CDE Detailed Report

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Record in time duration in minutes based on each individual's own assessment of time consumption. This element begins at the end of the previous element (Bowel care initiation to stool comes out past three months average duration).

Regular use of one or more collecting appliances is to be recorded. For each collecting appliance type indicate if it is used. Individuals with spinal cord lesions that use such appliances less than once a month, "for the sake of safety", and who have no more than exceptional episodes of leakage during a year should be excluded (adapted from Levi and Ertzgaard 1998). For other possible collecting appliances it is recommended to write them in a textfield, from which it will be possible to retrieve more detailed data when necessary.

Record in time duration in minutes based on each individual's own assessment of time consumption. This element begins at the end of the previous element (Bowel care initiation to stool comes out past three months average duration).

Symptoms are subjective reports given to the examiner. Signs are objective physical findings of the examiner. Individuals with spinal cord lesions may have many of the above signs and symptoms due to their spinal cord lesion or other
problems. Therefore, it is important to determine that an individual's symptoms are of a new onset or have increased and are not chronic in nature from a preexisting or intercurrent problem. Many signs and symptoms do not constitute
justification for treatment. A UTI is characterized by the new onset of symptoms accompanied with laboratory findings (bacteriuria, leukocyturia and positive urine culture) of a UTI (National Institute on Disability and Rehabilitation
Research criteria for UTI, 1992). For the purposes of the International SCI UTI Basic Data Set only the signs and symptoms indicated above were chosen. Massa and colleagues (2009) found that cloudy urine had the highest accuracy (83.1%), and leukocytes in the urine had the highest sensitivity (82.8%) for the presence of UTI. Fever had very high specificity (99%) but very low sensitivity (6.9%). Autonomic dysreflexia data had low numbers and should be interpreted
with caution. Kidney/bladder discomfort, increased spasticity, feeling sick, sense of unease, increased need to perform catheterization, feeling tired, incontinence, and foul smelling urine all had high sensitivity (77-95%) but very low specificity
(less than 50%).

Choose one. Respiratory symptoms entirely due to higher level SCI should not be included in this element.

Record any assistance device utilized at the time of evaluation to augment ventilation. For each device indicate if it was utilized at the time of evaluation.

Identifies whether the anatomic site and laterality type describes the fracture, heterotopic ossification, contracture, or degenerative change/overuse

Bladder stone or upper urinary tract stone removal includes any type of removal, including via endoscopy, extracorporal shock wave lithotripsy (ESWL), or open lithotomy.
The ileoureterostomy is corresponding to the formely ileal loop or ureteroileocutaneostomy (Bricker conduit). The continent catheterizable valves, include Monteand Mitrofanoff procedures.
For other possible surgical procedures it is recommended to write them in a textfield, from which it will be possible to retrieve more detailed data when necessary. If there is more than one "other" surgical procedure, this field may be duplicated or triplicated, with the latest date given when the particular procedure has been performed. If the information has been documented once and noadditional surgical procedures on the urinary tract have been performed it is not necessary fill in this item again, to avoid redundant data.

Choose one. When querying individuals about reflex arousal it is recommended that the interviewer focus on the woman's awareness of vaginal lubrication as opposed to clitoral engorgement.

Within the last four weeks, choose one. The need to wear a pad only for urinary incontinence should not be included.

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Choose one for each neuro-musculoskeletal condition (fracture, heterotopic ossification, contracture, or degenerative change/overuse)

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Normal refers to reports by individuals that there is no change in their ability to achieve orgasm or sensations or orgasm subsequent to their spinal cord lesion.
Reduced/altered, orgasm occurs after spinal cord lesion even if itis reported to take longer to occur and/or the feelings associated with orgasm are different, i.e. may be possible, though partially impaired.
Absent refers to inability to achieve orgasm after spinalcord lesion despite trying to achieve orgasm on multiple occasions.
Unknown refers to reports by individuals that they have not been sexually active thus they do not know if they are able to achieve orgasm after spinal cord lesion.

For each medication type indicate if it was used. This element does not only include orally taken agents, patches, suppositories, injections, or laxatives.
A number of drugs affect gastrointestinal motility. The most commonly used among individuals with SCI are probably anticholinergics and narcotics. Other common examples are: calcium antagonists, diuretics, serotonin reuptake inhibitors, and spasmolytics. Many drugs affect gastrointestinal function and it is impractical to give an exact list of them all. It does not only include orally taken agents but also patches, suppositories and injections. It does not include laxatives.
Constipating agents, especially loperamide, taken by a minority of individuals with SCI against fecal incontinence should also be listed here.

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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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Hyperthermia, usually defined as rectal temperature above 38.4 C, as well as hypothermia, defined as rectal temperature below 35 C may be caused by an infection. Hyper and hypothermia may also be caused by non infectious reasons as exercise or by increased or decreased environmental temperature; the individual with spinal cord lesion is prone tobe poikilothermic. Hyperhidrosis is defined as excessive sweating above or below level of injury in the absence of increased ambient temperature. Hyperhidrosis may be a sign of an ongoing pathological process such as syringomyelia, autonomic dysreflexia, or dyspepsia or may accompany micturition and defecation. Hyperhidrosis may also be present without any known cause. Hypohidrosis is defined as a loss of ability to sweat and is normally seen below the level of injury due to disruption of sympathetic outflow. Hypohidrosis may be total or partial. Other thermoregulatory (for example subjective feeling of coldness) and sudomotor findings may be present and should be specified.

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Normal refers to no change in duration, frequency or quantity of menstrual flow and no change in subjective experience or symptoms of menstruation after the spinal cord lesion.
Reduced/altered, i.e. menstruation has been initiated, though partially impaired or changed. This refers to a change in theduration, frequency or amount of menstrual blood flow after spinal cord lesion. It can also refer to a change in the quality of sensations or other autonomic phenomena associated with menses.
Unknown means the impact of the spinal cord lesion on menstruation is unknown.
Not applicable means the woman was not menstruating at the time of spinal cord lesion, thus there is not an impact on menstruation.

(within the last four weeks)

Choose one. If yes than specify the condition.