ID

20256

Beschrijving

The purpose of the trial is to determine if extended-release dipyridamole + aspirin [Aggrenox, Asasa ntin] is superior to clopidogrel [Plavix], and if telmisartan [Micardis, Gliosartan, Kinzal, Kinzalm ono, Predxal, Pritor, Samertan, Telmisartan] is superior to placebo, in the presence of background antihypertensive therapy, in prevention of a second stroke in patients who have recently suffered a stroke and therefore are at high risk of suffering another one. Alcohol consumption: Regular alcohol consumption: respond yes if consumption is >1 drink per week. (1 drink=1 glass beer, 1.5 ounces/50 mis or more of hard liquor or 1 glass of wine).

Trefwoorden

Versies (2)
  1. 31-01-17 31-01-17 -
  2. 16-02-17 16-02-17 -
Geüploaded op

16 februari 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Tobacco Use Alcohol Consumption PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

Engels

Tobacco Use Alcohol Consumption PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

1 Formulieren  
1. Tobacco Use
Beschrijving

1. Tobacco Use

Alias
UMLS CUI-1
C0543414
Never
Beschrijving

Never

Datatype

boolean

Alias
UMLS CUI [1,1]
C2003901
UMLS CUI [1,2]
C0543414
Former User
Beschrijving

Former User

Datatype

boolean

Alias
UMLS CUI [1]
C0337671
Age starting using tobacco (yrs)
Beschrijving

Age starting using tobacco

Datatype

float

Alias
UMLS CUI [1]
C0453999
Age stopped using tobacco (yrs)
Beschrijving

Age stopped using tobacco

Datatype

float

Alias
UMLS CUI [1]
C3173291
Current user
Beschrijving

Current user

Datatype

boolean

Alias
UMLS CUI [1]
C3241966
2. Type of tobacco use
Beschrijving

2. Type of tobacco use

Alias
UMLS CUI-1
C3166496
Cigarettes (Filter)
Beschrijving

Cigarettes

Datatype

boolean

Alias
UMLS CUI [1]
C0678442
Cigarettes (Non-Filter)
Beschrijving

Cigarettes

Datatype

boolean

Alias
UMLS CUI [1,1]
C1298908
UMLS CUI [1,2]
C0678442
Average # per day (Filter + Non-Filter)
Beschrijving

Average # per day

Datatype

float

Alias
UMLS CUI [1]
C3694146
Pipes/ Cigars
Beschrijving

Pipes/ Cigars

Datatype

boolean

Alias
UMLS CUI [1]
C0240766
UMLS CUI [2]
C2242892
Chewing tobacco/snuff
Beschrijving

Chewing tobacco/snuff

Datatype

boolean

Alias
UMLS CUI [1]
C0008038
Other
Beschrijving

Other

Datatype

integer

Alias
UMLS CUI [1,1]
C3166496
UMLS CUI [1,2]
C0205394
Specify other
Beschrijving

Specify

Datatype

text

Alias
UMLS CUI [1]
C2348235
Alcohol Consumption
Beschrijving

Alcohol Consumption

Alias
UMLS CUI-1
C0001948
3. Any regular alcohol consumption (at least 1 drink/week)?
Beschrijving

Regular alcohol consumption

Datatype

boolean

Alias
UMLS CUI [1]
C0552479
If yes answer the following questions:
Beschrijving

If yes answer the following questions:

Datatype

text

Alias
UMLS CUI [1]
C2348235
4. Most common drink consumed (choose only one)
Beschrijving

Most common drink

Datatype

integer

Alias
UMLS CUI [1]
C0459813
5. Average number of drinks/week
Beschrijving

Average number of drinks/week

Datatype

float

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0750480
UMLS CUI [1,3]
C1510992
UMLS CUI [1,4]
C0439230
6. How often are >5 drinks consumed/day
Beschrijving

How often are >5 drinks consumed/day

Datatype

integer

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0750480
UMLS CUI [1,3]
C1510992
UMLS CUI [1,4]
C0439228
Terug naar het begin van de pagina

Similar models

Tobacco Use Alcohol Consumption PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
1. Tobacco Use
C0543414 (UMLS CUI-1)
Never
Item
Never
boolean
C2003901 (UMLS CUI [1,1])
C0543414 (UMLS CUI [1,2])
Former User
Item
Former User
boolean
C0337671 (UMLS CUI [1])
Age starting using tobacco
Item
Age starting using tobacco (yrs)
float
C0453999 (UMLS CUI [1])
Age stopped using tobacco
Item
Age stopped using tobacco (yrs)
float
C3173291 (UMLS CUI [1])
Current user
Item
Current user
boolean
C3241966 (UMLS CUI [1])
Item Group
2. Type of tobacco use
C3166496 (UMLS CUI-1)
Cigarettes
Item
Cigarettes (Filter)
boolean
C0678442 (UMLS CUI [1])
Cigarettes
Item
Cigarettes (Non-Filter)
boolean
C1298908 (UMLS CUI [1,1])
C0678442 (UMLS CUI [1,2])
Average # per day
Item
Average # per day (Filter + Non-Filter)
float
C3694146 (UMLS CUI [1])
Pipes/ Cigars
Item
Pipes/ Cigars
boolean
C0240766 (UMLS CUI [1])
C2242892 (UMLS CUI [2])
Chewing tobacco/snuff
Item
Chewing tobacco/snuff
boolean
C0008038 (UMLS CUI [1])
Item
Other
integer
C3166496 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Other
Code List
Other
CL Item
8 (1)
Specify
Item
Specify other
text
C2348235 (UMLS CUI [1])
Item Group
Alcohol Consumption
C0001948 (UMLS CUI-1)
Regular alcohol consumption
Item
3. Any regular alcohol consumption (at least 1 drink/week)?
boolean
C0552479 (UMLS CUI [1])
If yes answer the following questions:
Item
If yes answer the following questions:
text
C2348235 (UMLS CUI [1])
Item
4. Most common drink consumed (choose only one)
integer
C0459813 (UMLS CUI [1])
Most common drink
Code List
4. Most common drink consumed (choose only one)
CL Item
Beer (1)
CL Item
Wine (2)
CL Item
Hard liquor (3)
Average number of drinks/week
Item
5. Average number of drinks/week
float
C0001948 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C1510992 (UMLS CUI [1,3])
C0439230 (UMLS CUI [1,4])
Item
6. How often are >5 drinks consumed/day
integer
C0001948 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C1510992 (UMLS CUI [1,3])
C0439228 (UMLS CUI [1,4])
How often are >5 drinks consumed/day
Code List
6. How often are >5 drinks consumed/day
CL Item
Every day (1)
CL Item
At least once a week (2)
CL Item
At least once a month (3)
CL Item
At least once a year (4)
CL Item
Not in the last year (5)
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial