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Visit 1 Month 0 Toast Criteria Concomitant Medication ACE Inhibitors PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

1 Formulaires  
Toast Criteria
Description

Toast Criteria

1. For the qualifying stroke, please categories the ethnologic below (indicate one only)
Description

Etiologic subtype

Type de données

integer

Concomitant Medication
Description

Concomitant Medication

Alias
UMLS CUI-1
C2347852
2. Are any medications listed below currently being taken on the day of visit 1?
Description

Medication taken

Type de données

boolean

If yes, please indicate which, if any, of the following are currently being taken:
Description

If the patient is taking any restricted (bolded) concomitant medications (see facing page), please ensure these are stopped prior to randomasation.

Type de données

integer

ACE Inhibitors
Description

ACE Inhibitors

Alias
UMLS CUI-1
C0003015
3. Are ACE Inhibitors currently being taken on the day of visit 1?
Description

ACE Inhibitors currently taken

Type de données

boolean

Name of ACE Inhibitor and Total Daily Dose
Description

Name of ACE Inhibitor and Total Daily Dose

Type de données

text

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Similar models

Visit 1 Month 0 Toast Criteria Concomitant Medication ACE Inhibitors PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Toast Criteria
Item
1. For the qualifying stroke, please categories the ethnologic below (indicate one only)
integer
Etiologic subtype
Code List
1. For the qualifying stroke, please categories the ethnologic below (indicate one only)
CL Item
Large-artery atherosclerosis (1)
CL Item
Cardioembolism (2)
CL Item
Small-artery occlusion (lacune) (3)
CL Item
Acute stroke of other determined etiology (4)
CL Item
Stroke of underdetermined etiology (5)
Item Group
Concomitant Medication
C2347852 (UMLS CUI-1)
Medication taken
Item
2. Are any medications listed below currently being taken on the day of visit 1?
boolean
Item
If yes, please indicate which, if any, of the following are currently being taken:
integer
If yes, please indicate which
Code List
If yes, please indicate which, if any, of the following are currently being taken:
CL Item
Dipyridamole (0)
CL Item
Aspirin (1)
CL Item
Ticlopidine (2)
CL Item
Clopidogrel (3)
CL Item
Aspirin/extended release Dipyridamole (4)
CL Item
Oral anticoagulants (5)
CL Item
Nitrates (oral or topical) (6)
CL Item
Estrogen replacement without progesterone (7)
CL Item
Estrogen replacement with progesterone (8)
CL Item
Digitalis (9)
CL Item
Statins (10)
CL Item
Fibrates (11)
CL Item
Dilitazem/Verapamil (12)
CL Item
Other calcium channel blockers (13)
CL Item
Alpha-blocker (14)
CL Item
Direct vasodilators (15)
CL Item
Angiotensin Receptor Blocker (ARB) (16)
CL Item
Peripheral sympatholytic (17)
CL Item
Central sympatholytic (18)
CL Item
Alpha-beta blocker (19)
CL Item
Beta-blocker (20)
CL Item
Loop-active diuretics (21)
CL Item
Diuretics of thiazide type (22)
CL Item
Potassium-sparing diuretics (23)
CL Item
Insulin (24)
CL Item
Oral hypoglycemic agents (25)
CL Item
Non-steroidal anti-inflammatory drugs (26)
CL Item
Specific Cox II inhibitors (27)
Item Group
ACE Inhibitors
C0003015 (UMLS CUI-1)
ACE Inhibitors currently taken
Item
3. Are ACE Inhibitors currently being taken on the day of visit 1?
boolean
Name of ACE Inhibitor and Total Daily Dose
Item
Name of ACE Inhibitor and Total Daily Dose
text
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