CDE Detailed Report

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Record the height (or length for the very young) of the participant/ subject. To be collected at the visit, not self-reported. Also, indicate whether height was measured in inches (in) or centimeters (cm).

Total gastrointestinal and colonic transit times are prolonged in many individuals with SCI. Transit time through the stomach and small intestine is usually just a few hours. Colonic transit time is, however, much longer. Some authors present transit times as total gastrointestinal transit time and others prefer colonic transit time. Unless multiple x-rays are taken the most correct term is total gastrointestinal transit time. Generally, transit time is prolonged throughout thecolon in individuals with supraconal SCI. In contrast individuals with conal or cauda equina lesions often have severely prolonged rectosigmoid or left colonic transit times. The intrasubjective variation remains to be studied and due to poor correlations between total gastrointestinal /colonic transit time and colorectal symptoms after SCI the clinical relevance of transit time measurement has been questioned (Leduc 2002). Future studies are needed to clarify this. Several types of radiopaque markers and protocols for determining total gastrointestinal and colonic transit times exist. However, no evidence exists to recommend one from the others. The code Unknown is used if the transit time is not determined.

Document the post void residual volume. Up to four digits without decimals should be used.

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This means reflux to the ureter was observed at the right and/or the left side.

Record the weight of the participant/subject. To be collected at the visit, not self-reported. Also, indicate whether weight was measured in pounds (lbs) or kilograms (kg).

Check box for Unknown

The wearing of compression devices (abdominal binder or pressure stockings) could affect cardiovascular parameters during the examination. Therefore, their use during the examination should be documented.

The physiology and innervation of the right colon (caecum, ascending colon and oral 2/3 of the transverse colon) is different from that of the left colon (splenic flexure, descending colon, and rectosigmoid). The right colon is mainly for storage and absorption and receives its parasympathetic innervation from the vagal nerve. The left colon is mainly a transit organ for defecation at receives its parasympathetic innervation from the sacral segments (S2-S4) of the spinal cord. Accordingly, colonc transit time is usually divided into right and left. Whether this is of clinical significance in SCI remains to be determined. The code Not tested is used if the transit time is not determined.

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The bladder neck is evaluated to be either open or closed at rest.

The suggested range is 0-100. Add date stamp for when assessed. Recommended for collection on admission and daily as required by protocol.

Choose one. The three defined points noted during filling cystometry are as follows: 1. First sensation of bladder filling is the feeling the patient has, during filling cystometry, when he/she first becomes aware of the bladder filling. 2. First desire to void is defined as the feeling, during filling cystometry, that would lead the patient to pass urine at the next convenient moment, but voiding can be delayed if necessary. 3. Strong desire to void this is defined, during filling cystometry, as a persistent desire to void without the fear of leakage.

Findings of any specific deviations from the normal state not documented above can be stated in a text-field, from where it will be possible to retrieve more detailed data whenever necessary. Because many possible findings exist, it is not practical to give an exact list of findings.

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Normal: Normal anatomical conditions werefound at the investigation; in particular, no stasis or dilatation of the upper urinary tract or stones in the kidneys, ureters or bladder.
Stasis/dilatation in upper urinary tract: This means stasis or dilatation was found of the renal pelvis (hydronephrosis) and/or ureter (hydroureteris) at the right and/or the left side.
Kidney stone: This means urinary stone(s) was/were found in the renal pelvis or renal parenchyma at the right and/or the left side.
Stone in ureter: This means urinary stone(s) was/were found in the ureter at the right and/or the left side.
Bladder stone: This means urinary stone(s) was/were found in the urinary bladder. Stones of any kind or size qualify for documentation.
Other findings: Findings of any specific deviations from the normal state not documented above can be stated in a text-field, from where it will be possible to retrieve more detailed data whenever necessary. Because many possible findings exist, it is not practical to give an exact list of findings.

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.).

Present body temperature at the day of investigation should be documented. It should be noted that rectal investigation of body core temperature is most reliable.

The International Continence Society recommends to calculate the bladder compliance using two standard points: 1) the detrusor pressure at the start on the bladder filling and the corresponding bladder volume (usually zero), and 2) the detrusor pressure (and corresponding bladder volume) at cystometric capacity or immediately before the start of any detrusor contraction that causes significant leakage (and therefore causes the bladder volume to decrease, affecting compliance calculation). Both points are measured excluding any detrusor contraction (Abrams et al. 2002). Unknown is used if the observation regarding bladder compliance during filling cystometry is not available.

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.).

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FEV1 should be reported in liters (99.9 = Unknown)

This is an investigation performed with a radioactive isotope marked substance. The value is corrected for the individual's body surface area (1.73 m2). Reference intervals are adjusted for the person's age and the method utilized.

Record the diastolic blood pressure of the participant/ subject. The standard unit for measuring blood pressure is mmHg, which is approximately equivalent to Torr.