CDE Detailed Report

Disease: Traumatic Brain Injury
Sub-Domain: Physical/Neurological Examination
CRF: Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils

Displaying 1 - 16 of 16
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 / 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
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 respons 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

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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. Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429. Adult;Pediatric Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124725
C01022 Pediatric Glasgow Coma Scale (PGCS) - verbal response score PGCSVerbalRespnsScore Score for the participant's verbal response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 18 Score for the participant's verbal response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 1 Verbal response 1;2;3;4;5;Untestable;Unknown No vocal response;Inconsolable, agitated;Inconsistently consolable, moaning;Cries, but is consolable, inappropriate interactions;Smiles, oriented to sounds, follows objects, interacts;Untestable;Unknown Alphanumeric

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Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. Pediatric Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

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) Verbal response 1;2;3;4;5;Untestable;Unknown No verbal response/sounds;Incomprehensible sound;Inappropriate words;Confused;Oriented;Untestable;Unknown Numeric Values

Choose one

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 Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124726
C01023 Pupil shape right eye type PupilShapeRtEyeTyp Type of shape of the pupil of the right eye Type of shape of the pupil of the right eye Right pupil shape Oval;Round;Unknown Oval;Round;Unknown Alphanumeric

Choose one. Recommend collection at least at study hospital admission/discharge and protocol milestones. This element is recommended for pediatric studies.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01003 Pupil reactivity light right eye result PupilReactivityLghtRtEyeReslt Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle Right pupil reactivity Sluggish;Nonreactive;Brisk;Untestable;Unknown Abnormal but still responsive;Abnormal;Normal;; Alphanumeric

Choose one.

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. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01024 Pupil shape left eye type PupilShapeLftEyeTyp Type of shape of the pupil of the left eye Type of shape of the pupil of the left eye Left pupil shape Oval;Round;Unknown Oval;Round;Unknown Alphanumeric

Choose one. Recommend collection at least at study hospital admission/discharge and protocol milestones. This element is recommended for pediatric studies.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01004 Pupil reactivity light left eye result PupilReactivityLghtLftEyeReslt Result of testing of the contraction of the participant's/subject's left pupil when a bright light is shone on it from an angle Result of testing of the contraction of the participant's/subject's left pupil when a bright light is shone on it from an angle Left pupil reactivity Sluggish;Nonreactive;Brisk;Untestable;Unknown Abnormal but still responsive;Abnormal;Normal;; Alphanumeric

Choose one.

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. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18399 Glasgow Coma Scale (GCS) - Scale type GCSScaleTyp Type of Glasgow Coma Scale (GCS) used Type of Glasgow Coma Scale (GCS) use Scale Used Glasgow Coma Scale;Pediatric Glasgow Coma Scale Glasgow Coma Scale (GCS);Pediatric Glasgow Coma Scale(PGCS) Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01005 Pupil right eye measurement PupilRtEyeMeasr Measurement of the right pupil in millimeters Measurement of the right pupil in millimeters Right pupil measurement Numeric Values

Pupil measurement recorded in millimeters (mm). Acceptable range is 1-10mm. This element is recommended for pediatric studies.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

1 10 millimeter
C01006 Pupil left eye measurement PupilLftEyeMeasr Measurement of the left pupil in millimeters Measurement of the left pupil of the eye in mm Left pupil measurement Numeric Values

Pupil measurement recorded in millimeters (mm). Acceptable range is 1-10mm. This element is recommended for pediatric studies.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

1 10 millimeter
C01011 Glasgow Coma Scale (GCS) - confounders type GCSConfounderTyp Type of confounders influencing participant's/subject's Glasgow Coma Scale (GCS) score Type of confounders influencing participant's/subject's Glasgow Coma Scale (GCS) score GCS confounders type Alcohol/drugs of abuse;C-spine injury;Hypoxia/hypotension;Hypothermia;Sedation;Paralytic;Unknown;GCS Accurate Alcohol/drugs of abuse;C-spine injury;Hypoxia/hypotension;Hypothermia;Sedation;Paralytic;Unknown;GCS Accurate Alphanumeric

Choose all that apply.

No references available Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Multiple Pre-Defined Values Selected

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. 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 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

3-15 calculated field----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. 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 Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124727
C01017 Pediatric Glasgow Coma Scale (PGCS) - total score PGCSTotalScore Score for the participant's total Pediatric Glasgow Coma Scale (PGCS) score of the 3 tests, eye, motor, and verbal responses. A score of less than 9 would indicate that that participant is in a severe coma while a score of greater than 9 is a mild or no coma at all Score for the participant's total Pediatric Glasgow Coma Scale (PGCS) score of the 3 tests, eye, motor, and verbal responses. A score of less than 9 would indicate that that participant is in a severe coma while a score of greater than 9 is a mild or no coma at al 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 Alphanumeric

3-15 calculated field

Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. Pediatric Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01020 Pediatric Glasgow Coma Scale (PGCS) - eye response score PGCSEyeRespnsScore Score for the participant's eye response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 18 Score for the participant's eye response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 1 Best eye response 1;2;3;4;Untestable;Unknown No eye opening;Eye opening to pain;Eye opening to speech;Eyes open spontaneously;Untestable;Unknown Alphanumeric

Choose one

Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. Pediatric Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

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 respons Best eye response 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

Choose one

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 Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C124724
C01021 Pediatric Glasgow Coma Scale (PGCS) - motor response score PGCSMotorRespnsScore Score for the participant's motor response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 18 Score for the participant's motor response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 1 Motor response 1;2;3;4;5;6;Untestable;Unknown No motor response;Extension to pain;Flexion to pain;Withdrawal from pain;Localizing pain;Obeys commands;Untestable;Unknown Alphanumeric

Choose one

Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. Pediatric Core 3.00 2013-07-20 10:21:25.65 Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

CSV