Data Dictionary Demo - Stroke
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Please complete all required fields marked with an asterisk (*)
Stroke type
Indicate stroke type
Ischemic stroke (IS)
Intracereberal hemorrhage (ICH)
Transient ischemic attack (TIA)
Stroke of unknown type
Stroke severity: score
Stroke severity as measured by the NIH Stroke Scale (NIHSS) Report the raw (uncategorized) NIHSS score
Estimated stroke severity: category
Indicate the estimated stroke severity category by the NIH Stroke Scale (NIHSS) NIHSS categories: NIHSS score 0 = Category 1: No stroke symptoms NIHSS score 1-4 = Category 2: Minor NIHSS score 5-15 = Category 3: Moderate NIHSS score 16-20 = Category 4: Moderate to severe NIHSS score 21-42 = Category 5: Severe Note: if no NIHSS score was recorded and/or insufficient documentation exists to abstract the full score, then indicate a category based on symptom severity.
-- Please select --
No stroke symptoms
Minor
Moderate
Moderate to severe
Severe
Unknown
Stroke severity: consciousness
Indicate the patient’s level of consciousness measured on hospital arrival
Fully awake
Somnolent
Coma
Unknown
Duration of symptoms
Indicate the duration of the symptoms measured on hospital arrival
Less than 4.5 hours
More than 4.5 hours
Unknown
Diagnostic evidence base
Indicate how the diagnosis was made
Clinical symptoms alone
Clinical + CT
Clinical + MRI
Thrombolytic therapy
Indicate if the patient received intravenous thrombolytic therapy Intravenous tissue plasminogen activator
No
Yes
Unknown
Date of thrombolytic therapy
Indicate the date of thrombolytic therapy
Thrombectomy
Indicate if the patient underwent thrombectomy Endovascular mechanical clot removal
No
Yes
Unknown
Date of thrombectomy
Indicate the date of thrombectomy
Hemicraniectomy
Indicate if the patient underwent hemicraniectomy
No
Yes
Unknown
Date of hemocraniectomy
Indicate the date of hemicraniectomy
Symptomatic intracranial hemorrhage after IV thrombolysis
Indicate if the patient developed symptomatic intracerebral hemorrhage after treatment of ischemic stroke with intravenous thrombolysis?
No
Yes
Symptomatic intracranial hemorrhage after thrombectomy
Indicate if the patient developed symptomatic intracerebral hemorrhage after treatment of ischemic stroke with thrombectomy?
No
Yes
Simplified modified Rankin Scale Questionnaire (smRSq)
Indicate the degree of disability or dependence by obtaining the smRSq The link to the smRSq flow chart and instructions for use can be found in this Reference Guide on page 11
-- Please select --
No symptoms at all
No significant disability despite symptoms; able to carry out all usual duties and activities
Slight disability; unable to carry out all previous activities but able to look after own affairs without assistance
Moderate disability ; requiring some help, but able to walk without assistance
Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance
Severe disability; bedridden, incontinent and requiring constant nursing care and attention
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