CDE Detailed Report

Disease: Stroke
Sub-Domain: Clinical Event End Points
CRF: Stroke Adjudication Form

Displaying 1 - 27 of 27
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
C13477 Stroke Adjudication Worksheet - stroke TIA cardioembolic source symptoms type StrokAdjudWkStTIACardSrcSypTyp The type of symptoms/conditions that were present and relevant for cardioembolic source. The type of symptoms/conditions that were present and relevant for cardioembolic source. Which of the following were present and relevant Atrial fibrillation/flutter;Acute MI (< 2 weeks);Intracardiac thrombus;Rheumatic MS;Sick sinus syndrome;Dilated cardiomyopathy;Prosthetic heart valve;Akinesis of ventricular wall;Ischemic cardiomyopathy (EF<28%);Other, specify Atrial fibrillation/flutter;Acute MI (< 2 weeks);Intracardiac thrombus;Rheumatic MS;Sick sinus syndrome;Dilated cardiomyopathy;Prosthetic heart valve;Akinesis of ventricular wall;Ischemic cardiomyopathy (EF<28%);Other, specify Alphanumeric

Choose all that apply. Only answer if 'Cardioembolic source' was answered for ischemic stroke subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Multiple Pre-Defined Values Selected

C18884 Stroke Adjudication Worksheet - stroke TIA cardioembolic source symptoms other text StrokeAdjdWkStTIACardSrcSypOTH The free-text field related to 'Stroke Adjudication Worksheet - stroke TIA cardioembolic source symptoms type' specifying other text. The type of symptoms/conditions that were present and relevant for cardioembolic source. The free-text field related to 'Stroke Adjudication Worksheet - stroke TIA cardioembolic source symptoms type' specifying other text. The type of symptoms/conditions that were present and relevant for cardioembolic source. Other, specify Alphanumeric

Choose all that apply. Only answer if 'Cardioembolic source' was answered for ischemic stroke subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points 4000

Free-Form Entry

C13467 Stroke Adjudication Worksheet - anatomic site StrokeAdjudWksAntmicSite Type of neurologic symptom(s) presented in participant/subject Type of neurologic symptom(s) presented in participant/subject Type of symptoms Focal symptom;Non focal symptom Focal symptom;Non focal symptom Alphanumeric

Choose only one

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13478 Stroke Adjudication Worksheet - stroke TIA other symptoms type StrokeAdjudWkStrkTIAOthSymTyp The type of other identified cause(s) of ischemic stroke. The type of other identified cause(s) of ischemic stroke. Please specify other cause(s) Vessel dissection;Illicit drug Use;Cancer;Aortic arch atheroma;Angiography or percutaneous intervention;Surgery;Hypercoagulable state;Temporal arteritis;Venous thrombosis;Patent foramen ovalle;Other, specify Vessel dissection;Illicit drug Use;Cancer;Aortic arch atheroma;Angiography or percutaneous intervention;Surgery;Hypercoagulable state;Temporal arteritis;Venous thrombosis;Patent foramen ovalle;Other, specify Alphanumeric

Choose all that apply. Only answer if 'Other identified cause of ischemic stroke' was answered for ischemic stroke subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Multiple Pre-Defined Values Selected

C18885 Stroke Adjudication Worksheet - stroke TIA other symptoms other text StrokeAdjudWkStrkTIAOthSymOTH The free-text field related to 'Stroke Adjudication Worksheet - stroke TIA other symptoms type' specifying other text. The type of other identified cause(s) of ischemic stroke. The free-text field related to 'Stroke Adjudication Worksheet - stroke TIA other symptoms type' specifying other text. The type of other identified cause(s) of ischemic stroke. Other, specify Alphanumeric

Choose all that apply. Only answer if 'Other identified cause of ischemic stroke' was answered for ischemic stroke subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points 4000

Free-Form Entry

C13468 Stroke Adjudication Worksheet - symptom duration StrokeAdjudWksSymDur How long the symptom(s) experienced around the time of the stroke event lasted How long the symptom(s) experienced around the time of the stroke event lasted Duration of symptoms Confirmed to be greater than or equal to 24 hours;Confirmed to be less than 24 hours;Duration of symptoms could not be confirmed Confirmed to be greater than or equal to 24 hours;Confirmed to be less than 24 hours;Duration of symptoms could not be confirmed Alphanumeric

Choose only one

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13479 Stroke Adjudication Worksheet - ischemic stroke type StrokeAdjudWksIschStrokTyp The type of ischemic stroke subtype most likely to have contributed to this stroke. The type of ischemic stroke subtype most likely to have contributed to this stroke. Ischemic stroke subtype Cardioembolic source;Small vessel disease;Large vessel disease;Other;Unknown Cardioembolic source;Small vessel disease;Large vessel disease;Other;Unknown Alphanumeric

Select the single most likely

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C18886 Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation anatomic other text StrokeAdjudWkIsInfrHmTfAntOTH The free-text field related to 'Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation anatomic site' specifying other text. The anatomic location(s) of the hemorrhagic transformation during ischemic infarction. The free-text field related to 'Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation anatomic site' specifying other text. The anatomic location(s) of the hemorrhagic transformation during ischemic infarction. Other, specify Alphanumeric

Choose all that apply. Only answer if 'Hemorrhagic' was answered for Stroke/TIA subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points 4000

Free-Form Entry

C13469 Stroke Adjudication Worksheet - neuroimaging indicator StrokeAdjudWksNeuroimagInd The indicator for whether neuro-imaging done for this stroke event. The indicator for whether neuro-imaging done for this stroke event. Was neuro-imaging done for this event Yes;No;Unknown Yes;No;Unknown Alphanumeric

If "Yes" is answered, go to question 4.1

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13480 Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation indicator StrokeAdjudWkIsInfrcHemTrnfInd The indicator of ischemic infarction with hemorrhagic transformation being present. The indicator of ischemic infarction with hemorrhagic transformation being present. Ischemic infarction with hemorrhagic transformation present Yes;No;Unknown Yes;No;Unknown Alphanumeric

If 'Yes' is answered, end worksheet and sign bottom of form. If 'No' is answered, skip to question 9.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C18887 Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation etiology other text StrokeAdjudWkIsInfrHemTfEtiOTH The free-text field related to 'Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation etiology type' specifying other text. The type of etiology of the hemorrhage. The free-text field related to 'Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation etiology type' specifying other text. The type of etiology of the hemorrhage. Other, specify Alphanumeric

Only answer if 'Hemorrhagic' was answered for Stroke/TIA subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points 4000

Free-Form Entry

C13470 Stroke Adjudication Worksheet - neuroimaging type StrokeAdjudWksNeuroimagTyp Type of neuro-imaging done for the stroke event Type of neuro-imaging done for the stroke event Please specify type of image Single brain CT;Multiple brain CTs separated in time;MRI;DWI Single brain CT;Multiple brain CTs separated in time;MRI;DWI Alphanumeric

Choose all that apply. If 'Single brain CT' is answered, go to question 4.1.1. If 'Multiple brain CTs separated in time' is answered, go to question 4.1.2. If 'MRI' is answered, go to question 4.1.3. If 'DWI' is answered, go to question 4.1.4.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Multiple Pre-Defined Values Selected

C13481 Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation anatomic site StrokeAdjudWkIsInfrHmTfAntSite The anatomic location(s) of the hemorrhagic transformation during ischemic infarction. Location(s) of the hemorrhagic stroke What was the location Right lobal;Right basal ganglia;Brainstem;Intraventricular involvement;Left lobar;Left basal ganglia;Cerebellum;Other, specify;Unknown Right lobal;Right basal ganglia;Brainstem;Intraventricular involvement;Left lobar;Left basal ganglia;Cerebellum;Other, specify;Unknown Alphanumeric

Choose all that apply. Only answer if 'Hemorrhagic' was answered for Stroke/TIA subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Multiple Pre-Defined Values Selected

C13471 Stroke Adjudication Worksheet - neuroimaging DWI stroke finding indicator StrokeAdjudWksNroimagDWIStFInd Whether the DWI was positive for this stroke event Whether the DWI was positive for this stroke event Was it positive for this event Yes;No;Result not available Yes;No;Result not available Alphanumeric

The related forms contains the template stroke adjudication form from the Reasons for Geographic And Racial Differences in Stroke (REGARDS) study. The form provides a systematic way to collect data on stroke presence and subtype for an epidemiological study. (Examples of CDEs included: Presenting Symptoms; Stroke according to WHO definition; and Ischemic stroke subtype)

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13482 Stroke Adjudication Worksheet - ischemic infarction hemorrhagic transformation etiology type StrokeAdjudWkIsInfrHemTfEtiTyp The type of etiology of the hemorrhage. The type of etiology of the hemorrhage. What was the etiology of the hemorrhage Hypertension;Illicit drug Use;Vasculitis;Subarachnoid hemorrhage;Amyloid;Anticoagulant;Coagulopathy;Arteriovenous malformation;Other, specify Unknown Hypertension;Illicit drug Use;Vasculitis;Subarachnoid hemorrhage;Amyloid;Anticoagulant;Coagulopathy;Arteriovenous malformation (AVM);Other, specify Unknown Alphanumeric

Only answer if 'Hemorrhagic' was answered for Stroke/TIA subtype.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Multiple Pre-Defined Values Selected

C13472 Stroke Adjudication Worksheet - WHO definition indicator StrokeAdjudWkWHODefInd The indicator of whether the event is a stroke according to the WHO definition. World Health Organization definition = Rapidly developing clinical signs of focal, at times global, disturbance of cerebral function, lasting more than 24 hours or leading to death with no apparent cause other than that of vascular origin. The indicator of whether the event is a stroke according to the WHO definition. Is the event a stroke according to the WHO definition Yes;No;Unknown Yes;No;Unknown Alphanumeric

If 'Yes' is answered, skip to question 8. If 'No' is answered, go to question 6.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13483 Stroke Adjudication Worksheet - hospitalized indicator StrokeAdjudWksHospInd Is this case a hospitalization for chest pain, heart failure, acute MI or coronary revascularization? Is this case a hospitalization for chest pain, heart failure, acute MI or coronary revascularization? Is this case a hospitalization for chest pain, heart failure, acute MI or coronary revascularization Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose only one

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13473 Stroke Adjudication Worksheet - not meet WHO definition indicator StrokeAdjudWksNotMeetWHODefInd The indicator of whether the event is not a stroke according to the WHO definition. The indicator of whether the event is not a stroke according to the WHO definition. Is this a clinical stroke that does not meet the WHO criteria Yes;No;Unknown Yes;No;Unknown Alphanumeric

If 'Yes' is answered, skip to question 8. If 'No' is answered, go to question 7.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13484 Stroke Adjudication Worksheet - death indicator StrokeAdjudWksDeathInd The indicator if person died during hospitalization after stroke. The indicator if person died during hospitalization after stroke. Did this person die during hospitalization Yes;No;Unknown Yes;No;Unknown Alphanumeric

When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13474 Stroke Adjudication Worksheet - TIA indicator StrokeAdjudWksTIAInd The indicator whether this event a transient ischemic attack (TIA). The indicator whether this event a transient ischemic attack (TIA). Is this event a transient ischemic attack (TIA) Yes;No;Unknown Yes;No;Unknown Alphanumeric

If 'Yes' is answered, go to question 8. If 'No' is answered, skip to question 9.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C14053 Stroke Adjudication Worksheet - neuroimaging single CT stroke finding indicator StrokAdjudWkNimgSingCTStrkFInd Whether the single brain CT scan was positive for this stroke event Whether the single brain CT scan was positive for this stroke event Was it positive for this event Yes;No;Result not available Yes;No;Result not available Alphanumeric

The related forms contains the template stroke adjudication form from the Reasons for Geographic And Racial Differences in Stroke (REGARDS) study. The form provides a systematic way to collect data on stroke presence and subtype for an epidemiological study. (Examples of CDEs included: Presenting Symptoms; Stroke according to WHO definition; and Ischemic stroke subtype)

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13475 Stroke Adjudication Worksheet - stroke TIA sub type StrokeAdjudWksStrkTIASubTyp The type of stroke or transient ischemic attack (TIA) subtype. The type of stroke or TIA subtype. Stroke or TIA subtype Ischemic;Hemorrhagic includes ischemic events with hemorrhagic transformation; Alphanumeric

Choose only one

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C14054 Stroke Adjudication Worksheet - neuroimaging multiple CT stroke finding indicator StrokAdjudWkNimgMultCTStrkFInd Whether the multiple brain CTs separated in time was positive for this stroke event Whether the multiple brain CTs separated in time was positive for this stroke event Were they positive for this event Yes;No;Result not available Yes;No;Result not available Alphanumeric

The related forms contains the template stroke adjudication form from the Reasons for Geographic And Racial Differences in Stroke (REGARDS) study. The form provides a systematic way to collect data on stroke presence and subtype for an epidemiological study. (Examples of CDEs included: Presenting Symptoms; Stroke according to WHO definition; and Ischemic stroke subtype)

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13465 Stroke Adjudication Worksheet date StrokeAdjudWksheetDate Date of hospital admission or outpatient visit when the stroke event was evaluated Date of hospital admission or outpatient visit when the stroke event was evaluated Enter the date of admission or outpatient visit Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Free-Form Entry

C13476 Stroke Adjudication Worksheet - stroke TIA symptoms type StrokeAdjudWksStkTIASymTyp The type of symptoms/conditions that were present and relevant for ischemic stroke subtype. The type of symptoms/conditions that were present and relevant for ischemic stroke subtype. Select all the following that were present and relevant Cardioembolic source;Small vessel disease;Large vessel disease;Other identified cause of ischemic stroke includes atrial fibrillation/flutter, dilated cardiomyopathy, acute MI, prosthetic heart valve, intracardiac thrombus, akinesis of ventricular wall, rheumatic MS, ischemic cardiomyopathy (EF < 28%), sick sinus syndrome, etc.;Clinical presentation is typically lacunar, e.g., pure motor hemiparesis of face, or of the arm and leg. Alternatively, clinical presentation is other than the classically described lacunar stroke, but brain image report demonstrates deep infarct < 1.5 cm that could explain the clinical syndrome.;> 50% stenosis or occlusion consistent with atherosclerosis of an artery appropriate to the site of the infarct, or with evidence for distal emboli that explain infarct, or tandem lesion strokes.;includes vessel dissection, hypercoagulable state, illicit drug use, temporal arteritis, cancer, venous thrombosis, aortic arch atheroma, patent foramen ovalle, angiography or percutaneous intervention, surgery (within 24 hours of event), etc. Alphanumeric

Choose all that apply.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Multiple Pre-Defined Values Selected

C14055 Stroke Adjudication Worksheet - neuroimaging MRI stroke finding indicator StrokeAdjudWkNroimagMRIStFInd Whether the MRI was positive for this stroke event Whether the MRI was positive for this stroke event Was it positive for this event Yes;No;Result not available Yes;No;Result not available Alphanumeric

The related forms contains the template stroke adjudication form from the Reasons for Geographic And Racial Differences in Stroke (REGARDS) study. The form provides a systematic way to collect data on stroke presence and subtype for an epidemiological study. (Examples of CDEs included: Presenting Symptoms; Stroke according to WHO definition; and Ischemic stroke subtype)

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

C13466 Stroke Adjudication Worksheet - type StrokeAdjudWksTyp Whether the participant/subject presented with neurologic symptoms Whether the participant/subject presented with neurologic symptoms Presenting Symptoms Neurologic symptoms not present;Neurologic symptoms present Neurologic symptoms not present;Neurologic symptoms present Alphanumeric

Choose only one. If 'Neurologic symptoms not present' is answered, skip to question 4. If "Neurologic symptoms present" is answered, go to question 2.1.

Howard VJ, Cushman M, Pulley L, Gomez CR, Go RC, Prineas RJ, Graham A, Moy CS, Howard G. The REasons for Geographic and Racial Differences in Stroke study: objectives and design. Neuroepidemiology. 2005; 25:135-143. Adult Supplemental 3.00 2013-06-21 00:00:00.0 Stroke Adjudication Form Clinical Event End Points Outcomes and End Points

Single Pre-Defined Value Selected

CSV