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21021

Description

Prospective Record Of the Use of Dabigatran in Patients With Acute Stroke or TIA (PRODAST) permission granted by Prof. Dr. Christian Weimar, University Hospital Essen The multi-center, prospective PRODAST study is investigating patients with non-valvular atrial fibrillation (AF) who experienced an ischemic stroke or a transient ischemic attack (TIA) recently (≤ 1 week) both with and without previous oral anticoagulation. This is the Concomitant Therapy form. https://clinicaltrials.gov/ct2/show/NCT02507856

Lien

https://clinicaltrials.gov/ct2/show/NCT02507856

Mots-clés

Versions (1)
  1. 03/04/2017 03/04/2017 -
Téléchargé le

3 avril 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY 4.0
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    Prodast Dabigatran NCT02507856 Concomitant Therapy

    Allemand ( localization.languageCode.DE )

    Prodast Dabigatran NCT02507856 Concomitant Therapy

    1 Formulaires  
    Concomitant Therapy
    Description

    Concomitant Therapy

    Alias
    UMLS CUI-1
    C1707479
    ID
    Description

    tblSAE_C M.cm_saei d

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0600091
    UMLS CUI [1,2]
    C0013227
    Therapy
    Description

    tblSAE_C M.cmterm

    Type de données

    text

    Alias
    UMLS CUI [1]
    C2347852
    Formulation
    Description

    tblSAE_C M.cmform

    Type de données

    integer

    Alias
    UMLS CUI [1,1]
    C1705957
    UMLS CUI [1,2]
    C2347852
    Specify
    Description

    tblSAE_C M.cmform oth

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C1705957
    UMLS CUI [1,2]
    C2347852
    Total daily dose
    Description

    tblSAE_C M.cmdose

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0013227
    UMLS CUI [1,2]
    C2348070
    UMLS CUI [1,3]
    C2347852
    Unit
    Description

    tblSAE_C M.cmdose

    Type de données

    integer

    Alias
    UMLS CUI [1,1]
    C0013227
    UMLS CUI [1,2]
    C2348070
    UMLS CUI [1,3]
    C0439148
    UMLS CUI [1,4]
    C2347852
    Specify unit
    Description

    tblSAE_C M.cmunitoth

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0013227
    UMLS CUI [1,2]
    C2348070
    UMLS CUI [1,3]
    C0439148
    UMLS CUI [1,4]
    C2347852
    Route
    Description

    tblSAE_C M.cmroute

    Type de données

    integer

    Alias
    UMLS CUI [1,1]
    C0013153
    UMLS CUI [1,2]
    C2347852
    Specify
    Description

    tblSAE_C M.cmroute oth

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C2347852
    UMLS CUI [1,2]
    C0013153
    Start date
    Description

    tblSAE_C M.cmstdat

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C0808070
    UMLS CUI [1,2]
    C2347852
    Ongoing?
    Description

    tblSAE_C M.cmongo

    Type de données

    integer

    Alias
    UMLS CUI [1,1]
    C2347852
    UMLS CUI [1,2]
    C0549178
    Enddate
    Description

    tblSAE_C M.cmendat

    Type de données

    date

    Alias
    UMLS CUI [1,1]
    C2347852
    UMLS CUI [1,2]
    C1531784
    Indication for use
    Description

    tblSAE_C M.cmind

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C2347852
    UMLS CUI [1,2]
    C1283828
    Reasonal causal relationship to any event from this report?
    Description

    tblSAE_C M.cmrel

    Type de données

    integer

    Alias
    UMLS CUI [1,1]
    C2347852
    UMLS CUI [1,2]
    C0869014
    UMLS CUI [1,3]
    C0877248
    Retour au début de la page

    Similar models

    Prodast Dabigatran NCT02507856 Concomitant Therapy

    1 Formulaires
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Concomitant Therapy
    C1707479 (UMLS CUI-1)
    tblSAE_C M.cm_saei d
    Item
    ID
    text
    C0600091 (UMLS CUI [1,1])
    C0013227 (UMLS CUI [1,2])
    tblSAE_C M.cmterm
    Item
    Therapy
    text
    C2347852 (UMLS CUI [1])
    Item
    Formulation
    integer
    C1705957 (UMLS CUI [1,1])
    C2347852 (UMLS CUI [1,2])
    tblSAE_C M.cmform
    Code List
    Formulation
    CL Item
    Tablet  (1)
    CL Item
    Capsule  (2)
    CL Item
    Ointment [Salbe]  (3)
    CL Item
    Ointment [Salbe]  (3)
    CL Item
    Aerosol  (5)
    CL Item
    Suppository [Zäpfchen]  (4)
    CL Item
    Solution  (7)
    CL Item
    Suspension  (8)
    CL Item
    Patch [Pflaster]  (9)
    CL Item
    Aerosol  (5)
    CL Item
    Spray  (6)
    CL Item
    Solution  (7)
    CL Item
    Powder  (13)
    CL Item
    Suspension  (8)
    CL Item
    Patch [Pflaster]  (9)
    CL Item
    Gas  (10)
    CL Item
    Gel  (11)
    CL Item
    Cream  (12)
    CL Item
    Powder  (13)
    CL Item
    Other (14)
    tblSAE_C M.cmform oth
    Item
    Specify
    text
    C1705957 (UMLS CUI [1,1])
    C2347852 (UMLS CUI [1,2])
    tblSAE_C M.cmdose
    Item
    Total daily dose
    text
    C0013227 (UMLS CUI [1,1])
    C2348070 (UMLS CUI [1,2])
    C2347852 (UMLS CUI [1,3])
    Item
    Unit
    integer
    C0013227 (UMLS CUI [1,1])
    C2348070 (UMLS CUI [1,2])
    C0439148 (UMLS CUI [1,3])
    C2347852 (UMLS CUI [1,4])
    tblSAE_C M.cmdose
    Code List
    Unit
    CL Item
    g (1)
    CL Item
    mg (2)
    CL Item
    μg (3)
    CL Item
    ng (4)
    CL Item
    mL (5)
    CL Item
    L (6)
    CL Item
    drops (8)
    CL Item
    - (10)
    CL Item
    Other (11)
    CL Item
    IU (7)
    tblSAE_C M.cmunitoth
    Item
    Specify unit
    text
    C0013227 (UMLS CUI [1,1])
    C2348070 (UMLS CUI [1,2])
    C0439148 (UMLS CUI [1,3])
    C2347852 (UMLS CUI [1,4])
    Item
    Route
    integer
    C0013153 (UMLS CUI [1,1])
    C2347852 (UMLS CUI [1,2])
    tblSAE_C M.cmroute
    Code List
    Route
    CL Item
    Intravenous (1)
    CL Item
    Oral (2)
    CL Item
    Oral (2)
    CL Item
    Topical (3)
    CL Item
    Subcutaneous (4)
    CL Item
    Sublingual (6)
    CL Item
    Transdermal (5)
    CL Item
    Intramuscular (8)
    CL Item
    Sublingual (6)
    CL Item
    Intralesional (10)
    CL Item
    Intraocular (7)
    CL Item
    Nasal (12)
    CL Item
    Intramuscular (8)
    CL Item
    Rectal (14)
    CL Item
    Respiratory (Inhalation) (9)
    CL Item
    Intralesional (10)
    CL Item
    Intraperitoneal (11)
    CL Item
    Nasal (12)
    CL Item
    Vaginal (13)
    CL Item
    Rectal (14)
    CL Item
    Other (15)
    tblSAE_C M.cmroute oth
    Item
    Specify
    text
    C2347852 (UMLS CUI [1,1])
    C0013153 (UMLS CUI [1,2])
    tblSAE_C M.cmstdat
    Item
    Start date
    date
    C0808070 (UMLS CUI [1,1])
    C2347852 (UMLS CUI [1,2])
    Item
    Ongoing?
    integer
    C2347852 (UMLS CUI [1,1])
    C0549178 (UMLS CUI [1,2])
    tblSAE_C M.cmongo
    Code List
    Ongoing?
    CL Item
    Yes (1)
    tblSAE_C M.cmendat
    Item
    Enddate
    date
    C2347852 (UMLS CUI [1,1])
    C1531784 (UMLS CUI [1,2])
    tblSAE_C M.cmind
    Item
    Indication for use
    text
    C2347852 (UMLS CUI [1,1])
    C1283828 (UMLS CUI [1,2])
    Item
    Reasonal causal relationship to any event from this report?
    integer
    C2347852 (UMLS CUI [1,1])
    C0869014 (UMLS CUI [1,2])
    C0877248 (UMLS CUI [1,3])
    tblSAE_C M.cmrel
    Code List
    Reasonal causal relationship to any event from this report?
    CL Item
    Yes (1)
    CL Item
    No (0)
    Retour au début de la page 

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