CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Neurological Complications

Displaying 1 - 19 of 19
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
C53690 Subarachnoid hemorrhag clinical deterioration occur date SAHClinDetOccurDate The date clinical deterioration occurred afer subarachnoid hemorrhage The date clinical deterioration occurred afer subarachnoid hemorrhage Clinical deterioration date of occurrence: Date or Date & Time

Day after SAH on which the neurological complication 'Clinical deterioration due to delayed cerebral ischemia' first occurred (day of ictus = day 0)

Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Free-Form Entry

C53691 Subarachnoid hemorrhage cerebral infarction delayed cerebral ischemia indicator SAHCerebInfarcDCIInd The indicator relating to whether or not the subject has experienced cerebral infarction due to delayed cerebral ischemia (DCI) following a subarachnoid hemorrhage The indicator relating to whether or not the subject has experienced cerebral infarction due to delayed cerebral ischemia (DCI) following a subarachnoid hemorrhage Cerebral infarction due to DCI? No;Yes No;Yes Alphanumeric

The presence of cerebral infarction on CT or MR scan of the brain within 6 weeks after SAH, or on the latest CT or MR scan made before death within 6 weeks, or proven at autopsy, not present on the CT or MR scan within 48 hours after early aneurysm occlusion, and not attributable to other causes such as surgical clipping or endovascular treatment. Hypodensities on CT imaging resulting from ventricular catheter or intraparenchymal hematoma should not be regarded as cerebral infarctions from DCI.

Vergouwen MD, Vermeulen M, van Gijn J, et al. Stroke 2010;41:2391-2395 Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C13848 Hydrocephalus present indicator HydrcephPresInd Indicates if hydrocephalus is present Indicates if hydrocephalus is present Hydrocephalus? Yes;No Yes;No Alphanumeric

Hydrocephalus is defined by:
- Hydrocephalus on CT or MRI, defined as a bicaudate index above the 95th percentile based on age: 0.16 for patients 30 years or younger, 0.18 for patients 31-50 years, 0.19 for patients 51-60 years, 0.21 for patients 61-80 years, and 0.25 for patients 81-100 years.
- And one of the following:
-- CSF drainage by lumbar puncture, lumbar drainage, ventricular drainage
-- A decrease in the level of consciousness of at least 2 points lasting for = 1 hour

van Gijn J, Hijdra A, Wijdicks EF, et al. Acute hydrocephalus after aneurysmal subarachnoid hemorrhage. J Neurosurg 1985;63:355–362 Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53692 Seizure clinical within 21 day ictus indicator SeizClinWthn21DayIctusInd The indicator relating to whether or not the subject had any clinical seizures within 21 days of ictus The indicator relating to whether or not the subject had any clinical seizures within 21 days of ictus Clinical seizure(s) within 21 days after ictus: No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53681 Subarachnoid hemorrhage edema global cerebral indicator SAHEdemaGlobalCerebInd The indicator related to global cerebral edema following a subarachnoid hemorrhage The indicator related to global cerebral edema following a subarachnoid hemorrhage Global cerebral edema? No;Yes No;Yes Alphanumeric

Diagnosed when both of the following are present: (1) complete or near-complete effacement of the hemispheric sulci and basal cisterns, and (2) bilateral and extensive disruption of the hemispheric gray-white matter junction at the level of the centrum semiovale, either due to blurring or diffuse peripheral "finger-like" extension of the normal demarcation between gray and white matter.

Claassen J, Carhuapoma JR, Kreiter KT, et al. Global cerebral edema after subarachnoid hemorrhage: frequency, predictors, and impact on outcome. Stroke 2002;33:1225-1232 Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53693 Subarachnoid hemorrhage seizure occur date SAHSeizOccurDate The date(s) on which the subject experienced seizure(s) since having subarachnoid hemorrhage The date(s) on which the subject experienced seizure(s) since having subarachnoid hemorrhage Seizure(s) date of occurrence: Date or Date & Time

Day after SAH on which the neurological complication 'Seizure(s)' first occurred (day of ictus = day 0)

Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Free-Form Entry

C53682 Subarachnoid hemorrhage brain stem herniation indicator SAHBrainStemHerniaInd The indicator related to brain stem herniation following a subarachnoid hemorrhage The indicator related to brain stem herniation following a subarachnoid hemorrhage Brain stem herniation? No;Yes No;Yes Alphanumeric

Clinical deterioration consistent with brain shifting, manifesting as progressive reduction in level of consciousness associated with motor posturing and either pupillary abnormalities, gaze abnormalities, or autonomic instability (HR, BP, RR)

Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53694 Seizure electroencephalographic within 21 day ictus indicator SeizEEGWthn21DayIctusInd The indicator relating to whether or not the subject had any electroencephalographic seizures within 21 days of ictus The indicator relating to whether or not the subject had any electroencephalographic seizures within 21 days of ictus Electroencephalographic seizure(s) within 21 days after ictus: No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53683 Subarachnoid hemorrhage brain stem herniation date SAHBrainStemHerniaDate Date brain stem herniation occurred after subarachnoid hemorrhage Date brain stem herniation occurred after subarachnoid hemorrhage Brain stem herniation date of occurrence: Date or Date & Time

Day after SAH on which the neurological complication 'Brain stem herniation' first occurred (day of ictus = day 0)

Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Free-Form Entry

C53695 Subarachnoid hemorrhage meningitis ventriculitis indicator SAHMeningVentrculInd The indicator relating to whether or not the subject had meningitis or ventriculitis following a subarachnoid hemorhage The indicator relating to whether or not the subject had meningitis or ventriculitis following a subarachnoid hemorhage Mengitis/ventriculitis? No;Yes No;Yes Alphanumeric

Meningitis/ventriculitis depends on
- A positive cerebrospinal fluid culture
In addition to one of the following:
-- Fever > 38°C
-- Increased white blood cells, elevated protein or decreased glucose in cerebrospinal fluid
-- Positive Gram stain of cerebrospinal fluid

Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309–332 Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53684 Subarachnoid hemorrhage rebleeding indicator SAHRebleedInd The indicator related to rebleeding after a subarachnoid hemorrhage The indicator related to rebleeding after a subarachnoid hemorrhage Rebleeding? No;Yes No;Yes Numeric Values

Sudden clinical deterioration with signs of increased hemorrhage on CT scan compared with previous CT imaging or found at autopsy, or a sudden clinical deterioration suspect for rebleeding with fresh blood in the ventricular drain in which no CT scan or autopsy was obtained

Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53698 Subarachnoid hemorrhage meningitis ventriculitis occur date SAHMeningVentrculOccurDate The date on which the subject first first experienced meningitis/ventriculitis since having a subarachnoid hemorrhage The date on which the subject first first experienced meningitis/ventriculitis since having a subarachnoid hemorrhage Mengitis/ventriculitis date of occurrence: Date or Date & Time

Day after SAH on which the neurological complication 'Meningitis/ventriculitis' first occurred (day of ictus = day 0). This date can precede the date on which the CSF culture yielded a micro-organism.

Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Free-Form Entry

C53685 Subarachnoid hemorrhage rebleed occur date SAHRebleedOccurDate Date rebleeding occurred after subarachnoid hemorrhage Date rebleeding occurred after subarachnoid hemorrhage Rebleeding date of occurrence: Date or Date & Time Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Free-Form Entry

C54655 Subarachnoid hemorrhage clinical deterioration infarction not related delayed cerebral ischemia indicator SAHClinDeterInfNotRelDCIInd The indicator relating to whether or not the subject has experienced clinical deterioration and/or cerebral infarction due other causes than delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage The indicator relating to whether or not the subject has experienced clinical deterioration and/or cerebral infarction due other causes than delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage Clinical deterioration and/or cerebral infarction due to causes other than DCI? No;Yes No;Yes Numeric Values Frontera JA, Fernandez A, Schmidt JM, et al. Stroke 2009;40:1963-1968 Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53686 Subarachnoid hemorrhage hydrocephalus occur date SAHHydrocephOccurDate Date hydrocephalus occurred after subarachnoid hemorrhage Date hydrocephalus occurred after subarachnoid hemorrhage Hydrocephalus date of occurrence: Date or Date & Time

Day after SAH on which the neurological complication 'Hydrocephalus' first occurred (day of ictus = day 0)

Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Free-Form Entry

C54656 Subarachnoid hemorrhage clinical deterioration infarction not related delayed ischemia type SAHClinDeterInfNotRelDCITyp The element relating to the reason the subject has experienced clinical deterioration and/or cerebral infarction due other causes than delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage The element relating to the reason the subject has experienced clinical deterioration and/or cerebral infarction due other causes than delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage If yes: Infarction directly attributable to aneurysm occlusion treatment;Other, specify Infarction directly attributable to aneurysm occlusion treatment;Other, specify Alphanumeric Frontera JA, Fernandez A, Schmidt JM, et al. Stroke 2009;40:1963-1968 Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C53687 Subarachnoid hemorrhage clinical deterioration infarction delayed cerebral ischemia indicator SAHClinDeterInfDCIInd The indicator relating to whether or not the subject has experienced clinical deterioration and/or cerebral infarction due to delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage The indicator relating to whether or not the subject has experienced clinical deterioration and/or cerebral infarction due to delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage Clinical deterioration and/or cerebral infarction due to delayed cerebral ischemia (DCI)? No;Yes No;Yes Numeric Values Frontera JA, Fernandez A, Schmidt JM, et al. Stroke 2009;40:1963-1968 Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

C54676 Subarachnoid hemorrhage clinical deterioration infarction not related delayed ischemia other text SAHClinDeterInfNotRelDCIOTH The free text field to describe the reason the subject has experienced clinical deterioration and/or cerebral infarction due other causes than delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage The free text field to describe the reason the subject has experienced clinical deterioration and/or cerebral infarction due other causes than delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1] 255

Free-Form Entry

C53689 Subarachnoid hemorrhage clinical deterioration delayed cerebral ischemia indicator SAHClinDetDCIInd The indicator related to clinical deterioration due to a delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage The indicator related to clinical deterioration due to a delayed cerebral ischemia (DCI) after a subarachnoid hemorrhage Clinical deterioration due to delayed cerebral ischemia (DCI)? No;Yes No;Yes Alphanumeric

The occurrence of focal neurological impairment (such as hemiparesis, aphasia, apraxia, hemianopia, or neglect), or a decrease of at least 2 points on the Glasgow Coma Scale (either on the total score or on one of its individual components [eye, motor on either side, verbal]). This should last for at least 1 hour, is not apparent immediately after aneurysm occlusion, and cannot be attributed to other causes by means of clinical assessment, CT or MRI scanning of the brain, and appropriate laboratory studies.

Vergouwen MD, Vermeulen M, van Gijn J, et al. Stroke 2010;41:2391-2395 Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-12-05 04:43:09.0 Neurological Complications [php] [php_1]

Single Pre-Defined Value Selected

CSV