ID

39461

Beskrivning

Palliative Care in Heart Failure; ODM derived from: https://clinicaltrials.gov/show/NCT01589601

Länk

https://clinicaltrials.gov/show/NCT01589601

Nyckelord

Versioner (1)
  1. 2020-01-12 2020-01-12 -
Rättsinnehavare

See clinicaltrials.gov

Uppladdad den

12 januari 2020

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Eligibility Heart Failure NCT01589601

Engelsk

Eligibility Heart Failure NCT01589601

1 Formulär  
Inclusion Criteria
Beskrivning

Inclusion Criteria

Alias
UMLS CUI
C1512693
duke university hospital inpatient adults
Beskrivning

Inpatient | Adult

Datatyp

boolean

Alias
UMLS CUI [1]
C0021562
UMLS CUI [2]
C0001675
hospitalization for acute decompensated heart failure
Beskrivning

Hospitalization Decompensated cardiac failure

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0581377
dyspnea (shortness of breath) at rest or minimal exertion plus at least 1 sign of volume overload
Beskrivning

Resting Dyspnea | Dyspnea on exertion Minimal | Sign Quantity Fluid overload

Datatyp

boolean

Alias
UMLS CUI [1]
C0743330
UMLS CUI [2,1]
C0231807
UMLS CUI [2,2]
C1524031
UMLS CUI [3,1]
C0311392
UMLS CUI [3,2]
C1265611
UMLS CUI [3,3]
C0546817
previous heart failure hospitalization within the past 1 year
Beskrivning

Hospitalization Due to Heart Failure Previous

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3898876
UMLS CUI [1,2]
C0205156
at significant risk of dying from heart failure in the next 6 months
Beskrivning

At risk Dying | Etiology Heart failure

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1444641
UMLS CUI [1,2]
C0184532
UMLS CUI [2,1]
C0015127
UMLS CUI [2,2]
C0018801
anticipated discharge from hospital with anticipated ability to return to outpatient follow-up appointments
Beskrivning

Discharge from hospital Anticipated | Ability Follow-up Anticipated

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0586003
UMLS CUI [1,2]
C3840775
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C3274571
UMLS CUI [2,3]
C3840775
Exclusion Criteria
Beskrivning

Exclusion Criteria

Alias
UMLS CUI
C0680251
are not an inpatient at duke university hospital
Beskrivning

Patient Except inpatient

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0332300
UMLS CUI [1,3]
C0021562
acute coronary syndrome within 30 days
Beskrivning

Acute Coronary Syndrome

Datatyp

boolean

Alias
UMLS CUI [1]
C0948089
cardiac resynchronization therapy (crt) within the past 3 months or current plan to implant crt device
Beskrivning

Cardiac Resynchronization Therapy | Implantation of CRT-D Planned

Datatyp

boolean

Alias
UMLS CUI [1]
C1167956
UMLS CUI [2,1]
C1135480
UMLS CUI [2,2]
C1301732
active myocarditis, constrictive pericarditis
Beskrivning

Myocarditis | Pericarditis, Constrictive

Datatyp

boolean

Alias
UMLS CUI [1]
C0027059
UMLS CUI [2]
C0031048
severe stenotic valvular disease amenable to surgical intervention
Beskrivning

Valve stenosis Severe | Valve stenosis Amenable Surgical intervention

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1410044
UMLS CUI [1,2]
C0205082
UMLS CUI [2,1]
C1410044
UMLS CUI [2,2]
C3900053
UMLS CUI [2,3]
C0549433
anticipated heart transplant or ventricular assist device within 6 months
Beskrivning

Heart Transplantation Anticipated | Ventricular assist device Anticipated

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0018823
UMLS CUI [1,2]
C3840775
UMLS CUI [2,1]
C0085842
UMLS CUI [2,2]
C3840775
renal replacement therapy
Beskrivning

Renal Replacement Therapy

Datatyp

boolean

Alias
UMLS CUI [1]
C0206074
non-cardiac terminal illness
Beskrivning

Terminal illness | Exception Heart Disease

Datatyp

boolean

Alias
UMLS CUI [1]
C0679247
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C0018799
women who are pregnant or planning to become pregnant
Beskrivning

Pregnancy | Pregnancy, Planned

Datatyp

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C0032992
inability to comply with study protocol
Beskrivning

Protocol Compliance Unable

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0525058
UMLS CUI [1,2]
C1299582
are not proficient in the english language
Beskrivning

Language skills English Lacking

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1145677
UMLS CUI [1,2]
C0376245
UMLS CUI [1,3]
C0332268
Tillbaka till toppen

Similar models

Eligibility Heart Failure NCT01589601

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
C1512693 (UMLS CUI)
Inpatient | Adult
Item
duke university hospital inpatient adults
boolean
C0021562 (UMLS CUI [1])
C0001675 (UMLS CUI [2])
Hospitalization Decompensated cardiac failure
Item
hospitalization for acute decompensated heart failure
boolean
C0019993 (UMLS CUI [1,1])
C0581377 (UMLS CUI [1,2])
Resting Dyspnea | Dyspnea on exertion Minimal | Sign Quantity Fluid overload
Item
dyspnea (shortness of breath) at rest or minimal exertion plus at least 1 sign of volume overload
boolean
C0743330 (UMLS CUI [1])
C0231807 (UMLS CUI [2,1])
C1524031 (UMLS CUI [2,2])
C0311392 (UMLS CUI [3,1])
C1265611 (UMLS CUI [3,2])
C0546817 (UMLS CUI [3,3])
Hospitalization Due to Heart Failure Previous
Item
previous heart failure hospitalization within the past 1 year
boolean
C3898876 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
At risk Dying | Etiology Heart failure
Item
at significant risk of dying from heart failure in the next 6 months
boolean
C1444641 (UMLS CUI [1,1])
C0184532 (UMLS CUI [1,2])
C0015127 (UMLS CUI [2,1])
C0018801 (UMLS CUI [2,2])
Discharge from hospital Anticipated | Ability Follow-up Anticipated
Item
anticipated discharge from hospital with anticipated ability to return to outpatient follow-up appointments
boolean
C0586003 (UMLS CUI [1,1])
C3840775 (UMLS CUI [1,2])
C0085732 (UMLS CUI [2,1])
C3274571 (UMLS CUI [2,2])
C3840775 (UMLS CUI [2,3])
Item Group
C0680251 (UMLS CUI)
Patient Except inpatient
Item
are not an inpatient at duke university hospital
boolean
C0030705 (UMLS CUI [1,1])
C0332300 (UMLS CUI [1,2])
C0021562 (UMLS CUI [1,3])
Acute Coronary Syndrome
Item
acute coronary syndrome within 30 days
boolean
C0948089 (UMLS CUI [1])
Cardiac Resynchronization Therapy | Implantation of CRT-D Planned
Item
cardiac resynchronization therapy (crt) within the past 3 months or current plan to implant crt device
boolean
C1167956 (UMLS CUI [1])
C1135480 (UMLS CUI [2,1])
C1301732 (UMLS CUI [2,2])
Myocarditis | Pericarditis, Constrictive
Item
active myocarditis, constrictive pericarditis
boolean
C0027059 (UMLS CUI [1])
C0031048 (UMLS CUI [2])
Valve stenosis Severe | Valve stenosis Amenable Surgical intervention
Item
severe stenotic valvular disease amenable to surgical intervention
boolean
C1410044 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C1410044 (UMLS CUI [2,1])
C3900053 (UMLS CUI [2,2])
C0549433 (UMLS CUI [2,3])
Heart Transplantation Anticipated | Ventricular assist device Anticipated
Item
anticipated heart transplant or ventricular assist device within 6 months
boolean
C0018823 (UMLS CUI [1,1])
C3840775 (UMLS CUI [1,2])
C0085842 (UMLS CUI [2,1])
C3840775 (UMLS CUI [2,2])
Renal Replacement Therapy
Item
renal replacement therapy
boolean
C0206074 (UMLS CUI [1])
Terminal illness | Exception Heart Disease
Item
non-cardiac terminal illness
boolean
C0679247 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0018799 (UMLS CUI [2,2])
Pregnancy | Pregnancy, Planned
Item
women who are pregnant or planning to become pregnant
boolean
C0032961 (UMLS CUI [1])
C0032992 (UMLS CUI [2])
Protocol Compliance Unable
Item
inability to comply with study protocol
boolean
C0525058 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
Language skills English Lacking
Item
are not proficient in the english language
boolean
C1145677 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0332268 (UMLS CUI [1,3])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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