CDE Detailed Report

Disease: NeuroRehab
Subdomain Name: Dysphagia
CRF: Swallowing Disturbance Questionnaire (SDQ)

Displaying 1 - 15 of 15
CDE ID CDE Name Variable Name Definition Short Description 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 / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C17228 Swallowing Disturbance Questionnaire (SwDQ) - food or liquid expelled nose after ingestion score SwDQFdLqdExplNosAftrIngstnScr Score for how frequent the participant/subject has food or liquid come out the nose when eating or drinking, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject has food or liquid come out the nose when eating or drinking, as a part of Swallowing Disturbance Questionnaire (SDQ Does food or liquid come out of your news when you eat or drink? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17239 Swallowing Disturbance Questionnaire (SwDQ) - difficulty breathe meal score SwDQDffcltBrthMealScore Score for how frequent the participant/subject experiences difficulty breathing during meals, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject experiences difficulty breathing during meals, as a part of Swallowing Disturbance Questionnaire (SDQ Do you experience difficulty in breathing during meals? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17229 Swallowing Disturbance Questionnaire (SwDQ) - chew food dribble from mouth score SwDQChewFdDribbleFrmMthScore Score for how frequent the participant/subject chews up food dribble from the mouth, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject chews up food dribble from the mouth, as a part of Swallowing Disturbance Questionnaire (SDQ Does chewed up food dribble from your mouth? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17240 Swallowing Disturbance Questionnaire (SwDQ) - suffer respiratory infection past year indicator SwDQSffrResptryInfectPstYrSco Indicator for whether the participant/subject has suffered from a respiratory infection in the past year, as a part of Swallowing Disturbance Questionnaire (SDQ) Indicator for whether the participant/subject has suffered from a respiratory infection in the past year, as a part of Swallowing Disturbance Questionnaire (SDQ Have you suffered from a respiratory infection (pneumonia, bronchitis) during the past year? No;Yes No;Yes Alphanumeric Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17230 Swallowing Disturbance Questionnaire (SwDQ) - excess difficulty swallow saliva score SwDQExcssDffcltSwllwSalivaScr Score for how frequent the participant/subject feels as if he or she has excess saliva in the mouth, drools, or has trouble swallowing the saliva in the mouth, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject feels as if he or she has excess saliva in the mouth, drools, or has trouble swallowing the saliva in the mouth, as a part of Swallowing Disturbance Questionnaire (SDQ Do you feel you have too much saliva in your mouth: do you drool or have difficulty swallowing your saliva? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17231 Swallowing Disturbance Questionnaire (SwDQ) - swallow food multiple time before ingest score SwDQSwFdMltTimeBfrIngstScr Score for how frequent the participant/subject swallows chewed up food several times before it goes down the throat, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject swallows chewed up food several times before it goes down the throat, as a part of Swallowing Disturbance Questionnaire (SDQ Do you swallow chewed up food several times before it goes down your throat? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17232 Swallowing Disturbance Questionnaire (SwDQ) - difficulty swallow solid food score SwDQDffcltSwallwSldFdScore Score for how frequent the participant/subject experiences difficulty in swallowing solid foods (i.e. do apples or crackers get stuck in your throat), as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject experiences difficulty in swallowing solid foods (i.e. do apples or crackers get stuck in your throat), as a part of Swallowing Disturbance Questionnaire (SDQ Do you experience difficulty in swallowing solid food (i.e., do apples or crackers get stuck in your throat)? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17233 Swallowing Disturbance Questionnaire (SwDQ) - difficulty swallow puree food score SwDQDffcltSwallwPureeFdScore Score for how frequent the participant/subject experiences difficulty swallowing pureed food, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject experiences difficulty swallowing pureed food, as a part of Swallowing Disturbance Questionnaire (SDQ Do you experience difficulty in swallowing pureed food? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17234 Swallowing Disturbance Questionnaire (SwDQ) - lump food stuck throat meal score SwDQLumpFdStckThrtMealScore Score for how frequent the participant/subject feels as if a lump of food is stuck in the throat while eating, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject feels as if a lump of food is stuck in the throat while eating, as a part of Swallowing Disturbance Questionnaire (SDQ While eating, do you feel as if a lump of food is stuck in your throat? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17235 Swallowing Disturbance Questionnaire (SwDQ) - cough swallow liquid score SwDQCoughSwallwLqdScore Score for how frequent the participant/subject coughs while swallowing liquids, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject coughs while swallowing liquids, as a part of Swallowing Disturbance Questionnaire (SDQ Do you cough while swallowing liquids? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17236 Swallowing Disturbance Questionnaire (SwDQ) - cough swallow solid food score SwDQCoughSwallwSldFdScore Score for how frequent the participant/subject coughs while swallowing solid foods, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject coughs while swallowing solid foods, as a part of Swallowing Disturbance Questionnaire (SDQ Do you cough while swallowing solid foods? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17226 Swallowing Disturbance Questionnaire (SwDQ) - difficulty chew solid food score SwDQDffcltChewtSolidFdScore Score for how frequent the participant/subject has difficulty chewing solid foods like an apple, cookie, or cracker, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject has difficulty chewing solid foods like an apple, cookie, or cracker, as a part of Swallowing Disturbance Questionnaire (SDQ Do you experience difficulty chewing solid food like an apple, cookie or cracker? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17237 Swallowing Disturbance Questionnaire (SwDQ) - change voice after eat score SwDQChngVoiceAfterEatScore Score for how frequent the participant/subject experiences a change in voice, such as hoarseness or reduced, immediately after eating or drinking, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject experiences a change in voice, such as hoarseness or reduced, immediately after eating or drinking, as a part of Swallowing Disturbance Questionnaire (SDQ Immediately after eating meals, do you experience a change in your voice, such as hoarseness or reduced? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17227 Swallowing Disturbance Questionnaire (SwDQ) - food residue mouth after swallow score SwDQFdResidMouthAftrSwallwScr Score for how frequent the participant/subject has any food residues in the mouth, cheeks, under the tongue, or stuck to the palate after swallowing, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject has any food residues in the mouth, cheeks, under the tongue, or stuck to the palate after swallowing, as a part of Swallowing Disturbance Questionnaire (SDQ Are there any food residues in your mouth, checks, under your tongue or stuck to your palate after swallowing? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

C17238 Swallowing Disturbance Questionnaire (SwDQ) - cough difficulty breathe saliva windpipe score SwDQDffcltBrthSalivWindpeScore Score for how frequent the participant/subject experiences coughing or difficulty breathing as a result of saliva entering the windpipe, as a part of Swallowing Disturbance Questionnaire (SDQ) Score for how frequent the participant/subject experiences coughing or difficulty breathing as a result of saliva entering the windpipe, as a part of Swallowing Disturbance Questionnaire (SDQ Other than during meals, do you experience coughing or difficulty breathing as a result of saliva entering your windpipe? 0;1;2;3 Never;Seldom (once a month or less);Frequently (1-7 times a week);Very frequently (more than 7 times a week) Numeric Values Perez Lloret S, Piran Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Movement Disorders2007 Jan; 22(1):107-11. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Swallowing Disturbance Questionnaire (SDQ) Dysphagia Outcomes and End Points

Single Pre-Defined Value Selected

CSV