ID

21021

Beskrivning

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

Länk

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

Nyckelord

Versioner (1)
  1. 2017-04-03 2017-04-03 -
Uppladdad den

3 april 2017

DOI

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Creative Commons BY 4.0
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Prodast Dabigatran NCT02507856 Concomitant Therapy

Tysk ( localization.languageCode.DE )

Prodast Dabigatran NCT02507856 Concomitant Therapy

1 Formulär  
Concomitant Therapy
Beskrivning

Concomitant Therapy

Alias
UMLS CUI-1
C1707479
ID
Beskrivning

tblSAE_C M.cm_saei d

Datatyp

text

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

tblSAE_C M.cmterm

Datatyp

text

Alias
UMLS CUI [1]
C2347852
Formulation
Beskrivning

tblSAE_C M.cmform

Datatyp

integer

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

tblSAE_C M.cmform oth

Datatyp

text

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

tblSAE_C M.cmdose

Datatyp

text

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

tblSAE_C M.cmdose

Datatyp

integer

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

tblSAE_C M.cmunitoth

Datatyp

text

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

tblSAE_C M.cmroute

Datatyp

integer

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

tblSAE_C M.cmroute oth

Datatyp

text

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

tblSAE_C M.cmstdat

Datatyp

date

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

tblSAE_C M.cmongo

Datatyp

integer

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

tblSAE_C M.cmendat

Datatyp

date

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

tblSAE_C M.cmind

Datatyp

text

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

tblSAE_C M.cmrel

Datatyp

integer

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0869014
UMLS CUI [1,3]
C0877248
Tillbaka till toppen

Similar models

Prodast Dabigatran NCT02507856 Concomitant Therapy

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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)
Tillbaka till toppen 

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