CDE Detailed Report
Subdomain Name: Autonomic
CRF: Passive Standing Test Protocol
Displaying 1 - 7 of 7
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 / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
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C18027 | Comment text | CmmntTxt | Provide any additional information that pertains to the question | Provide any additional information that pertains to the question | Comments/Symptom ratings | Alphanumeric |
Medication taken should be documented in the Medication Log CRF. Decisions about whether to allow study participants to remain on vasoactive medications are specific to the study question. In studies that examine the prevalence of orthostatic intolerance among those with ME/CFS, study participants would stop all vasoactive medications before the study. However, stopping medications is not always safe (for example, discontinuing an SSRI/SNRI medication could cause harm). Conversely, a study examining improvement in quality of life and orthostatic tolerance in response to treatment would need to allow participants to remain on medications during testing. If the subject reports any changes in their ME/CFS symptoms or emergence of orthostatic signs and symptoms (see bolded abbreviations above), list these in the comments column along with the corresponding time recorded for the BP and HR. The comment section should note the changes in symptom severity on a 0-10 scale, and grade the physical sign of acrocyanosis as absent, mild, moderate, or severe. The comments should note if and when the subject had to sit down before the completion of 10 minutes upright, and, if so, mention whether the final upright BP was performed sitting or standing. The reason for stopping should be noted in the Comments section. |
Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808 | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Passive Standing Test Protocol | Autonomic | Assessments and Examinations | 4000 |
Free-Form Entry |
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C19361 | Lab test participant position type | LabTestParticipntPositnTyp | The arrangement or orientation of the participant's body at the time the lab test was performed | The arrangement or orientation of the participant's body at the time the lab test was performe | Position of participant | Supine after;Supine before;Standing | Supine after;Supine before;Standing | Alphanumeric |
The following is a modification of the passive standing test (Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808). The standing test begins with the subject lying supine, with shoes and socks removed, with an automated BP cuff set to record BP and HR at 1-minute intervals. The subject is supine for 5 minutes. The baseline heart rate (HR) and blood pressure (BP) are measured and recorded each minute for 5 minutes' supine. At the 4-5 minute point, record the intensity of the patient's current symptoms (on a 0-10 scale). Specific instructions are as follows: |
Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808 | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-12 16:16:44.0 | Passive Standing Test Protocol | Autonomic | Assessments and Examinations |
Single Pre-Defined Value Selected |
2008432 | |||||||
C19500 | Assessment performed date | AssessmentPerformedDate | The date of assessment of the examination being performed | The date of assessment of the examination being performed | Date of test | Date or Date & Time |
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module. |
Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808 | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-18 08:10:12.0 | Passive Standing Test Protocol | Autonomic | Assessments and Examinations |
Free-Form Entry |
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C19565 | Blood Pressure measurement | BldPressMeasr | Blood pressure measurement with systolic measurement over diastolic measurement | Blood pressure measurement with systolic measurement over diastolic measurement | Blood pressure | Numeric Values |
"We'd like you to stand as still as possible for up to 10 minutes. During the standing test, you must be as motionless as possible in order to get an accurate result. Therefore, try not to wiggle your toes or fingers, scratch your nose, or move your arms or legs. We will monitor for any movements and will remind you not to move or wiggle. We want you to tell us if you are feeling anything different or uncomfortable during the test. Be as specific as possible. We need to know if you feel you can't stay standing any longer, and if this is the case you can sit down. It is not necessary to remain standing for the entire 10 minutes, but we'd like to measure how long you can do this. Each minute we will check your blood pressure and heart rate with an automatic measuring device." |
Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808 | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-12-19 11:19:04.0 | Passive Standing Test Protocol | Autonomic | Assessments and Examinations |
Free-Form Entry |
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C58394 | Position held minute text | PosHeldMinTxt | The time in minutes a position is held | The time in minutes a position is held | Minute | 1 minute;2 minutes;3 minutes;4 minutes;5 Minutes;6 minutes;7 minutes;8 Minutes;9 minutes;10 minutes | 1 minute;2 minutes;3 minutes;4 minutes;5 Minutes;6 minutes;7 minutes;8 Minutes;9 minutes;10 minutes | Alphanumeric |
The following is a modification of the passive standing test (Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808). The standing test begins with the subject lying supine, with shoes and socks removed, with an automated BP cuff set to record BP and HR at 1-minute intervals. The subject is supine for 5 minutes. The baseline heart rate (HR) and blood pressure (BP) are measured and recorded each minute for 5 minutes' supine. At the 4-5 minute point, record the intensity of the patient's current symptoms (on a 0-10 scale). Specific instructions are as follows: |
Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808 | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-02-08 15:21:44.0 | Passive Standing Test Protocol | Autonomic | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C01521 | Heart rate | HeartRate | The participant's pulse or number of contractions (heart beats) per minute | The participant's pulse or number of contractions (heart beats) per minute | Heart rate | Numeric Values |
Specific instructions are as follows: |
Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808 | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2024-03-11 10:48:30.0 | Passive Standing Test Protocol | Autonomic | Assessments and Examinations |
Free-Form Entry |
0 | 300 | beats per minute | 2767073 | ||||||
C02014 | Medication prior or concomitant name | MedctnPriorConcomName | Name of the prior/concomitant agent or drug administered | Name of the prior/concomitant agent or drug administere | List medications taken in last 2 weeks | Alphanumeric | References<br />Hyatt KH, Jacobson LB, Schneider VS. Comparison of 70°tilt, LBNP, and passive standing as measures of orthostatic tolerance. Aviat Space Environ Med 1975;46: 801-808 | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Passive Standing Test Protocol | Autonomic | Assessments and Examinations | 4000 |
Free-Form Entry |
3162728 |