CDE Detailed Report

Disease: Stroke
Sub-Domain: Surgeries and Other Procedures
CRF: SAH Surgical

Displaying 1 - 34 of 34
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C14379 Surgery post-operative medical complication type SurgPostopMedicComplicTyp The type of event or complication(s) affecting the general medical health or functionality that occurred after surgery The type of event or complication(s) affecting the general medical health or functionality that occurred after surgery Postoperative complication Brain swelling caused by surgical trauma;Other;Hemorrhage Brain swelling caused by surgical trauma;Other;Hemorrhage Alphanumeric

Procedure-related complication, directly attributable to the microsurgical procedure and identified after the procedure.

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C54912 Endovascular surgery procedure duration EndovasclrSrgryPrcdrDur Duration in minutes of the endovascular surgery or procedure Duration in minutes of the endovascular surgery or procedure Endovascular procedure duration (minutes) Numeric Values

From initiation of vascular access to access closure or equivalent during the procedure for treatment of the aneurysm.

Adult;Pediatric Supplemental 1.00 2017-04-13 11:10:36.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

Minutes
C54891 Medication antithrombotic used procedure type MdctnAntithrmbtcUsdPrcdrTyp Type of antithrombotic medication used during surgical or other procedure Type of antithrombotic medication used during surgical or other procedure Antithrombotic type used during procedure Aspirin;None;Other;Heparin;tPA;Clopidogrel Aspirin;None;Other;Heparin;tPA;Clopidogrel Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 09:07:02.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54902 Hematoma evacuate surgery procedure indicator HemtmaEvcuatSrgryPrcdrInd Indicator of whether surgery or other procedure was performed to evacuate a hematoma Indicator of whether surgery or other procedure was performed to evacuate a hematoma Hematoma evacuation No;Yes No;Yes Alphanumeric

Craniotomy for removal of an acute intraparenchymal, subdural, or epidural hematoma caused by the index aneurysm, for the purpose of reducing mass effect on the brain, with or without definitive open aneurysm treatment at the same episode of care.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:18:13.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C22492 Blood estimate loss measurement BldEstLssMeas The measurement related to the estimated amount of blood loss. The measurement related to the estimated amount of blood loss. Amount of blood lost during surgery (cc) Numeric Values Adult;Pediatric Supplemental 1.00 2016-06-13 11:32:45.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

0 cubic centimeter
C54913 Endovascular intervention result Raymond Roy grade EndvsclrIntrvnRsltRymndRyGrade Grade on the Raymond-Roy occlusion classification scale of the result of endovascular intervention for aneurysm Grade on the Raymond-Roy occlusion classification scale of the result of endovascular intervention for aneurysm Endovascular intervention result Raymond-Roy grade 1;Raymond-Roy grade 2;Raymond-Roy grade 3 Raymond-Roy grade 1;Raymond-Roy grade 2;Raymond-Roy grade 3 Alphanumeric

Degree of occlusion of aneurysm following endovascular repair, as confirmed with post-procedure angiography using Raymond-Roy grading.

Adult;Pediatric Supplemental 1.00 2017-04-13 11:12:13.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54892 Aneurysm treatment surgical type AneurysmTreatSurgTyp Type of surgery performed to treat aneurysm Type of surgery performed to treat aneurysm SAH surgery type Bypass;Clipping;Trapping alone;Wrapping;Hunterian ligation alone;Other;None/attempted Bypass;Clipping;Trapping alone;Wrapping;Hunterian ligation alone;Other;None/attempted Alphanumeric

A craniotomy was performed and one or more of the listed techniques was performed. Bypass includes some other treatment for the aneurysm, e.g., trapping.

No references available Adult;Pediatric Supplemental 1.00 2017-03-08 13:14:08.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54903 Vessel occlude temporary surgery procedure indicator VeslOccldTmpSrgryPrcdrInd Indicator of whether any blood vessels were temporarily occluded during surgery or other procedure Indicator of whether any blood vessels were temporarily occluded during surgery or other procedure Temporary vessel occlusion No;Yes No;Yes Alphanumeric

Placement of a temporary clip at any time during microsurgical aneurysm clipping; the temporary clip must be removed at some point during the microsurgical clipping.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:21:24.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54882 Aneurysm multiple indicator AneurysmMultipleInd Indicator of whether the subject/participant presents multiple aneurysms Indicator of whether the subject/participant presents multiple aneurysms Multiple aneurysms No;Yes No;Yes Alphanumeric

For patient with multiple aneurysms, include documentation of treatment of additional aneurysm, whether ruptured or unruptured, at any time during the episode of SAH care

Adult;Pediatric Supplemental 1.00 2017-04-12 17:25:31.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54893 Aneurysm intervention surgical result status AnrysmIntrvntnSrgclRsltStatus Status or result of surgical intervention to treat aneurysm Status or result of surgical intervention to treat aneurysm Surgical intervention result Complete occlusion;Partial occlusion - neck remnant;Partial occlusion - residual fundus;Unsecured Complete occlusion;Partial occlusion - neck remnant;Partial occlusion - residual fundus;Unsecured Alphanumeric

Success of surgical intervention describes degree of aneurysm occlusion, as measured by postoperative imaging with diagnostic radiology as gold standard; any residual aneurysm filling is graded as partial occlusion.

Adult;Pediatric Supplemental 1.00 2017-04-13 09:20:22.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54904 Vessel occlude temporary surgery procedure count VeslOccldTmpSrgryPrcdrCt Count of blood vessels that were temporarily occluded during surgery or other procedure Count of blood vessels that were temporarily occluded during surgery or other procedure Number of temporary occlusions Numeric Values

Total number of temporary clip applications during the microsurgical clipping procedure; each time a clip is placed and then removed, on any vessel either in sequence or simultaneously, counts as a "temporary clip occlusion."

Adult;Pediatric Exploratory 1.00 2017-04-13 10:21:24.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

C54883 Aneurysm treated count AneurysmTreatedCt Count of aneurysms treated Count of aneurysms treated Number of aneurysms treated Numeric Values

For patient with multiple aneurysms, include documentation of treatment of additional aneurysm, whether ruptured or unruptured, at any time during the episode of SAH care

Adult;Pediatric Supplemental 1.00 2017-04-12 17:27:43.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

C54894 Monitoring intraprocedural physiological indicator MntringIntraprcdrlPhyslgclInd Indicator of whether any type of physiological monitoring was maintained during the surgery or procedure Indicator of whether any type of physiological monitoring was maintained during the surgery or procedure Intraprocedural physiological monitoring No;Yes No;Yes Alphanumeric

Includes, SSEPs, MEP, BAERs, CN monitoring.

No references available Adult;Pediatric Supplemental 1.00 2017-04-13 09:28:56.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54905 Vessel occlude temporary surgery procedure maximum duration VeslOccldTmpSrgryPrcdrMaxDur Maximum duration of temporary vessel occlusion during surgery or other procedure Maximum duration of temporary vessel occlusion during surgery or other procedure Maximum duration of temporary occlusion (minutes) Numeric Values

The maximum duration of any one temporary clip application from the time of placement until removal, in minutes.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:21:24.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

Minutes
C54884 Vessel repair anatomic site VesselRepairAnatSite Anatomic site of the vessel that was repaired Anatomic site of the vessel that was repaired Type of vessel repaired Ophthalmic/paraclinoid;Pcomm;AChoA;ICA terminus;Dorsal ICA;ACA - A1;ACA - Acomm;ACA - Pericallosal/callosomarginal;MCA - M1;MCA - bifurcation/trifurcation/anterior temporal;MCA - distal MCA;PCA - P1;PCA - P2;PCA - distal;SCA;AICA;PICA - distal;PICA - proximal;basilar bifurcation;Basilar trunk;Vertebral - basilar junction;Vertebral Ophthalmic/paraclinoid;Pcomm;AChoA;ICA terminus;Dorsal ICA;ACA - A1;ACA - Acomm;ACA - Pericallosal/callosomarginal;MCA - M1;MCA - bifurcation/trifurcation/anterior temporal;MCA - distal MCA (distal MCA is beyond the MCA bifurcation or trifurcation);PCA - P1;PCA - P2;PCA - distal;SCA;AICA;PICA - distal;PICA - proximal;basilar bifurcation;Basilar trunk;Vertebral - basilar junction;Vertebral Alphanumeric

Location of vessel harboring the target ruptured aneurysm

Adult;Pediatric Supplemental?Highly Recommended 1.00 2017-04-12 17:29:02.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54895 Aneurysm rupture occur surgery procedure grade AnrysmRptrOcrSrgyPrcdrGrade Grade of rupture of aneurysm occurring during surgery or procedure Grade of rupture of aneurysm occurring during surgery or procedure Intraoperative rupture Yes - major;Yes - minor;No Yes - major;Yes - minor;No Alphanumeric

Any episode of intraoperative rupture of the ruptured aneurysm during the open aneurysm treatment procedure, at any time between incision and closure, whether spontaneous or as a result of microsurgical manipulation. Major - requiring blood transfusion, leading to increased intracranial pressure necessitating additional surgery (e.g., craniectomy, additional bone removal, brain resection), resulting in hypotension. Minor - any other rupture from any treated aneurysm.

No references available Adult;Pediatric Supplemental 1.00 2017-04-13 09:33:18.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54906 Vessel occlude temporary surgery procedure total duration VeslOccldTmpSrgryPrcdrTtlDur Total duration of all temporary vessel occlusions during surgery or other procedure Total duration of all temporary vessel occlusions during surgery or other procedure Total duration of temporary occlusions Numeric Values

The sum of all temporary clip occlusion durations during the microsurgical clipping procedure. If clips are placed on more than one vessel simultaneously, the time of clip occlusion is considered overlapping and not summed.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:21:24.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

Minutes
C54885 Subarachnoid hemorrhage ictus elapsed day count SAHIctusElapseDayCt Count of 24-hour intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention Count of 24-hour intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention Day of intervention from the moment of subarachnoid hemorrhage (SAH) ictus Numeric Values

The day of intervention will be timed from the moment of SAH ictus; day of rupture is day 0.

Adult;Pediatric Supplemental?Highly Recommended 1.00 2017-04-12 17:44:54.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

Days
C54896 Assessment surgery procedure vessel patency aneurysm occlusion method type AstSgyPcdVslPtcAnymOclnMthdTyp Type of method used to for assessment of vessel patency or aneurysm occlusion during surgery or procedure Type of method used to for assessment of vessel patency or aneurysm occlusion during surgery or procedure Intraoperative assessment of vessel patency and/or aneurysm occlusion Microvascular doppler;Ultrasonic transit-time flowmetry;Fluorescence video angiography;Intraoperative catheter angiography Microvascular doppler;Ultrasonic transit-time flowmetry;Fluorescence video angiography;Intraoperative catheter angiography Alphanumeric

Any imaging or objective method for assessing vessel patency performed at any time during the aneurysm clipping procedure, within the operating room while the patient is anesthetized, prior to completion of surgery.

Adult;Pediatric Supplemental 1.00 2017-04-13 09:39:48.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54907 Aneurysm treatment endovascular type AneurysmTreatEndovasTyp Type of endovascular aneurysm treatment Type of endovascular aneurysm treatment Type of endovascular repair Coil;Coil with balloon remodeling;Stent only;Stent/coil;Vessel occlusion;Flow diverter;Other;None/attempted Coil;Coil with balloon remodeling;Stent only;Stent/coil;Vessel occlusion;Flow diverter;Other;None/attempted Alphanumeric

Type of endovascular repair described in detail including all endovascular devices utilized, alone or in combination. Flow diverters include all stent technology intended to alter flow into the aneurysm sac. Stent in this context means a non-flow diverting stent.

Adult;Pediatric Supplemental 1.00 2017-03-08 13:14:08.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C54886 Subarachnoid hemorrhage ictus elapsed hour count SAHIctusElapseHourCt Count of 60-minute intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention Count of 60-minute intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention Intervention time (hours) Numeric Values

The start of intervention will be timed from the moment of SAH ictus in hours; start = 0.

Adult;Pediatric Supplemental 1.00 2017-04-12 17:44:54.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

Hours
C54897 Complication surgery procedure aneurysm treatment type CmplctnSrgyPcdrAnrysmTrtmntTyp Type of complication which occurred during surgery or other procedure to treat aneurysm Type of complication which occurred during surgery or other procedure to treat aneurysm Type of intraoperative complication Other;Known perforator occlusion at time of surgery;Unintended neural injury at the time of surgery;Vessel thrombosis;Unintended vessel occlusion;Brain swelling caused by surgical trauma;Aneurysm hemorrhage resulting in need for transfusion Other;Known perforator occlusion at time of surgery;Unintended neural injury at the time of surgery;Vessel thrombosis;Unintended vessel occlusion;Brain swelling caused by surgical trauma;Aneurysm hemorrhage resulting in need for transfusion Alphanumeric

Procedure-related complication, directly attributable to the microsurgical procedure.

Adult;Pediatric Supplemental 1.00 2017-04-13 09:50:03.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54908 Blood vessel rupture surgery procedure evidence indicator BldVslRptrSrgryPrcdrEvdncInd Indicator of whether there is evidence of blood vessel rupture during surgery or other procedure Indicator of whether there is evidence of blood vessel rupture during surgery or other procedure Evidence of intraoperative rupture? No;Yes No;Yes Alphanumeric

Any evidence of intraoperative rupture, defined as contrast extravasation on angiographic imaging.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:51:52.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54887 Ventriculostomy placement indicator VentrclostmyPlacemntInd Indicator of whether ventriculostomy placement was performed Indicator of whether ventriculostomy placement was performed Ventriculostomy placement for hydrocephalus No;Yes No;Yes Alphanumeric

External ventriculostomy placement for treatment of hydrocephalus at any time during the episode of care for aneurysmal SAH, placed either at bedside or in the operating room, alone or in combination with other procedures.

Adult;Pediatric Supplemental 1.00 2017-04-12 17:52:37.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54898 Surgery procedure duration SurgeryProcedureDur Duration in minutes of surgery or procedure Duration in minutes of surgery or procedure Surgery duration (minutes) Numeric Values

Total microsurgical clipping time in minutes, from skin incision to closure.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:00:31.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

Minutes
C54909 Endovascular complication intra surgery procedure type EnvsclrCmplcnIntraSgryPrcdrTyp Type of endovascular complication(s) which occurred during surgery or other procedure Type of endovascular complication(s) which occurred during surgery or other procedure Endovascular intraprocedural complication type Perforation;Vessel dissection;Vessel occlusion;Thromboembolism;Coil migration;Femoral access complication;Other Perforation;Vessel dissection;Vessel occlusion;Thromboembolism;Coil migration;Femoral access complication;Other Alphanumeric

Procedure-related complication, directly attributable to the endovascular procedure and identified during the procedure.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:56:52.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C54888 Lumbar drain indicator LumbarDrainInd Indicator of whether a lumbar drain was placed Indicator of whether a lumbar drain was placed Lumbar drain placement No;Yes No;Yes Alphanumeric

Lumbar drain placement for treatment of communicating hydrocephalus, at any time during the episode of care for aneurysmal SAH. Placed either at bedside or in the operating room, alone or in combination with other procedures.

Adult;Pediatric Supplemental 1.00 2017-04-12 17:55:10.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54899 Blood transfusion surgery procedure indicator BloodTransfSrgryPrcdrInd Indicator of whether blood transfusion was performed during surgery or procedure Indicator of whether blood transfusion was performed during surgery or procedure Blood transfusion during surgery? No;Yes No;Yes Alphanumeric

Any administration of blood products during the microsurgical clipping procedure.

Adult;Pediatric Supplemental 1.00 2017-01-23 15:46:25.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54910 Endovascular complication post surgery procedure type EnvsclrCmplcnPostSgryPrcdrTyp Type of endovascular complication(s) which occurred following surgery or other procedure Type of endovascular complication(s) which occurred following surgery or other procedure Endovascular postprocedural complication type Vessel dissection;Vessel occlusion;Femoral access complication;Other Vessel dissection;Vessel occlusion;Femoral access complication;Other Alphanumeric

Procedure-related complication, directly attributable to the endovascular procedure and identified after the procedure.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:56:52.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C54889 Intervention surgical status InterventionSurgicalStatus Status of surgical intervention Status of surgical intervention Intervention - surgery No;Yes;Attempt failed No;Yes;Attempt failed Alphanumeric

Surgery involves craniotomy and microsurgery, including one or more of the following: clipping, trapping, Hunterian ligation, bypass, or wrapping; attempted/failed includes all aneurysms which did not receive definitive treatment via one of these modalities; "definitive" means that at the conclusion of the procedure the prevention of immediate re-rupture has been achieved.

No references available Adult;Pediatric Supplemental?Highly Recommended 1.00 2017-04-12 17:57:44.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54900 Craniotomy category CraniotomyCat Category of craniotomy performed during surgery Category of craniotomy performed during surgery Type of craniotomy Standard;Minimally invasive Standard;Minimally invasive Alphanumeric

Standard includes: pterional, orbitozygomatic, posterior fossa, subtemporal, modified orbitozygomatic. Minimally invasive includes supraorbital/eyebrow, LSO, mini-pterional.

Adult;Pediatric Supplemental 1.00 2017-04-13 10:12:48.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54911 Endovascular fluoroscopy dose EndovascularFluoroscopyDose Dose in milligrays of endovascular fluoroscopy Dose in milligrays of endovascular fluoroscopy Endovascular fluoroscopy dose (mGy) Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-13 11:06:33.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Free-Form Entry

Milligrays
C54890 Intervention endovascular status InterventionEndovascularStatus Status of endovascular intervention Status of endovascular intervention Intervention - endovascular No;Yes;Attempt failed No;Yes;Attempt failed Alphanumeric

Endovascular treatment will include use of coils, stents, and/or other endovascular devices alone or in combination to occlude the aneurysm; attempted/failed includes all aneurysms which did not receive definitive treatment via one of these modalities; "definitive" means that at the conclusion of the procedure the prevention of immediate re-rupture has been achieved.

No references available Adult;Pediatric Supplemental?Highly Recommended 1.00 2017-04-12 17:57:44.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

C54901 Craniectomy perform indicator CraniectomyPerformInd Indicator of whether craniectomy was performed Indicator of whether craniectomy was performed Craniectomy performed? No;Yes No;Yes Alphanumeric

If the bone flap is not replaced, then the procedure is listed as a craniectomy, whether the bone is replaced at a later time during the episode of care for SAH.

No references available Adult;Pediatric Supplemental 1.00 2017-04-13 10:15:48.0 SAH Surgical/Procedural Interventions Surgeries and Other Procedures Treatment/Intervention Data

Single Pre-Defined Value Selected

CSV