heart failure and acute heart failure syndrome defined by: chief complaint of dyspnea or fatigue; elevated left ventricular pressure
Item
admission diagnosis of heart failure and acute heart failure syndrome as defined by the following: a chief complaint of dyspnea or fatigue; elevated left ventricular pressure. elevated left ventricular pressure is indicated by at least one of the following: signs of volume overload pedal edema, crackles, consistent chest x-ray, increased measurement of left ventricular end-diastolic diameter or volume, or elevated bnp level.
boolean
C0018801 (UMLS CUI [1])
C0264714 (UMLS CUI [2])
C0277786 (UMLS CUI [3,1])
C0013404 (UMLS CUI [3,2])
C0277786 (UMLS CUI [4,1])
C0015672 (UMLS CUI [4,2])
C3163633 (UMLS CUI [5,1])
C0456189 (UMLS CUI [5,2])
previously unrecognized and/or untreated SDB diagnosed or confirmed by polysomnography during hospitalization with ahfs
Item
previously unrecognized or recognized but untreated sleep disordered breathing diagnosed or confirmed on attended inpatient sleep study during the index hospitalization with ahfs. sdb is defined as one of the following syndromes: 1. ahi>15 with more than 50% apneas being central (csa); or 2. ahi>30 events with more than 50% of the events being obstructive (severe osa) in patients with lvef <30%
boolean
C0205156 (UMLS CUI [1,1])
C4288068 (UMLS CUI [1,2])
C0037315 (UMLS CUI [1,3])
C0162701 (UMLS CUI [1,4])
C0019993 (UMLS CUI [1,5])
C0264714 (UMLS CUI [1,6])
C0205156 (UMLS CUI [2,1])
C0332155 (UMLS CUI [2,2])
C0037315 (UMLS CUI [2,3])
C0162701 (UMLS CUI [2,4])
C0019993 (UMLS CUI [2,5])
C0264714 (UMLS CUI [2,6])
expected length of stay
Item
projected length of stay >2 days on admission day to ensure uniformity of the underlying severity of the ahfs and to enable the introduction of the asv device and education
boolean
C1517001 (UMLS CUI [1,1])
C0023303 (UMLS CUI [1,2])
recent left ventricular ejection fraction
Item
lvef <45% within 1 year of admission. an echocardiogram may be performed to confirm the lvef during the hospitalization to determine eligibility.
boolean
C0332185 (UMLS CUI [1,1])
C0428772 (UMLS CUI [1,2])
ongoing targeted treatment for heart failure during current hospitalization including: iv diuretics, iv infusion of inotropes or vasodilators, or planned revascularization, or device therapy
Item
ongoing targeted treatment for heart failure during the current hospitalization including at least one of the following: iv diuretics, iv infusion of inotropes or vasodilators, or planned revascularization, or device therapy.
boolean
C0549178 (UMLS CUI [1,1])
C2985566 (UMLS CUI [1,2])
C0018801 (UMLS CUI [1,3])
C0347984 (UMLS CUI [1,4])
C0019993 (UMLS CUI [1,5])
C0012798 (UMLS CUI [2,1])
C1522726 (UMLS CUI [2,2])
C0304509 (UMLS CUI [3,1])
C1522726 (UMLS CUI [3,2])
C1522726 (UMLS CUI [4,1])
C0042402 (UMLS CUI [4,2])
C1301732 (UMLS CUI [5,1])
C0581603 (UMLS CUI [5,2])
C1504335 (UMLS CUI [6])
supplemental oxygen as prior therapy for indication other than sdb or heart failure (chronic respiratory insufficiency)
Item
patients who were on supplemental oxygen for an indication other than sdb or heart failure prior to admission. these are patients who have chronic respiratory insufficiency.
boolean
C1514463 (UMLS CUI [1,1])
C4534306 (UMLS CUI [1,2])
C0332300 (UMLS CUI [2,1])
C3146298 (UMLS CUI [2,2])
C0037315 (UMLS CUI [2,3])
C0332300 (UMLS CUI [3,1])
C3146298 (UMLS CUI [3,2])
C0018801 (UMLS CUI [3,3])
C1998122 (UMLS CUI [4])
on treatment targeting csa or osa and already provided and rejected positive airway pressure therapy due to intolerance of the pressure or claustrophobia
Item
patients on treatment targeting csa or osa (asv, oxygen, or cpap); and patients who already provided and rejected positive airway pressure therapy due to intolerance of the pressure or the claustrophobia.
boolean
C0087111 (UMLS CUI [1,1])
C0520680 (UMLS CUI [1,2])
C0087111 (UMLS CUI [2,1])
C0520679 (UMLS CUI [2,2])
C0199451 (UMLS CUI [3,1])
C1548437 (UMLS CUI [3,2])
C1704410 (UMLS CUI [3,3])
C0205160 (UMLS CUI [3,4])
C0199451 (UMLS CUI [4,1])
C1548437 (UMLS CUI [4,2])
C0008909 (UMLS CUI [4,3])
cardiogenic shock and hemodynamic instability with map less than 55 mmhg off vasopressors, or concurrently on vasopressor treatment, left ventricular assist devices, or intra-aortic balloon pump. inotropic agents will not constitute an exclusion criterion
Item
cardiogenic shock and hemodynamic instability with map less than 55 mmhg off vasopressors, or concurrently on vasopressor treatment, left ventricular assist devices, or intra-aortic balloon pump. inotropic agents will not constitute an exclusion criterion. patients will be eligible once more stable off vasopressors.
boolean
C0036980 (UMLS CUI [1,1])
C0428886 (UMLS CUI [1,2])
C1518544 (UMLS CUI [1,3])
C0042397 (UMLS CUI [1,4])
C0948268 (UMLS CUI [2,1])
C0428886 (UMLS CUI [2,2])
C1518544 (UMLS CUI [2,3])
C0042397 (UMLS CUI [2,4])
C0036980 (UMLS CUI [3,1])
C0428886 (UMLS CUI [3,2])
C0042397 (UMLS CUI [3,3])
C0332300 (UMLS CUI [4,1])
C0304509 (UMLS CUI [4,2])
C0036980 (UMLS CUI [5,1])
C0428886 (UMLS CUI [5,2])
C0181598 (UMLS CUI [5,3])
C0036980 (UMLS CUI [6,1])
C0428886 (UMLS CUI [6,2])
C0702122 (UMLS CUI [6,3])
C0948268 (UMLS CUI [7,1])
C0428886 (UMLS CUI [7,2])
C0042397 (UMLS CUI [7,3])
C0332300 (UMLS CUI [8,1])
C0304509 (UMLS CUI [8,2])
C0948268 (UMLS CUI [9,1])
C0428886 (UMLS CUI [9,2])
C0181598 (UMLS CUI [9,3])
C0948268 (UMLS CUI [10,1])
C0428886 (UMLS CUI [10,2])
C0021860 (UMLS CUI [10,3])
acute respiratory failure or insufficiency defined by pao2/fio2 ratio or fio2 requirement
Item
acute respiratory failure or insufficiency defined by (pao2/fio2) ratio less than 250, or fio2 requirement more than 40%. patients are eligible to participate once their fio2 requirement is below 30%.
boolean
C0205178 (UMLS CUI [1,1])
C1145670 (UMLS CUI [1,2])
C0205178 (UMLS CUI [2,1])
C0035229 (UMLS CUI [2,2])
C4087239 (UMLS CUI [3])
C0428167 (UMLS CUI [4])
overt neurological deficit or having arrived from or being expected to be dicharged to a long-term care facility and having poor functional outcome precluding ability for independent use of asv device
Item
overt neurological deficit or patients who arrived from a long-term care facility or expected to be discharged to one; and patients who have very poor functional outcome precluding ability to use the asv device independently
boolean
C0521654 (UMLS CUI [1])
C2982691 (UMLS CUI [2,1])
C1708733 (UMLS CUI [2,2])
C1517001 (UMLS CUI [3,1])
C0030685 (UMLS CUI [3,2])
C1708733 (UMLS CUI [3,3])
C2700379 (UMLS CUI [4,1])
C1547647 (UMLS CUI [4,2])
C0521102 (UMLS CUI [4,3])
C1299583 (UMLS CUI [4,4])
C4285752 (UMLS CUI [4,5])
C0699733 (UMLS CUI [4,6])
renal failure requiring renal replacement therapy. not excluded for undergoing ultra-filtration for volume removal
Item
renal failure requiring renal replacement therapy; patients will not be excluded if they were undergoing ultra-filtration for volume removal.
boolean
C0035078 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0206074 (UMLS CUI [1,3])
C0332300 (UMLS CUI [2,1])
C0041612 (UMLS CUI [2,2])
C0449468 (UMLS CUI [2,3])
C1883720 (UMLS CUI [2,4])
moderate to severe chronic obstructive lung disease (fev1/fvc < 55%)
Item
moderate to severe chronic obstructive lung disease (fev1/fvc < 55%).
boolean
C1299393 (UMLS CUI [1,1])
C0024117 (UMLS CUI [1,2])
C0429745 (UMLS CUI [2])
likely to receive heart transplant or left ventricular assist device (lvad) in the subsequent year
Item
patients who are likely to receive heart transplant or left ventricular assist device (lvad) in the subsequent year. these are patients who have high standing on the transplant list during the index hospitalization or have a cardiothoracic evaluation for implantation of lvad.
boolean
C0750492 (UMLS CUI [1,1])
C0018823 (UMLS CUI [1,2])
C0016884 (UMLS CUI [1,3])
C0750492 (UMLS CUI [2,1])
C0181598 (UMLS CUI [2,2])
C0016884 (UMLS CUI [2,3])
long term or "bridging" inotropic infusion, or short life expectancy due to concomitant illness or heart failure
Item
patients on long term or "bridging" inotropic infusion, or short life expectancy due to concomitant illness or heart failure
boolean
C0420257 (UMLS CUI [1,1])
C0304509 (UMLS CUI [1,2])
C0574032 (UMLS CUI [1,3])
C0205103 (UMLS CUI [2,1])
C0304509 (UMLS CUI [2,2])
C0574032 (UMLS CUI [2,3])
C0023671 (UMLS CUI [3,1])
C0392756 (UMLS CUI [3,2])
C0009488 (UMLS CUI [3,3])
C0023671 (UMLS CUI [4,1])
C0392756 (UMLS CUI [4,2])
C0018801 (UMLS CUI [4,3])
reporting severe sleepiness or considering themselves at risk while driving
Item
patients who report severe sleepiness or who consider themselves at risk while driving
boolean
C0013144 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0035647 (UMLS CUI [2,1])
C0004379 (UMLS CUI [2,2])
failing the secondary screening procedure
Item
patients who fail the secondary screening procedure. secondary screening procedure involves the patient being asked to wear the device and experience the pressure delivery for at least 30 minutes while relaxed.
boolean
C0205436 (UMLS CUI [1,1])
C0220908 (UMLS CUI [1,2])
C0231175 (UMLS CUI [1,3])