Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | CardioArrest | 3351 | Other Complications - Cardiopulmonary Arrest | 1989-10-01 - Variable Added |
NON-CRANIAL COMPLICATIONS - ARCHIVE
See subdomain notes
Definition
This variable documents selected major non-cranial complications occurring after the initial brain injury through the definitive discharge from the TBI care system.
Characteristics
NCOMPHEMO (Hem/Pneumothorax) was collected from 1/01/1989 to 4/01/1999. NO DATA AVAILABLE. Definition = A condition in which free air or blood are present in the pleural cavity and which may or may not require a chest tube. *Only instances which are present at the time of admission to the Model System ED should be reported.
CARDIOPULMONARY ARREST - ARCHIVE
Definition
This variable documents cardiopulmonary arrest.
Form
[X] Form 1
[ ] Form 2
Source
- Form 1 - Abstraction (acute and rehab record)
Variables
Codes and Values
ID 3351
For Form: [Form 1]
For Variables: [CardioArrest]
Code | Description |
|---|---|
1 | Absent |
2 | Present |
9 | Unknown |
History
No history found for the Domain.
COAGULOPATHY - ARCHIVE
Definition
This variable documents any disorder of coagulation of such severity that it requires the administration of platelets, fresh frozen plasma, or cryoprecipitates (blood factors). *For example= hemophilia, Christmas disease, factor 7 or 8 deficiency, or sickle cell anemia.
Form
[X] Form 1
[ ] Form 2
Source
- Form 1 - Abstraction (acute and rehab record)
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | Coagulopathy | 3376 | Other Complications - Coagulopathy | 1989-10-01 - Variable Added |
Codes and Values
ID 3376
For Form: [Form 1]
For Variables: [Coagulopathy]
Code | Description |
|---|---|
1 | Absent |
2 | Present |
9 | Unknown |
History
No history found for the Domain.
DEEP VEIN THROMBOSIS - ARCHIVE
Definition
Deep-vein Thrombosis (DVT) is defined as an occlusion of the venous system. Code only DVT’s below the diaphragm. Code only DVT’s confirmed by Doppler, ultrasound or venogram. If DVT is confirmed to be present, code the location and whether the patient received treatment with IV Heparin, Coumadin or a Filter.
Form
[X] Form 1
[ ] Form 2
Source
- Form 1 - Abstraction (acute and rehab record)
Details
- Occurrence and location of DVT
- Treatment for confirmed DVT
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | DVTLocation | 3414 | Other Complications - Deep Vein Thrombosis Location | 1996-04-01 - Variable Added |
Form 1 | DVTTreat | 3415 | Other Complications - Deep Vein Thrombosis Treatment | 1996-04-01 - Variable Added |
Codes and Values
ID 3414
For Form: [Form 1]
For Variables: [DVTLocation]
Code | Description |
|---|---|
0 | Variable Did Not Exist ( Only use this code if patient was admitted to the Model System prior to 4/1/96 ) |
1 | No Thrombophlebitis: DVT, *below the diaphragm |
2 | Yes, Thrombophlebitis: DVT in right lower extremity |
3 | Yes, Thrombophlebitis: DVT in left lower extremity |
4 | Yes, Thrombophlebitis: DVT in bilateral lower extremities |
5 | Yes, DVT: Laterality not specified or other location below diaphragm |
9 | Unknown, if DVT |
ID 3415
For Form: [Form 1]
For Variables: [DVTTreat]
Code | Description |
|---|---|
0 | Variable Did Not Exist |
1 | DVT confirmed: Treated ( Treated with IV Heparin, Coumadin, Low Molecular Weight Heparin, Inferior Vena Cava (IVC) filter (filters: Greenfield, birdsnest, umbrella), and/or other type of treatment ) |
2 | * ( Collapsed codes 1-3 for type of treatment ) |
3 | * ( Collapsed codes 1-3 for type of treatment ) |
4 | DVT confirmed: No treatment |
8 | Not Applicable: No DVT confirmed |
9 | Unknown |
History
No history found for the Domain.
PNEUMONITIS-PNEUMONIA - ARCHIVE
Definition
This variable indicates a state of lung tissue inflammation documented by X-ray.
Form
[X] Form 1
[ ] Form 2
Source
- Form 1 - Abstraction (acute and rehab record)
Details
Must have at least “probable” infiltrate when coding “present” for this variable.
If patient treated for pneumonia but x-ray was *not done, do not code as pneumonia, must have x-ray confirmation.
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | Pneumonia | 3500 | Other Complications - Pneumonitis/Pneumonia | 1989-10-01 - Variable Added |
Codes and Values
ID 3500
For Form: [Form 1]
For Variables: [Pneumonia]
Code | Description |
|---|---|
1 | Absent |
2 | Present |
9 | Unknown |
History
No history found for the Domain.
RESPIRATORY FAILURE -ARCHIVE
Definition
Requiring ventilation greater than one week
Form
[X] Form 1
[ ] Form 2
Source
- Form 1 - Abstraction (acute and rehab record)
Details
If patient is chemically paralyzed and on mechanical ventilation for greater than one week, code as respiratory failure present.
If patient is taken off ventilation, but failed extubation and put back on vent, add days on vent. together to determine if ventilation greater than one week, only if failed extubation is less than 48 hours in duration.
Patient is considered “off ventilation” when he/she is extubated.
If patient is on mechanical ventilation, it is coded as respiratory failure present, regardless of reason for ventilation.
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | RespFail | 3517 | Other Complications - Respiratory Failure | 1989-10-01 - Variable Added |
Codes and Values
ID 3517
For Form: [Form 1]
For Variables: [RespFail]
Code | Description |
|---|---|
1 | Absent |
2 | Present |
9 | Unknown |
History
No history found for the Domain.
SEPTIC SHOCK - ARCHIVE
Definition
An infection associated with hypotension, involving pathogens in the blood stream (i.e., positive blood cultures). Physician must indicate that above condition is septic shock.
Form
[X] Form 1
[ ] Form 2
Source
- Form 1 - Abstraction (acute and rehab record)
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | Septic | 3529 | Other Complications - Septic Shock | 1989-10-01 - Variable Added |
Codes and Values
ID 3529
For Form: [Form 1]
For Variables: [Septic]
Code | Description |
|---|---|
1 | Absent |
2 | Present |
9 | Unknown |
History
No history found for the Domain.
URINARY TRACT INFECTION - ARCHIVE
Definition
An infection associated with hypotension, involving pathogens in the blood stream (i.e., positive blood cultures).
Form
[X] Form 1
[ ] Form 2
Source
- Form 1 - Abstraction (acute and rehab record)
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | UTI | 3573 | Non-Cranial Complications - Urinary Tract Infection | 1989-10-01 - Variable Added |
Codes and Values
ID 3573
For Form: [Form 1]
For Variables: [UTI]
Code | Description |
|---|---|
1 | Absent |
2 | Present ( Over 100,000 colonies and WBCs in urine ) |
3 | Treated for UTI ( Colony count unknown ) |
9 | Unknown |
History
No history found for the Domain.