CDE Detailed Report
Subdomain Name: Military Studies
CRF: Military Acute Concussion Evaluation (MACE)
Displaying 1 - 50 of 85
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18450 | Military Acute Concussion Evaluation (MACE) - Delayed recall bubble score | MACEDlydRcllBubblScore | Delayed recall bubble score, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall bubble score, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18482 | Military Acute Concussion Evaluation (MACE) - Incident description hit head indicator | MACEIncdntDescrptHitHeadInd | Indicator of whether or not the subject hit his or her head, as part of Military Acute Concussion Evaluation (MACE) | Indicator of whether or not the subject hit his or her head, as part of Military Acute Concussion Evaluation (MACE | Did you hit your head? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Ask for a description of the incident that resulted in the injury; how the injury occurred, type of force. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07261 | Military Acute Concussion Evaluation (MACE) - Unremembered events after indicator | MACEUnremmbrdEvntAftrInd | Indicator of whether or not there were events just AFTER the injury that are not remembered, as part of Military Acute Concussion Evaluation (MACE) | Indicator of whether or not there were events just AFTER the injury that are not remembered, as part of Military Acute Concussion Evaluation (MACE | Amnesia After Are there any events just AFTER the injuries that are not remembered? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Assess time until continuous memory after the injury. Determine whether and length of time that the person wasn't registering continuous memory both prior to injury and after the injury. Approximate the amount of time in seconds, minutes or hours, whichever time increment is most appropriate. For example, if the assessment of the patient yields a possible time of 20 minutes, then 20 minutes should be documented in the "how long?" section. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07272 | Military Acute Concussion Evaluation (MACE) - Delayed recall score | MACEDlydRcllScore | Delayed recall total score (0-5), as part of Military Acute Concussion Evaluation (MACE) | Delayed recall total score (0-5), as part of Military Acute Concussion Evaluation (MACE | Delayed Recall Total Score | Numeric Values |
See instructions on form |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Free-Form Entry |
0 | 5 | ||||||||
| C18461 | Military Acute Concussion Evaluation (MACE) - Delayed recall sandwich form B score | MACEDlydRcllSandwichFormBScore | Delayed recall sandwich from form B, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall sandwich from form B, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C20387 | Military Acute Concussion Evaluation (MACE) - Unremembered events after time unit of measure | MACEUnrememEvntAfterTmUoM | Unit of measure for the duration of time of unremembered events from after the trauma, as part of Military Acute Concussion Evaluation (MACE) | Unit of measure for the duration of time of unremembered events from after the trauma, as part of Military Acute Concussion Evaluation (MACE | If yes, how long? | Second;Minute;Hour;Day | Second;Minute;Hour;Day | Alphanumeric |
Assess time until continuous memory after the injury. Determine whether and length of time that the person wasn't registering continuous memory both prior to injury and after the injury. Approximate the amount of time in seconds, minutes or hours, whichev |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18440 | Military Acute Concussion Evaluation (MACE) - Concentration 718462 score | MACEConc718462Score | Subject's concentration score for correctly repeating the number 7-1-8-4-6-2 in reverse order then 5-3-9-1-4-8 also in reverse order , as part of Military Acute Concussion Evaluation (MACE) | Subject's concentration score for correctly repeating the number 7-1-8-4-6-2 in reverse order then 5-3-9-1-4-8 also in reverse order , as part of Military Acute Concussion Evaluation (MACE | Reverse Digits | 0;1 | 0;1 | Numeric Values |
go to next string length if correct on first trial. Stop if incorrect on both trials. Concentration: Inform the patient: I'M GOING TO READ YOU A STRING OF NUMBERS AND WHEN I AM FINISHED, REPEAT THEM BACK TO ME BACKWARDS, THAT IS, IN REVERSE ORDER OF HOW I READ THEM TO YOU. FOR EXAMPLE, IF I SAY 7-1-9, YOU WOULD SAY 9-1-7. If the patient is correct on the first trial of each string length, proceed to the next string length. If incorrect, administer the 2nd trial of the same string length. Proceed to the next string length if correct on the second trial. Discontinue after failure on both trials of the same string length. Total of 4 different string lengths; 1 point for each string length for a total of 4 points. NOW TELL ME THE MONTHS IN REVERSE ORDER, THAT IS, START WITH DECEMBER AND END IN JANUARY. 1 point if able to recite ALL months in reverse order. 0 points if not able to recite ALL of them in reverse order. Total possible score for concentration portion: 5. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18472 | Military Acute Concussion Evaluation (MACE) - Immediate memory form C score | MACEImmdtMemFormCScore | Immediate memory score from form C, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory score from form C, as part of Military Acute Concussion Evaluation (MACE | Immediate Memory | Numeric Values | Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Free-Form Entry |
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| C18451 | Military Acute Concussion Evaluation (MACE) - Delayed recall candle form B score | MACEDlydRcllCandlFormBScore | Delayed recall candle score from form B, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall candle score from form B, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18483 | Military Acute Concussion Evaluation (MACE) - Orientation date score | MACEOrientDateScore | Orientation date score, as part of Military Acute Concussion Evaluation (MACE) | Orientation date score, as part of Military Acute Concussion Evaluation (MACE | Date | 0;1 | 0;1 | Numeric Values |
Ask: WHAT IS THE DATE OR DAY OF THE MONTH? One point for each correct response for a total of 5 possible points. It should be noted that a correct response on time of day must be within 1 hour of the actual time. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07262 | Military Acute Concussion Evaluation (MACE) - Unremembered events after time duration | MACEUnrememEvntAfterTm | Duration of time of unremembered events from after the trauma, as part of Military Acute Concussion Evaluation (MACE) | Duration of time of unremembered events from after the trauma, as part of Military Acute Concussion Evaluation (MACE | If yes, how long? | Numeric Values |
Assess time until continuous memory after the injury. Determine whether and length of time that the person wasn't registering continuous memory both prior to injury and after the injury. Approximate the amount of time in seconds, minutes or hours, whichev |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points | 255 |
Free-Form Entry |
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| C07273 | Military Acute Concussion Evaluation (MACE) - Total score | MACETotScore | The total score for the MACE (0-30), as part of Military Acute Concussion Evaluation (MACE) | The total score for the MACE (0-30), as part of Military Acute Concussion Evaluation (MACE | TOTAL SCORE | Numeric Values |
In studies of non-concussed patients, the mean total score was 28. Therefore, a score less than 30 does not imply that a concussion has occurred. Definitive normative data for a "cut-off" score are not available. However, scores below 25 may represent clinically relevant neurocognitive impairment and require further evaluation for the possibility of a more serious brain injury. The scoring system also takes on particular clinical significance during serial assessment where it can be used to document either a decline or an improvement in cognitive functioning. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Free-Form Entry |
0 | 30 | ||||||||
| C18462 | Military Acute Concussion Evaluation (MACE) - Delayed recall sugar form B score | MACEDlydRcllSugrFormBScore | Delayed recall sugar from form B, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall sugar from form B, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C20388 | Military Acute Concussion Evaluation (MACE) - Individual loss consciousness time unit of measure | MACEIndvdlLossConcsnTmUoM | Unit of measure associated with the duration of those incidents where the subject reports losing consciousness or blacking out, as part of Military Acute Concussion Evaluation (MACE) | Unit of measure associated with the duration of those incidents where the subject reports losing consciousness or blacking out, as part of Military Acute Concussion Evaluation (MACE | If yes, how long? | Second;Minute;Hour;Day | Second;Minute;Hour;Day | Alphanumeric |
Determine whether and length of time of self reported loss of consciousness (LOC) or witnessed/observed LOC. Again, approximate the amount of time in second, minutes or hours, whichever time increment is most appropriate. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18441 | Military Acute Concussion Evaluation (MACE) - Concentration form C score | MACEDConcFormCScore | Concentration score from form C, as part of Military Acute Concussion Evaluation (MACE) | Concentration score from form C, as part of Military Acute Concussion Evaluation (MACE | Concentration | Numeric Values | Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Free-Form Entry |
0 | 5 | |||||||||
| C18473 | Military Acute Concussion Evaluation (MACE) - Immediate memory iron form C score | MACEImmdtMemryIronFormCScore | Immediate memory iron score from form C, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory iron score from form C, as part of Military Acute Concussion Evaluation (MACE | Read all 5 words and ask the patient to recall them in any order. Repeat two more times for a total of three trials. | 0;1 | 0;1 | Numeric Values |
1 point for each correct, total over 3 trials. Repeat two more times for a total of three trials. (1 point for each correct, total over 3 trials.) Immediate memory is assessed using a brief repeated list learning test. Read the patient the list of 5 words once and then ask them to repeat it back to you, as many as they can recall in any order. Repeat this procedure 2 more times for a total of 3 trials, even if the patient scores perfectly on the first trial. Trial 1: I'M GOING TO TEST YOUR MEMORY, I WILL READ YOU A LIST OF WORDS AND WHEN I AM DONE, REPEAT BACK AS MANY WORDS AS YOU CAN REMEMBER, IN ANY ORDER. Trial 2 &3: I AM GOING TO REPEAT THAT LIST AGAIN. AGAIN, REPEAT BACK AS MANY AS YOU CAN REMEMBER IN ANY ORDER, EVEN IF YOU SAID THEM BEFORE. One point is given for each correct answer for a total of 15 possible points. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18452 | Military Acute Concussion Evaluation (MACE) - Delayed recall carpet score | MACEDlydRcllCarptScore | Delayed recall carpet score, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall carpet score, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18484 | Military Acute Concussion Evaluation (MACE) - Orientation month score | MACEOrientMnthScore | Orientation month score, as part of Military Acute Concussion Evaluation (MACE) | Orientation month score, as part of Military Acute Concussion Evaluation (MACE | Month | 0;1 | 0;1 | Numeric Values |
Ask: WHAT MONTH IS THIS? One point for each correct response for a total of 5 possible points. It should be noted that a correct response on time of day must be within 1 hour of the actual time. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07263 | Military Acute Concussion Evaluation (MACE) - Individual loss consciousness indicator | MACEIndvdlLossConcsnInd | Indicator of whether or not the individual reports loss of consciousness or blacking out, as part of Military Acute Concussion Evaluation (MACE) | Indicator of whether or not the individual reports loss of consciousness or blacking out, as part of Military Acute Concussion Evaluation (MACE | Does the individual report loss of consciousness or blacking out? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Determine whether and length of time of self reported loss of consciousness (LOC) or witnessed/observed LOC. Again, approximate the amount of time in second, minutes or hours, whichever time increment is most appropriate. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07274 | Military Acute Concussion Evaluation (MACE) - Diagnosis name | MACEDiagnNam | The diagnosis based on the MACE total score, as part of Military Acute Concussion Evaluation (MACE) | The diagnosis based on the MACE total score, as part of Military Acute Concussion Evaluation (MACE | Diagnosis | No concussion;850.0 Concussion without Loss of Consciousness (LOC);850.1 Concussion with Loss of Consciousness (LOC);Other diagnoses | No concussion;850.0 Concussion without Loss of Consciousness (LOC);850.1 Concussion with Loss of Consciousness (LOC);Other diagnoses | Alphanumeric |
Circle the ICD-9 code that corresponds to the evaluation. If loss |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18463 | Military Acute Concussion Evaluation (MACE) - Delayed recall sunset form C score | MACEDlydRcllSunstFormCScore | Delayed recall sunset score from form C, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall sunset score from form C, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test DO NOT reread the word list. | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C20389 | Military Acute Concussion Evaluation (MACE) - Anyone loss consciousness time unit of measure | MACEAnyoneLossConcsnTmUoM | Unit of measure associated with the duration of time where anyone observed a period of loss of consciousness or unresponsiveness, as part of Military Acute Concussion Evaluation (MACE) | Unit of measure associated with the duration of time where anyone observed a period of loss of consciousness or unresponsiveness, as part of Military Acute Concussion Evaluation (MACE | If yes, how long? | Second;Minute;Hour;Day | Second;Minute;Hour;Day | Alphanumeric |
Determine whether and length of time of self reported loss of consciousness (LOC) or witnessed/observed LOC. Again, approximate the amount of time in second, minutes or hours, whichever time increment is most appropriate. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18442 | Military Acute Concussion Evaluation (MACE) - Concentration months score | MACEConcMnthScore | Subject's concentration score for correctly reciting the months in reverse order, as part of Military Acute Concussion Evaluation (MACE) | Subject's concentration score for correctly reciting the months in reverse order, as part of Military Acute Concussion Evaluation (MACE | Months in reverse order | 0;1 | 0;1 | Numeric Values |
go to next string length if correct on first trial. Stop if incorrect on both trials. Concentration: Inform the patient: I'M GOING TO READ YOU A STRING OF NUMBERS AND WHEN I AM FINISHED, REPEAT THEM BACK TO ME BACKWARDS, THAT IS, IN REVERSE ORDER OF HOW I READ THEM TO YOU. FOR EXAMPLE, IF I SAY 7-1-9, YOU WOULD SAY 9-1-7. If the patient is correct on the first trial of each string length, proceed to the next string length. If incorrect, administer the 2nd trial of the same string length. Proceed to the next string length if correct on the second trial. Discontinue after failure on both trials of the same string length. Total of 4 different string lengths; 1 point for each string length for a total of 4 points. NOW TELL ME THE MONTHS IN REVERSE ORDER, THAT IS, START WITH DECEMBER AND END IN JANUARY. 1 point if able to recite ALL months in reverse order. 0 points if not able to recite ALL of them in reverse order. Total possible score for concentration portion: 5. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18474 | Military Acute Concussion Evaluation (MACE) - Immediate memory monkey form C score | MACEImmdtMemryMnkyFormCScore | Immediate memory monkey score from form C, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory monkey score from form C, as part of Military Acute Concussion Evaluation (MACE | Read all 5 words and ask the patient to recall them in any order. Repeat two more times for a total of three trials. | 0;1 | 0;1 | Numeric Values |
1 point for each correct, total over 3 trials. Repeat two more times for a total of three trials. (1 point for each correct, total over 3 trials.) Immediate memory is assessed using a brief repeated list learning test. Read the patient the list of 5 words once and then ask them to repeat it back to you, as many as they can recall in any order. Repeat this procedure 2 more times for a total of 3 trials, even if the patient scores perfectly on the first trial. Trial 1: I'M GOING TO TEST YOUR MEMORY, I WILL READ YOU A LIST OF WORDS AND WHEN I AM DONE, REPEAT BACK AS MANY WORDS AS YOU CAN REMEMBER, IN ANY ORDER. Trial 2 &3: I AM GOING TO REPEAT THAT LIST AGAIN. AGAIN, REPEAT BACK AS MANY AS YOU CAN REMEMBER IN ANY ORDER, EVEN IF YOU SAID THEM BEFORE. One point is given for each correct answer for a total of 15 possible points. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07264 | Military Acute Concussion Evaluation (MACE) - Individual loss consciousness time duration | MACEIndvdlLossConcsnTmDur | Duration of incidents where the subject reports losing consciousness or blacking out, as part of Military Acute Concussion Evaluation (MACE) | Duration of incidents where the subject reports losing consciousness or blacking out, as part of Military Acute Concussion Evaluation (MACE | If yes, how long? | Numeric Values |
Determine whether and length of time of self reported loss of consciousness (LOC) or witnessed/observed LOC. Again, approximate the amount of time in second, minutes or hours, whichever time increment is most appropriate. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points | 255 |
Free-Form Entry |
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| C18453 | Military Acute Concussion Evaluation (MACE) - Delayed recall elbow score | MACEDlydRcllElbowScore | Delayed recall elbow score, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall elbow score, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18485 | Military Acute Concussion Evaluation (MACE) - Orientation time score | MACEOrientTmScore | Orientation time score, as part of Military Acute Concussion Evaluation (MACE) | Orientation time score, as part of Military Acute Concussion Evaluation (MACE | Time | 0;1 | 0;1 | Numeric Values |
Ask: WHAT TIME DO YOU THINK IT IS? One point for each correct response for a total of 5 possible points. It should be noted that a correct response on time of day must be within 1 hour of the actual time. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18432 | Military Acute Concussion Evaluation (MACE) - Incident description subject remember text | MACEIncdntDescrptSubjRemmbrTxt | Description of incident of what the subject remembers, as part of Military Acute Concussion Evaluation (MACE) | Description of incident of what the subject remembers, as part of Military Acute Concussion Evaluation (MACE | Tell me what you remember. | Alphanumeric |
Ask for a description of the incident that resulted in the injury; how the injury occurred, type of force. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C18464 | Military Acute Concussion Evaluation (MACE) - Delayed recall wagon form B score | MACEDlydRcllWagnFormBScore | Delayed recall wagon from form B, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall wagon from form B, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C20390 | Military Acute Concussion Evaluation (MACE) - Concentration form B score | MACEConcFormBScore | Concentration score from form B, as part of Military Acute Concussion Evaluation (MACE) | Concentration score from form B, as part of Military Acute Concussion Evaluation (MACE | Concentration | Numeric Values |
See instructions on form |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Free-Form Entry |
0 | 5 | ||||||||
| C18443 | Military Acute Concussion Evaluation (MACE) - Concentration recall 1795 form B score | MACEConcRcll1795FormBScore | Subject's concentration score for correctly repeating the number 1-7-9-5 in reverse order then 4-9-6-8 also in reverse order , as part of Military Acute Concussion Evaluation (MACE) | Subject's concentration score for correctly repeating the number 1-7-9-5 in reverse order then 4-9-6-8 also in reverse order , as part of Military Acute Concussion Evaluation (MACE | Reverse Digits | 0;1 | 0;1 | Numeric Values |
go to next string length if correct on first trial. Stop if incorrect on both trials. Concentration: Inform the patient: I'M GOING TO READ YOU A STRING OF NUMBERS AND WHEN I AM FINISHED, REPEAT THEM BACK TO ME BACKWARDS, THAT IS, IN REVERSE ORDER OF HOW I READ THEM TO YOU. FOR EXAMPLE, IF I SAY 7-1-9, YOU WOULD SAY 9-1-7. If the patient is correct on the first trial of each string length, proceed to the next string length. If incorrect, administer the 2nd trial of the same string length. Proceed to the next string length if correct on the second trial. Discontinue after failure on both trials of the same string length. Total of 4 different string lengths; 1 point for each string length for a total of 4 points. NOW TELL ME THE MONTHS IN REVERSE ORDER, THAT IS, START WITH DECEMBER AND END IN JANUARY. 1 point if able to recite ALL months in reverse order. 0 points if not able to recite ALL of them in reverse order. Total possible score for concentration portion: 5. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18475 | Military Acute Concussion Evaluation (MACE) - Immediate memory perfume form C score | MACEImmdtMemryPerfmFormCScore | Immediate memory perfume score from form C, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory perfume score from form C, as part of Military Acute Concussion Evaluation (MACE | Read all 5 words and ask the patient to recall them in any order. Repeat two more times for a total of three trials. | 0;1 | 0;1 | Numeric Values |
1 point for each correct, total over 3 trials. Repeat two more times for a total of three trials. (1 point for each correct, total over 3 trials.) Immediate memory is assessed using a brief repeated list learning test. Read the patient the list of 5 words once and then ask them to repeat it back to you, as many as they can recall in any order. Repeat this procedure 2 more times for a total of 3 trials, even if the patient scores perfectly on the first trial. Trial 1: I'M GOING TO TEST YOUR MEMORY, I WILL READ YOU A LIST OF WORDS AND WHEN I AM DONE, REPEAT BACK AS MANY WORDS AS YOU CAN REMEMBER, IN ANY ORDER. Trial 2 &3: I AM GOING TO REPEAT THAT LIST AGAIN. AGAIN, REPEAT BACK AS MANY AS YOU CAN REMEMBER IN ANY ORDER, EVEN IF YOU SAID THEM BEFORE. One point is given for each correct answer for a total of 15 possible points. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07265 | Military Acute Concussion Evaluation (MACE) - Anyone loss consciousness indicator | MACEAnyoneLossConcsnInd | Indicator of whether or not anyone observed a period of loss of consciousness or unresponsiveness, as part of Military Acute Concussion Evaluation (MACE) | Indicator of whether or not anyone observed a period of loss of consciousness or unresponsiveness, as part of Military Acute Concussion Evaluation (MACE | Did anyone observe a period of loss of consciousness or unresponsiveness? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Determine whether and length of time of self reported loss of consciousness (LOC) or witnessed/observed LOC. Again, approximate the amount of time in second, minutes or hours, whichever time increment is most appropriate. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18454 | Military Acute Concussion Evaluation (MACE) - Delayed recall form B score | MACEDlydRcllFormBScore | Delayed recall total score (0-5) from form B, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall total score (0-5) from form B, as part of Military Acute Concussion Evaluation (MACE | Delayed Recall | Numeric Values | Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Free-Form Entry |
0 | 5 | |||||||||
| C18486 | Military Acute Concussion Evaluation (MACE) - Orientation weekday score | MACEOrientWeekdayScore | Orientation weekday score, as part of Military Acute Concussion Evaluation (MACE) | Orientation weekday score, as part of Military Acute Concussion Evaluation (MACE | Day of Week | 0;1 | 0;1 | Numeric Values |
Ask: WHAT DAY OF THE WEEK IS IT?One point for each correct response for a total of 5 possible points. It should be noted that a correct response on time of day must be within 1 hour of the actual time. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18433 | Military Acute Concussion Evaluation (MACE) - Concentration 142 form C score | MACEConc142FormCScore | Subject's concentration score for correctly repeating the number 1-4-2 in reverse order then 6-5-8 also in reverse order , as part of Military Acute Concussion Evaluation (MACE) | Subject's concentration score for correctly repeating the number 1-4-2 in reverse order then 6-5-8 also in reverse order , as part of Military Acute Concussion Evaluation (MACE | Reverse Digits | 0;1 | 0;1 | Numeric Values |
go to next string length if correct on first trial. Stop if incorrect on both trials. Concentration: Inform the patient: I'M GOING TO READ YOU A STRING OF NUMBERS AND WHEN I AM FINISHED, REPEAT THEM BACK TO ME BACKWARDS, THAT IS, IN REVERSE ORDER OF HOW I READ THEM TO YOU. FOR EXAMPLE, IF I SAY 7-1-9, YOU WOULD SAY 9-1-7. If the patient is correct on the first trial of each string length, proceed to the next string length. If incorrect, administer the 2nd trial of the same string length. Proceed to the next string length if correct on the second trial. Discontinue after failure on both trials of the same string length. Total of 4 different string lengths; 1 point for each string length for a total of 4 points. NOW TELL ME THE MONTHS IN REVERSE ORDER, THAT IS, START WITH DECEMBER AND END IN JANUARY. 1 point if able to recite ALL months in reverse order. 0 points if not able to recite ALL of them in reverse order. Total possible score for concentration portion: 5. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18465 | Military Acute Concussion Evaluation (MACE) - Immediate memory apple score | MACEImmdtMemryApplScore | Immediate memory apple score, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory apple score, as part of Military Acute Concussion Evaluation (MACE | Read all 5 words and ask the patient to recall them in any order. Repeat two more times for a total of three trials. | 0;1 | 0;1 | Numeric Values |
1 point for each correct, total over 3 trials. Immediate memory is assessed using a brief repeated list learning test. Read the patient the list of 5 words once and then ask them to repeat it back to you, as many as they can recall in any order. Repeat this procedure 2 more times for a total of 3 trials, even if the patient scores perfectly on the first trial. Trial 1: I'M GOING TO TEST YOUR MEMORY, I WILL READ YOU A LIST OF WORDS AND WHEN I AM DONE, REPEAT BACK AS MANY WORDS AS YOU CAN REMEMBER, IN ANY ORDER. Trial 2 &3: I AM GOING TO REPEAT THAT LIST AGAIN. AGAIN, REPEAT BACK AS MANY AS YOU CAN REMEMBER IN ANY ORDER, EVEN IF YOU SAID THEM BEFORE. One point is given for each correct answer for a total of 15 possible points. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18444 | Military Acute Concussion Evaluation (MACE) - Concentration recall 48527 form B score | MACEConcRcll48527FormBScore | Subject's concentration score for correctly repeating the number 4-8-5-2-7 in reverse order then 6-1-8-4-3 also in reverse order , as part of Military Acute Concussion Evaluation (MACE) | Subject's concentration score for correctly repeating the number 4-8-5-2-7 in reverse order then 6-1-8-4-3 also in reverse order , as part of Military Acute Concussion Evaluation (MACE | Reverse Digits | 0;1 | 0;1 | Numeric Values |
go to next string length if correct on first trial. Stop if incorrect on both trials. Concentration: Inform the patient: I'M GOING TO READ YOU A STRING OF NUMBERS AND WHEN I AM FINISHED, REPEAT THEM BACK TO ME BACKWARDS, THAT IS, IN REVERSE ORDER OF HOW I READ THEM TO YOU. FOR EXAMPLE, IF I SAY 7-1-9, YOU WOULD SAY 9-1-7. If the patient is correct on the first trial of each string length, proceed to the next string length. If incorrect, administer the 2nd trial of the same string length. Proceed to the next string length if correct on the second trial. Discontinue after failure on both trials of the same string length. Total of 4 different string lengths; 1 point for each string length for a total of 4 points. NOW TELL ME THE MONTHS IN REVERSE ORDER, THAT IS, START WITH DECEMBER AND END IN JANUARY. 1 point if able to recite ALL months in reverse order. 0 points if not able to recite ALL of them in reverse order. Total possible score for concentration portion: 5. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18476 | Military Acute Concussion Evaluation (MACE) - Immediate memory saddle score | MACEImmdtMemrySddlScore | Immediate memory saddle score, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory saddle score, as part of Military Acute Concussion Evaluation (MACE | Read all 5 words and ask the patient to recall them in any order. Repeat two more times for a total of three trials. | 0;1 | 0;1 | Numeric Values |
1 point for each correct, total over 3 trials. Immediate memory is assessed using a brief repeated list learning test. Read the patient the list of 5 words once and then ask them to repeat it back to you, as many as they can recall in any order. Repeat this procedure 2 more times for a total of 3 trials, even if the patient scores perfectly on the first trial. Trial 1: I'M GOING TO TEST YOUR MEMORY, I WILL READ YOU A LIST OF WORDS AND WHEN I AM DONE, REPEAT BACK AS MANY WORDS AS YOU CAN REMEMBER, IN ANY ORDER. Trial 2 &3: I AM GOING TO REPEAT THAT LIST AGAIN. AGAIN, REPEAT BACK AS MANY AS YOU CAN REMEMBER IN ANY ORDER, EVEN IF YOU SAID THEM BEFORE. One point is given for each correct answer for a total of 15 possible points. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07255 | Military Acute Concussion Evaluation (MACE) - Incident description text | MACEIncdntDescrptTxt | Description of incident of what happened to the subject, as part of Military Acute Concussion Evaluation (MACE) | Description of incident of what happened to the subject, as part of Military Acute Concussion Evaluation (MACE | Ask: What happened? | Alphanumeric |
Ask for a description of the incident that resulted in the injury; how the injury occurred, type of force. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C07266 | Military Acute Concussion Evaluation (MACE) - Anyone loss consciousness time duration | MACEAnyoneLossConcsnTmDur | Duration of time where anyone observed a period of loss of consciousness or unresponsiveness, as part of Military Acute Concussion Evaluation (MACE) | Duration of time where anyone observed a period of loss of consciousness or unresponsiveness, as part of Military Acute Concussion Evaluation (MACE | If yes, how long? | Numeric Values |
Determine whether and length of time of self reported loss of consciousness (LOC) or witnessed/observed LOC. Again, approximate the amount of time in second, minutes or hours, whichever time increment is most appropriate. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points | 255 |
Free-Form Entry |
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| C18455 | Military Acute Concussion Evaluation (MACE) - Delayed recall form C score | MACEDlydRcllFormCScore | Delayed recall score from form C, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall score from form C, as part of Military Acute Concussion Evaluation (MACE | Delayed Recall | Numeric Values | Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Free-Form Entry |
0 | 5 | |||||||||
| C18487 | Military Acute Concussion Evaluation (MACE) - Orientation year score | MACEOrientYrScore | Orientation year score, as part of Military Acute Concussion Evaluation (MACE) | Orientation year score, as part of Military Acute Concussion Evaluation (MACE | Year | 0;1 | 0;1 | Numeric Values |
Ask: WHAT YEAR IS IT? One point for each correct response for a total of 5 possible points. It should be noted that a correct response on time of day must be within 1 hour of the actual time. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18434 | Military Acute Concussion Evaluation (MACE) - Concentration 376519 form C score | MACEConc376519FormCScore | Subject's concentration score for correctly repeating the number 3-7-6-5-1-9 in reverse order then 9-2-6-5-1-4 also in reverse order , as part of Military Acute Concussion Evaluation (MACE) | Subject's concentration score for correctly repeating the number 3-7-6-5-1-9 in reverse order then 9-2-6-5-1-4 also in reverse order , as part of Military Acute Concussion Evaluation (MACE | Reverse Digits | 0;1 | 0;1 | Numeric Values |
go to next string length if correct on first trial. Stop if incorrect on both trials. Concentration: Inform the patient: I'M GOING TO READ YOU A STRING OF NUMBERS AND WHEN I AM FINISHED, REPEAT THEM BACK TO ME BACKWARDS, THAT IS, IN REVERSE ORDER OF HOW I READ THEM TO YOU. FOR EXAMPLE, IF I SAY 7-1-9, YOU WOULD SAY 9-1-7. If the patient is correct on the first trial of each string length, proceed to the next string length. If incorrect, administer the 2nd trial of the same string length. Proceed to the next string length if correct on the second trial. Discontinue after failure on both trials of the same string length. Total of 4 different string lengths; 1 point for each string length for a total of 4 points. NOW TELL ME THE MONTHS IN REVERSE ORDER, THAT IS, START WITH DECEMBER AND END IN JANUARY. 1 point if able to recite ALL months in reverse order. 0 points if not able to recite ALL of them in reverse order. Total possible score for concentration portion: 5. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18466 | Military Acute Concussion Evaluation (MACE) - Immediate memory baby form C score | MACEImmdtMemryBabyFormCScore | Immediate memory baby score from form C, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory baby score from form C, as part of Military Acute Concussion Evaluation (MACE | Read all 5 words and ask the patient to recall them in any order. Repeat two more times for a total of three trials. | 0;1 | 0;1 | Numeric Values |
1 point for each correct, total over 3 trials. Repeat two more times for a total of three trials. (1 point for each correct, total over 3 trials.) Immediate memory is assessed using a brief repeated list learning test. Read the patient the list of 5 words once and then ask them to repeat it back to you, as many as they can recall in any order. Repeat this procedure 2 more times for a total of 3 trials, even if the patient scores perfectly on the first trial. Trial 1: I'M GOING TO TEST YOUR MEMORY, I WILL READ YOU A LIST OF WORDS AND WHEN I AM DONE, REPEAT BACK AS MANY WORDS AS YOU CAN REMEMBER, IN ANY ORDER. Trial 2 &3: I AM GOING TO REPEAT THAT LIST AGAIN. AGAIN, REPEAT BACK AS MANY AS YOU CAN REMEMBER IN ANY ORDER, EVEN IF YOU SAID THEM BEFORE. One point is given for each correct answer for a total of 15 possible points. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18445 | Military Acute Concussion Evaluation (MACE) - Concentration recall 526 form B score | MACEConcRcll526FormBScore | Subject's concentration score for correctly repeating the number 5-2-6 in reverse order then 4-1-5 also in reverse order , as part of Military Acute Concussion Evaluation (MACE) | Subject's concentration score for correctly repeating the number 5-2-6 in reverse order then 4-1-5 also in reverse order , as part of Military Acute Concussion Evaluation (MACE | Reverse Digits | 0;1 | 0;1 | Numeric Values |
go to next string length if correct on first trial. Stop if incorrect on both trials. Concentration: Inform the patient: I'M GOING TO READ YOU A STRING OF NUMBERS AND WHEN I AM FINISHED, REPEAT THEM BACK TO ME BACKWARDS, THAT IS, IN REVERSE ORDER OF HOW I READ THEM TO YOU. FOR EXAMPLE, IF I SAY 7-1-9, YOU WOULD SAY 9-1-7. If the patient is correct on the first trial of each string length, proceed to the next string length. If incorrect, administer the 2nd trial of the same string length. Proceed to the next string length if correct on the second trial. Discontinue after failure on both trials of the same string length. Total of 4 different string lengths; 1 point for each string length for a total of 4 points. NOW TELL ME THE MONTHS IN REVERSE ORDER, THAT IS, START WITH DECEMBER AND END IN JANUARY. 1 point if able to recite ALL months in reverse order. 0 points if not able to recite ALL of them in reverse order. Total possible score for concentration portion: 5. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18477 | Military Acute Concussion Evaluation (MACE) - Immediate memory sandwich form B score | MACEImmdtMemSandwchFormBScore | Immediate memory sandwich score from form B, as part of Military Acute Concussion Evaluation (MACE) | Immediate memory sandwich score from form B, as part of Military Acute Concussion Evaluation (MACE | Read all 5 words and ask the patient to recall them in any order. Repeat two more times for a total of three trials. | 0;1 | 0;1 | Numeric Values |
Repeat two more times for a total of three trials. (1 point for each correct, total over 3 trials.) Immediate memory is assessed using a brief repeated list learning test. Read the patient the list of 5 words once and then ask them to repeat it back to you, as many as they can recall in any order. Repeat this procedure 2 more times for a total of 3 trials, even if the patient scores perfectly on the first trial. Trial 1: I'M GOING TO TEST YOUR MEMORY, I WILL READ YOU A LIST OF WORDS AND WHEN I AM DONE, REPEAT BACK AS MANY WORDS AS YOU CAN REMEMBER, IN ANY ORDER. Trial 2 &3: I AM GOING TO REPEAT THAT LIST AGAIN. AGAIN, REPEAT BACK AS MANY AS YOU CAN REMEMBER IN ANY ORDER, EVEN IF YOU SAID THEM BEFORE. One point is given for each correct answer for a total of 15 possible points. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07256 | Military Acute Concussion Evaluation (MACE) - Injury cause type | MACEIncdntCauseTyp | Type of injury cause, as part of Military Acute Concussion Evaluation (MACE) | Type of injury cause, as part of Military Acute Concussion Evaluation (MACE | Cause of injury | 1;2;3;4;5;6;7 | Explosion/Blast;Blunt object;Motor vehicle crash;Fragment;Fall;Gunshot wound;Other, specify | Numeric values |
Circle all that apply. Indicate the cause of injury. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C07267 | Military Acute Concussion Evaluation (MACE) - Symptom type | MACESympTyp | Type of symptom experienced at the time of the incident as part of Military Acute Concussion Evaluation (MACE) | Type of symptom experienced at the time of the incident as part of Military Acute Concussion Evaluation (MACE | Symptoms | 1;2;3;4;5;6;7;8;9;10 | Headache;Dizziness;Memory Problems;Balance Problems;Nausea/Vomiting;Difficulty Concentrating;Irritability;Visual Disturbances;Ringing in the ears;Other, specify | Numeric Values |
Ask the person to report their experience of each specific symptom since injury. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C18456 | Military Acute Concussion Evaluation (MACE) - Delayed recall iron form C score | MACEDlydRcllIronFormCScore | Delayed recall iron score from form C, as part of Military Acute Concussion Evaluation (MACE) | Delayed recall iron score from form C, as part of Military Acute Concussion Evaluation (MACE | Ask the patient to recall the 5 words from the earlier memory test DO NOT reread the word list. | 0;1 | 0;1 | Numeric Values |
Do NOT reread the word list. Delayed Recall Assess the patient's ability to retain previously learned information by asking he/she to recall as many words as possible from the initial word list, without having the word list read again for this trial. DO YOU REMEMBER THAT LIST OF WORDS I READ A FEW MINUTES EARLIER? I WANT YOU TO TELL ME AS MANY WORDS FROM THE LIST AS YOU CAN REMEMBER IN ANY ORDER. One point for each word remembered for a total of 5 possible points. Total score= Add up from the 4 assessed domains: immediate memory, orientation, concentration and memory recall. |
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39. | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Military Acute Concussion Evaluation (MACE) | Military Studies | Outcomes and End Points |
Single Pre-Defined Value Selected |
