CDE Detailed Report

Disease: Stroke
Sub-Domain: Physical/Neurological Examination
CRF: Glasgow Coma Scale (GCS)

Displaying 1 - 4 of 4
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
C01002 Glasgow Coma Scale (GCS) - verbal response scale GCSVerbalRspnsScale Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) GCS Verbal Response 1;2;3;4;5;Untestable;Unknown No verbal response/sounds;Incomprehensible sound;Inappropriate words;Confused;Oriented;Untestable;Unknown Numeric Values

This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1c' where 'c' = closed, or 'V1t' where t = tube. A composite might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads Ec or Vt.

Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Glasgow Coma Scale (GCS) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124726
C01016 Glasgow Coma Scale (GCS) - total score GCSTotalScore Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15) Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. GCS Total Score 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown Numeric Values

This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). The minimum possible score on the GCS is 3 and the maximum possible score is 15.----http://www.glasgowcomascale.org/faq/ ----*Dealing with missing information: There are various different strategies for dealing with information that is missing because of factors interfering with assessment such as those described above. 1.Assess, communicate and make decisions using the remaining components. Although guidelines are often expressed in terms of a total GCS 'score,' the trend in whichever of the components (eye, motor or verbal) can be assessed is still valuable. 2.Do not use number '1' to record missing component; use 'NT' (Not testable). 3.Do not report a total score when a component is Not Testable because the score will be low and this could be confusing to medical colleagues. This may also imply that the patient is more unwell than they actually are. 4.It is possible using statistical methods to estimate a missing component from the findings in the other components. This is probably more relevant to research than clinical practice.

Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974,2:81-84. http://www.brainandspinalcord.org/recovery-traumatic-brain-injury/glasgow-coma-scale.html Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Glasgow Coma Scale (GCS) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124727
C01000 Glasgow Coma Scale (GCS) - eye response scale GCSEyeRespnsScale Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. GCS Eye Opening 1;2;3;4;Untestable;Unknown No eye opening;Eye opening to pain;Eye opening to speech/verbal command;Eyes open spontaneously;Untestable;Unknown Numeric Values

The form related to this CDE is contains CRFs utilized before the study participant/ subject is seen at a hospital for the stroke event and elements related to the emergency medical services (EMS) course. The Glasgow Coma Scale (GCS) and Los Angeles Motor Scale (LAMS) are included to record information about the participant's/ subject's neurological impairment prior to being admitted at a hospital. (Examples of CDEs included: Level of EMS Service; Pre-hospital stroke identification screen; and Pre-hospital neurological impairment scale)

Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Glasgow Coma Scale (GCS) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124724
C01001 Glasgow Coma Scale (GCS) - motor response scale GCSMotorRespnsScale Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. GCS Motor Response 1;2;3;4;5;6;Untestable;Unknown No motor response;Abnormal extension/Extensor response;Abnormal flexion;Flexion withdrawal/withdraws from pain;Localizes pain;Obeys command;Untestable;Unknown Numeric Values

The form related to this CDE is contains CRFs utilized before the study participant/ subject is seen at a hospital for the stroke event and elements related to the emergency medical services (EMS) course. The Glasgow Coma Scale (GCS) and Los Angeles Motor Scale (LAMS) are included to record information about the participant's/ subject's neurological impairment prior to being admitted at a hospital. (Examples of CDEs included: Level of EMS Service; Pre-hospital stroke identification screen; and Pre-hospital neurological impairment scale)

Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Glasgow Coma Scale (GCS) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124725
CSV