values
The suggested range is 0-99 mmHg or 0-13.2 kPa. Recommended for collection on admission and daily as required by protocol.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Partial pressure carbon dioxide arterial measurement
 
Free-Form Entry
0
100
millimeter of mercury
    
C01560
Arterial partial pressure oxygen value
ArterialPPO2Val
Measurement of how much oxygen is dissolved in the arterial blood and how well oxygen is able to move from the airspace of the lungs into the blood (PaO2)
Partial pressure of oxygen in aterial vessles
  
Numeric Values
The suggested range is 0-650 mmHg or 0-86.5 kPa. Recommended for collection on admission and daily as required by protocol.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Partial pressure oxygen arterial measurement
 
Free-Form Entry
       
C01558
Partial pressure oxygen brain tissue measurement
PPO2BrainTissMeasr
Measurement of how much oxygen is dissolved in the brain tissue (PbtO2)
Partial pressure of oxygen in brain tissue
  
Numeric Values
Capture in millimeters of mercury (mmHg)
No references available
Adult;Pediatric
Supplemental
5.0
1/25/2017
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Partial pressure oxygen brain tissue measurement
 
Free-Form Entry
0
300
     
C01531
Arterial partial pressure carbon dioxide mean daily value
ArterialPPCO2MeanDailyVal
Mean measurement of the arterial partial pressure of carbon dioxide (PCO2) over a 24-hour period. PCO2 is the measurement of how much carbon dioxide is dissolved in the arterial blood and how well carbon dioxide is able to move out of the body.
Mean measurement of the arterial partial pressure of carbon dioxide
  
Numeric Values
The suggested range is 0-99 mmHg or 0-13.2 kPa. Recommended for collection on admission and daily as required by protocol.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Partial pressure carbon dioxide arterial mean daily measurement
 
Free-Form Entry
       
C01530
Arterial partial pressure oxygen mean daily value
ArterialPPO2MeanDailyVal
Mean measurement of the partial pressure of oxygen (PaO2) over a 24-hour period. PaO2 is the pressure of oxygen dissolved in the blood and how well oxygen is able to move from the airspace of the lungs into the blood.
Daily mean partial pressure of oxygen in aterial vessles
  
Numeric Values
The suggested range is 0-650 mmHg or 0-86.5 kPa. Recommended for collection on admission and daily as required by protocol.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Vital Signs and Blood Gases
Vital Signs and Other Body Measures
Assessments and Examinations
Partial pressure oxygen arterial mean daily measurement
 
Free-Form Entry
       
12-17-2018
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