CDE Detailed Report

Disease: Traumatic Brain Injury
Subdomain Name: Therapies
CRF: Therapy Intensity Level

Displaying 1 - 4 of 4
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
C05139 TBI therapy intensity level procedure indicator TBITherapIntensLvlProcInd Indicator of whether the procedure or therapy was administered, which is used to assess the therapy intensity level (TIL) for treating the traumatic brain injury Indicator of whether the procedure or therapy was administered, which is used to assess the therapy intensity level (TIL) for treating the traumatic brain injury Was procedure administered (used to determine therapy intensity level (TIL)): Yes;No;Unknown Yes;No;Unknown Alphanumeric

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No references available Adult Supplemental 3.00 2013-07-20 10:21:25.65 Therapy Intensity Level Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C07429 Pediatric intensity level of therapy scale score PediatIntensLvlTherapyScalScr Pediatric intensity level of therapy (PILOT) scale (0-38) Pediatric intensity level of therapy (PILOT) scale (0-38) Pediatric intensity level of therapy (0-38): Numeric Values

Score ranges from 0-38. Daily recording recommended. This element is recommended for pediatric studies.

Shore P, Adelson PD, Kochanek P, Hand L, Roy L. Reliability and validity of the Pediatric Intensity Level of Therapy (PILOT) Scale: A measure of the use of intracranial pressure-directed therapies. (2006) Crit Care Med 34:1981-1987. Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Therapy Intensity Level Therapies Treatment/Intervention Data

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C05137 TBI therapy intensity level global assessment code TBITherapIntensLvlGlobAsesCod A summary measure for traumatic brain injury that captures a global categorization of therapy intensity level (TIL) over a given period A summary measure for traumatic brain injury that captures a global categorization of therapy intensity level (TIL) over a given perio Global categorization of therapy intensity level (TIL) TIL 0;TIL 1 - Core ICU care;TIL 2 - Mild;TIL 3 - Moderate;TIL 4 - Extreme No specific ICP directed therapy;Sedation for ventilator/endotracheal tube tolerance, Volume/Vasoactives for non-CNS cause (e.g. sepsis, myocardial injury), Head-up positioning (ventilator bundle), Normcapnia (PaCO2 greater than or equal to 40 mmHg);Higher levels of sedation, Vasopressors/volume for CPP support, Low dose osmotic therapy, Mild hypocapnia (PaCO2: 4.6 - 5.3 kPa| 35 – 40 mmHg), CSF drainage <120 ml/day (<5 ml/hr);Higher doses of osmotic therapy, Moderate hypocapnia (PaCO2: 4.0 - 4.5 kPa| 30 – 35 mmHg), Mild hypothermia (>35°C), CSF drainage greater than or equal to 120 ml/day (greater than or equal to 5 ml/hr);Profound hypocapnia (PaCO2: <30 mmHg), Temperature <35°C, Metabolic suppression with IV anesthetics, Surgery for refractory ICP (decompression/lobectomy) Alphanumeric

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No references available Adult Supplemental 3.00 2013-07-20 10:21:25.65 Therapy Intensity Level Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C05138 TBI therapy intensity level procedure type TBITherapIntensLvlProcType Type of procedure or therapy used to assess the therapy intensity level (TIL) for treating the traumatic brain injury Type of procedure or therapy used to assess the therapy intensity level (TIL) for treating the traumatic brain injury Type of Procedure used to determine therapy intensity level (TIL): Nursed flat (180°) for CPP management;Sedation (low dose as required for mechanical ventilation);Higher dose sedation for ICP control (not aiming for burst suppression);Metabolic suppression for ICP control with high dose barbiturates or propofol;Neuromuscular blockade (paralysis);CSF drainage <120 ml/day (<5 ml/hour);CSF drainage greater than or equal to 120 ml (greater than or equal to 5 ml/hour);Fluid loading for maintenance of cerebral perfusion;Vasopressor therapy required for management of cerebral perfusion;Mild hypocapnia for ICP control [PaCO2 4.6 – 5.3 kPa (35 - 40 mmHg)];Moderate hypocapnia for ICP control [PaCO2 greater than or equal to 4 kPa (30 mmHg)];Intensive hypocapnia for ICP control [PaCO2 <4 kPa (30 mmHg)];Hyperosmolar therapy with mannitol up to 2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline up to 0.3 g/kg/24 hours;Hyperosmolar therapy with mannitol >2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline >0.3 g/kg/24 hours;Treatment of fever (temp.>38°C) or spontaneous temp. below 34.5°C;Mild hypothermia for ICP control with a lower limit of 35°C;Hypothermia below 35°C;Intracranial operation for progressive mass lesion, not scheduled on admission;Decompressive craniectomy;Head elevation for ICP control Nursed flat (180°) for CPP management;Sedation (low dose as required for mechanical ventilation);Higher dose sedation for ICP control (not aiming for burst suppression);Metabolic suppression for ICP control with high dose barbiturates or propofol;Neuromuscular blockade (paralysis);CSF drainage <120 ml/day (<5 ml/hour);CSF drainage greater than or equal to 120 ml (greater than or equal to 5 ml/hour);Fluid loading for maintenance of cerebral perfusion;Vasopressor therapy required for management of cerebral perfusion;Mild hypocapnia for ICP control [PaCO2 4.6 – 5.3 kPa (35 - 40 mmHg)];Moderate hypocapnia for ICP control [PaCO2 greater than or equal to 4 kPa (30 mmHg)];Intensive hypocapnia for ICP control [PaCO2 <4 kPa (30 mmHg)];Hyperosmolar therapy with mannitol up to 2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline up to 0.3 g/kg/24 hours;Hyperosmolar therapy with mannitol >2 g/kg/24 hours;Hyperosmolar therapy with hypertonic saline >0.3 g/kg/24 hours;Treatment of fever (temp.>38°C) or spontaneous temp. below 34.5°C;Mild hypothermia for ICP control with a lower limit of 35°C;Hypothermia below 35°C;Intracranial operation for progressive mass lesion, not scheduled on admission;Decompressive craniectomy;Head elevation for ICP control Alphanumeric

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No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Therapy Intensity Level Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

CSV