CDE Detailed Report

Disease: Sport Related Concussion
Subdomain Name: Sleep
CRF: Epworth Sleepiness Scale (ESS) - Children's Version

Displaying 1 - 8 of 8
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
C54714 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood sit talk code ESSCDozSlpLiklhdSitTalkCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while sitting and talking, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while sitting and talking, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) Sitting and talking to someone 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54715 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood sit after lunch code ESSCDzSlpLiklhdSitAftrLnchCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while sitting quietly after lunch, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while sitting quietly after lunch, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) Sitting quietly after lunch 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54716 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood homework take test code ESSCDozSlpLiklhdHmwkTkTstCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while doing homework or taking a test, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while doing homework or taking a test, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) Doing homework or taking a test 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54709 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood sit read code ESSCDozSlpLiklhdSitReadCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while sitting and reading, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while sitting and reading, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) Sitting and reading 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54710 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood watch television code ESSCDozSlpLiklhdWatchTVCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while watching television (TV), as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while watching television (TV), as part of the Epworth Sleepiness Scale, Children's version (ESS-C) Watching television 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54711 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood sit inactive public place code ESSCDzSlpLiklhdStInactPbPlCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while sitting inactive in a public place (for example during a movie or in the classroom), as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing or falling asleep while sitting inactive in a public place (for example during a movie or in the classroom), as part of the Epworth Sleepiness Scale, Children's version (ESS-C) Sitting inactive in a public place (for example, a movie theater or classroom) 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54712 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood car passenger code ESSCDozSlpLiklhdCarPssngrCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while a passenger in a car, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while a passenger in a car, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) As a passenger in a car for an hour without a break 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54713 Epworth Sleepiness Scale Children (ESS-C) - Doze sleep likelihood recline rest afternoon code ESSCDzSlpLiklhdRclnRstAftnCode The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while lying down to rest in the afternoon, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) The code denoting the subect/participant's self-reported likelihood of dozing off or falling asleep while lying down to rest in the afternoon, as part of the Epworth Sleepiness Scale, Children's version (ESS-C) Lying down to rest in the afternoon when circumstances Permit 1;2;3;0 slight chance of dozing or sleeping;moderate chance of dozing or sleeping;high chance of dozing or sleeping;would never doze or sleep Numeric Values

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, think about how they would have affected you. Use the following scale to choose the most appropriate number for each situation. 0=would never doze or sleep 1=slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep.1991;14(6):540–545. Pediatric Supplemental 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Children's Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

CSV