ID

15946

Beschrijving

Greiser KH, Kluttig A, Schumann B, Swenne CA, Kors JA, Kuss O, Haerting J, Schmidt H, Thiery J, Werdan K. Cardiovascular diseases, risk factors and short-term heart rate variability in an elderly general population: the CARLA study 2002-2006. Eur J Epidemiol. 2009;24(3):123-42 http://www.ncbi.nlm.nih.gov/pubmed/19199053 "Cross-sectional data of a population-based cohort including 1,779 women and men aged 45-83 years were used to analyse associations of time and frequency domain measures of HRV (derived from 5-min ECG segments) with age, behavioural and biomedical risk factors and disease in the whole sample and in a "healthy" subgroup." publication granted by Dr. rer. medic. Alexander Kluttig, MPH Leiter des Studienzentrums Halle der Nationalen Kohorte Institut für Medizinische Epidemiologie, Biometrie und Informatik Martin-Luther-Universität Halle-Wittenberg Magdeburger Str. 8 D-06097 Halle/Saale

Link

http://www.ncbi.nlm.nih.gov/pubmed/19199053

Trefwoorden

  1. 20-06-16 20-06-16 -
  2. 26-07-16 26-07-16 -
  3. 26-07-16 26-07-16 -
  4. 09-12-16 09-12-16 -
  5. 06-02-18 06-02-18 -
  6. 17-09-21 17-09-21 -
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20 juni 2016

DOI

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Licentie

Creative Commons BY-NC 3.0

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Blood samples Urine collection CARLA Follow-up

Blood samples Urine collection CARLA Follow-up

General information
Beschrijving

General information

Subject ID
Beschrijving

Subject ID

Datatype

text

Alias
UMLS CUI [1]
C2348585
B01 Examiner ID Blood Taking
Beschrijving

B01 Examiner ID Blood Taking

Datatype

text

B02 Examiner ID Documentation
Beschrijving

If different from blood taking due to substitutional blood taking

Datatype

text

B03 Date
Beschrijving

B03 Date

Datatype

date

B03 Time
Beschrijving

Beginning of investigation

Datatype

time

Preliminary questions
Beschrijving

Preliminary questions

B04 Examiner: Does the subject agree to the taking of blood samples?
Beschrijving

B04 Agreement of subject

Datatype

integer

B04 If not, please specify reason:
Beschrijving

If subject does not agree to taking of blood samples, specify reason here.

Datatype

text

B05 Do you suffer from haemophilia?
Beschrijving

Examiner: In case of haemophilia, do not take blood samples!

Datatype

integer

B06 Have you been administered an anticoagulant?
Beschrijving

Examiner: Intake of Marcumar, Marcuphen, Coumadin, Falithrom, Phenproratiopharm, Phenprogamma

Datatype

integer

B07 Do you suffer from a chronic infection?
Beschrijving

B07 Chronic infection

Datatype

integer

B08 Examiner: If yes, did the subject specify in detail?
Beschrijving

B08 Specification of chronic infection

Datatype

integer

B09 Has the subject stated to suffer from hepatitis (B or C)?
Beschrijving

B09 Hepatitis

Datatype

integer

B10: Has the subject stated to suffer from an HIV-infection?
Beschrijving

B10 HIV-infection

Datatype

integer

B11 Other infections?
Beschrijving

B11 Other infections

Datatype

integer

B11 Please specify any other infections
Beschrijving

B11 Other infections specified

Datatype

text

B12 Did you suffer from any acute febrile disease or another severe illness during the last week?
Beschrijving

Int: (e.g. urinary tract infection, renal colic, stomach flu)

Datatype

integer

B12 Which (non-febrile) illness did you suffer from?
Beschrijving

If other illness was indicated above, please specify

Datatype

text

B13 When was the last time you ate something?
Beschrijving

B13 Latest food intake

Datatype

integer

B13 Time of latest food intake
Beschrijving

B13 Time of food intake

Datatype

time

B14 How much did you eat?
Beschrijving

Examiner: If latest food intake is not more than 12 hours ago.

Datatype

integer

B15 When was the last time you drank something containing caffeine (theine)?
Beschrijving

B15 Latest consumption of caffeine (theine)

Datatype

integer

B15 Time of latest consumption of caffeine (theine)
Beschrijving

B15 Time of consumption of caffeine (theine)

Datatype

time

B16 Type of beverage (if latest consumption of caffeine/theine was today)
Beschrijving

B16 Type of beverage (caffeine/theine)

Datatype

integer

B17 When was the last time you drank other (caffeine-free) beverages?
Beschrijving

B17 Latest consumption of other (caffeine-free) beverages

Datatype

integer

B17 Time of latest consumption of a caffeine-free beverage
Beschrijving

B17 Time of consumption of caffeine-free beverage

Datatype

time

B16 Type of beverage (if latest consumption of a caffeine-free beverage was today)
Beschrijving

B18 Type of beverage (caffeine-free)

Datatype

integer

B19 Are you allergic to latex?
Beschrijving

B19 Latex allergy

Datatype

integer

B20 Exact time at beginning of blood collection (see clock)
Beschrijving

B20 Beginning of blood collection

Datatype

time

Taking of blood samples
Beschrijving

Taking of blood samples

1. Serum-Gel-Monovette (9 ml)
Beschrijving

color: brown (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
2. EDTA-Monovette (2.7 ml)
Beschrijving

color: red (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
3. EDTA-Monovette (9 ml)
Beschrijving

color: red (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
4. Citrate-Monovette (coagulation tube, 5 ml)
Beschrijving

color: green (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
5. Serum-Gel-Monovette (9 ml)
Beschrijving

color: brown (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
6. Serum-Gel-Monovette (9 ml)
Beschrijving

color: brown (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
7. EDTA-Monovette (9 ml)
Beschrijving

color: red (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
8. Serum-Gel-Monovette (9 ml)
Beschrijving

color: brown (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
9. EDTA-Monovette (9 ml)
Beschrijving

color: red (EN 14820)

Datatype

float

Maateenheden
  • ml
ml
10. Li-Heparin-Monovette (4.9 ml)
Beschrijving

10. Li-Heparin-Monovette (4.9 ml)

Datatype

float

Maateenheden
  • ml
ml
Final information
Beschrijving

Final information

B22 Examiner: Could the blood samples be taken?
Beschrijving

B22 Could the blood samples be taken?

Datatype

integer

B22 If not, please specify reason:
Beschrijving

If blood samples could not be taken, specify reason here.

Datatype

text

B23 Are the blood samples complete (all tubes filled)?
Beschrijving

B23 Are the blood samples complete?

Datatype

integer

B24 Exact time at the end of blood collection (see clock)
Beschrijving

B24 End of blood collection

Datatype

time

B25 Any deviations/problems during blood collection?
Beschrijving

B25 Deviations/problems during blood collection

Datatype

integer

B26 1. Congestion > 1 min.
Beschrijving

Please indicate any deviations/problems that occured during the blood collection (selection of several options possible)

Datatype

boolean

B26 2. Hot fomentation
Beschrijving

Please indicate any deviations/problems that occured during the blood collection (selection of several options possible)

Datatype

boolean

B26 3. Forced aspiration, slow blood flow
Beschrijving

Please indicate any deviations/problems that occured during the blood collection (selection of several options possible)

Datatype

boolean

B26 4. Prolonged poking at the same site
Beschrijving

Please indicate any deviations/problems that occured during the blood collection (selection of several options possible)

Datatype

boolean

B26 5. Secondary bleeding
Beschrijving

Please indicate any deviations/problems that occured during the blood collection (selection of several options possible)

Datatype

boolean

B 26 6. Other deviations/problems
Beschrijving

If any other deviations/problems occured, please specify in text

Datatype

text

B27 Comments
Beschrijving

B27 Comments

Datatype

text

End of examination
Beschrijving

Indicate end time

Datatype

time

B28 Urine collection succesful?
Beschrijving

B28 Succesful urine collection

Datatype

boolean

B29 Time of urine collection
Beschrijving

B29 Time of urine collection

Datatype

time

Data entry
Beschrijving

Data entry

1st data entry: DNo.
Beschrijving

1st data entry: DNo.

Datatype

text

1st data entry: Date
Beschrijving

1st data entry: Date

Datatype

date

2nd data entry: DNo.
Beschrijving

2nd data entry: DNo.

Datatype

text

2nd data entry: Date
Beschrijving

2nd data entry: Date

Datatype

date

Similar models

Blood samples Urine collection CARLA Follow-up

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
General information
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
B01 Examiner ID Blood Taking
Item
B01 Examiner ID Blood Taking
text
B02 Examiner ID Documentation
Item
B02 Examiner ID Documentation
text
B03 Date
Item
B03 Date
date
B03 Time
Item
B03 Time
time
Item Group
Preliminary questions
Item
B04 Examiner: Does the subject agree to the taking of blood samples?
integer
Code List
B04 Examiner: Does the subject agree to the taking of blood samples?
CL Item
Yes (1)
CL Item
Yes, but without storage of blood for follow-up projects (Do not take tubes 5-9!) (2)
CL Item
No (End) (3)
B04 Reason
Item
B04 If not, please specify reason:
text
Item
B05 Do you suffer from haemophilia?
integer
Code List
B05 Do you suffer from haemophilia?
CL Item
Yes (End) (1)
CL Item
No (2)
Item
B06 Have you been administered an anticoagulant?
integer
Code List
B06 Have you been administered an anticoagulant?
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
Item
B07 Do you suffer from a chronic infection?
integer
Code List
B07 Do you suffer from a chronic infection?
CL Item
Yes (1)
CL Item
No (Proceed with B11) (2)
CL Item
I don't know (-8)
Item
B08 Examiner: If yes, did the subject specify in detail?
integer
Code List
B08 Examiner: If yes, did the subject specify in detail?
CL Item
Yes (1)
CL Item
No (2)
Item
B09 Has the subject stated to suffer from hepatitis (B or C)?
integer
Code List
B09 Has the subject stated to suffer from hepatitis (B or C)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
Item
B10: Has the subject stated to suffer from an HIV-infection?
integer
Code List
B10: Has the subject stated to suffer from an HIV-infection?
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
Item
B11 Other infections?
integer
Code List
B11 Other infections?
CL Item
Yes (Please specify) (1)
CL Item
No (2)
B11 Other infections specified
Item
B11 Please specify any other infections
text
Item
B12 Did you suffer from any acute febrile disease or another severe illness during the last week?
integer
Code List
B12 Did you suffer from any acute febrile disease or another severe illness during the last week?
CL Item
Yes, febrile (1)
CL Item
Yes, other (Please specify) (2)
CL Item
No (3)
Item
B12 Which (non-febrile) illness did you suffer from?
text
Code List
B12 Which (non-febrile) illness did you suffer from?
Item
B13 When was the last time you ate something?
integer
Code List
B13 When was the last time you ate something?
CL Item
Yesterday (1)
CL Item
Today (2)
B13 Time of food intake
Item
B13 Time of latest food intake
time
Item
B14 How much did you eat?
integer
Code List
B14 How much did you eat?
CL Item
Full meal (1)
CL Item
Snack (2)
Item
B15 When was the last time you drank something containing caffeine (theine)?
integer
Code List
B15 When was the last time you drank something containing caffeine (theine)?
CL Item
Yesterday (1)
CL Item
Today (2)
CL Item
Not at all (3)
B15 Time of consumption of caffeine (theine)
Item
B15 Time of latest consumption of caffeine (theine)
time
Item
B16 Type of beverage (if latest consumption of caffeine/theine was today)
integer
Code List
B16 Type of beverage (if latest consumption of caffeine/theine was today)
CL Item
Coffee containing caffeine (1)
CL Item
Tea (containing theine) (2)
CL Item
Cola (3)
Item
B17 When was the last time you drank other (caffeine-free) beverages?
integer
Code List
B17 When was the last time you drank other (caffeine-free) beverages?
CL Item
Yesterday (1)
CL Item
Today (2)
B17 Time of consumption of caffeine-free beverage
Item
B17 Time of latest consumption of a caffeine-free beverage
time
Item
B16 Type of beverage (if latest consumption of a caffeine-free beverage was today)
integer
Code List
B16 Type of beverage (if latest consumption of a caffeine-free beverage was today)
CL Item
Decaffeinated coffee (1)
CL Item
Decaffeinated tea (2)
CL Item
Juice/Lemonade (3)
CL Item
Water (4)
CL Item
Fruit/Herbal tea (5)
Item
B19 Are you allergic to latex?
integer
Code List
B19 Are you allergic to latex?
CL Item
Yes (Please use latex-free gloves when taking the blood sample!) (1)
CL Item
No (2)
B20 Beginning of blood collection
Item
B20 Exact time at beginning of blood collection (see clock)
time
Item Group
Taking of blood samples
1. Serum-Gel-Monovette (9 ml)
Item
1. Serum-Gel-Monovette (9 ml)
float
2. EDTA-Monovette (2.7 ml)
Item
2. EDTA-Monovette (2.7 ml)
float
3. EDTA-Monovette (9 ml)
Item
3. EDTA-Monovette (9 ml)
float
4. Citrate-Monovette (coagulation tube, 5 ml)
Item
4. Citrate-Monovette (coagulation tube, 5 ml)
float
5. Serum-Gel-Monovette (9 ml)
Item
5. Serum-Gel-Monovette (9 ml)
float
6. Serum-Gel-Monovette (9 ml)
Item
6. Serum-Gel-Monovette (9 ml)
float
7. EDTA-Monovette (9 ml)
Item
7. EDTA-Monovette (9 ml)
float
8. Serum-Gel-Monovette (9 ml)
Item
8. Serum-Gel-Monovette (9 ml)
float
9. EDTA-Monovette (9 ml)
Item
9. EDTA-Monovette (9 ml)
float
10. Li-Heparin-Monovette (4.9 ml)
Item
10. Li-Heparin-Monovette (4.9 ml)
float
Item Group
Final information
Item
B22 Examiner: Could the blood samples be taken?
integer
Code List
B22 Examiner: Could the blood samples be taken?
CL Item
Yes (1)
CL Item
No (Please specify) (2)
B22 Reason
Item
B22 If not, please specify reason:
text
Item
B23 Are the blood samples complete (all tubes filled)?
integer
Code List
B23 Are the blood samples complete (all tubes filled)?
CL Item
Yes (1)
CL Item
No (2)
B24 End of blood collection
Item
B24 Exact time at the end of blood collection (see clock)
time
Item
B25 Any deviations/problems during blood collection?
integer
Code List
B25 Any deviations/problems during blood collection?
CL Item
Yes (Specify in B26) (1)
CL Item
No (Proceed with B27) (2)
B26 1. Congestion
Item
B26 1. Congestion > 1 min.
boolean
B26 2. Hot fomentation
Item
B26 2. Hot fomentation
boolean
B26 3. Forced aspiration, slow blood flow
Item
B26 3. Forced aspiration, slow blood flow
boolean
B26 4. Prolonged poking at the same site
Item
B26 4. Prolonged poking at the same site
boolean
B26 5. Secondary bleeding
Item
B26 5. Secondary bleeding
boolean
B 26 6. Other deviations/problems
Item
B 26 6. Other deviations/problems
text
B27 Comments
Item
B27 Comments
text
End of examination
Item
End of examination
time
B28 Succesful urine collection
Item
B28 Urine collection succesful?
boolean
B29 Time of urine collection
Item
B29 Time of urine collection
time
Item Group
Data entry
1st data entry: DNo.
Item
1st data entry: DNo.
text
1st data entry: Date
Item
1st data entry: Date
date
2nd data entry: DNo.
Item
2nd data entry: DNo.
text
2nd data entry: Date
Item
2nd data entry: Date
date

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