ID

42639

Beschrijving

The MEDUSA project (medical education for sepsis source control and antibiotics) is a scientific study of the integrated research and treatment center "Center for Sepsis Control and Care" (CSCC) of the University Hospital Jena, Thuringia, Germany. Its aim is to investigate whether a multimodal and interdisciplinary training concept for the early recognition and standardized treatment of patients with sepsis improves time to administration of first antibiotic and survival of patients. Original forms obtained from: http://www.medusa.uniklinikum-jena.de/Datenerfassung.html

Link

http://www.medusa.uniklinikum-jena.de/Datenerfassung.html

Trefwoorden

Versies (4)
  1. 08-05-16 08-05-16 -
  2. 26-05-16 26-05-16 -
  3. 20-07-16 20-07-16 - Julian Varghese
  4. 17-09-21 17-09-21 -
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17 september 2021

DOI

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Creative Commons BY-NC 3.0
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Sepsis-associated organ dysfunction report form MEDUSA project

Engels

Sepsis-associated organ dysfunction report form MEDUSA project

1 Formulieren  
Header module
Beschrijving

Header module

Study Subject ID
Beschrijving

subject id

Datatype

integer

Alias
UMLS CUI [1]
C2348585
document creator
Beschrijving

document creator

Datatype

integer

Alias
UMLS CUI [1]
C1707531
Patient demographics
Beschrijving

Patient demographics

Age
Beschrijving

Age

Datatype

integer

Alias
UMLS CUI [1]
C0001779
Sex
Beschrijving

sex

Datatype

integer

Alias
UMLS CUI [1]
C0079399
Hospital admission
Beschrijving

Hospital admission

Datatype

date

Alias
UMLS CUI [1]
C0184666
Admission to intensive care unit
Beschrijving

Date and exact time

Datatype

date

Alias
UMLS CUI [1]
C0583239
Reason for admission to intensive care
Beschrijving

reason for admission to intensive care

Datatype

integer

Alias
UMLS CUI [1]
C0021708
Height
Beschrijving

Height

Datatype

integer

Maateenheden
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Beschrijving

Weight

Datatype

integer

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Sepsis
Beschrijving

Sepsis

Sepsis ODF start time and date
Beschrijving

Point in time of first documented ODF

Datatype

date

Alias
UMLS CUI [1]
C0342959
Place of first onset of sepsis-associated organ dysfunction
Beschrijving

Place of first onset of sepsis-associated organ dysfunction

Datatype

integer

Alias
UMLS CUI [1,1]
C0342959
UMLS CUI [1,2]
C0450429
Origin of infection
Beschrijving

Origin of infection

Datatype

integer

Alias
UMLS CUI [1,1]
C0449689
UMLS CUI [1,2]
C0009450
Source of infection
Beschrijving

Source of infection

Datatype

integer

Alias
UMLS CUI [1]
C0449426
New sepsis-associated organ dysfunction within first 12 hours
Beschrijving

New sepsis-associated organ dysfunction within first 12 hours

Vigilance
Beschrijving

Vigilance

Datatype

boolean

Alias
UMLS CUI [1]
C0920048
Oxygenation impairment
Beschrijving

Oxygenation impairment

Datatype

boolean

Alias
UMLS CUI [1,1]
C0231940
UMLS CUI [1,2]
C0221099
Hypotension
Beschrijving

Hypotension

Datatype

boolean

Alias
UMLS CUI [1]
C0020649
Vasopressor
Beschrijving

Vasopressor

Datatype

boolean

Alias
UMLS CUI [1]
C0042397
Inotropic agent
Beschrijving

Inotropic agent

Datatype

boolean

Alias
UMLS CUI [1]
C0304509
Oliguria
Beschrijving

Oliguria

Datatype

boolean

Alias
UMLS CUI [1]
C0028961
Acute Kidney Failure
Beschrijving

Acute Kidney Failure

Datatype

integer

Alias
UMLS CUI [1]
C0022660
Thrombocytopenia
Beschrijving

Thrombocytopenia

Datatype

boolean

Alias
UMLS CUI [1]
C0040034
metabolic acidosis
Beschrijving

metabolic acidosis

Datatype

boolean

Alias
UMLS CUI [1]
C0220981
First manifestation of sepsis-associated organ dysfunction
Beschrijving

First manifestation of sepsis-associated organ dysfunction

Alias
UMLS CUI-1
C1280464
Vigilance
Beschrijving

Vigilance

Datatype

boolean

Alias
UMLS CUI [1]
C0920048
Oxygenation impairment
Beschrijving

Oxygenation impairment

Datatype

boolean

Alias
UMLS CUI [1,1]
C0231940
UMLS CUI [1,2]
C0221099
Hypotension
Beschrijving

Hypotension

Datatype

boolean

Alias
UMLS CUI [1]
C0020649
Vasopressor
Beschrijving

Vasopressor

Datatype

boolean

Alias
UMLS CUI [1]
C0042397
Inotropic agent
Beschrijving

Inotropic agent

Datatype

boolean

Alias
UMLS CUI [1]
C0304509
Oliguria
Beschrijving

Oliguria

Datatype

boolean

Alias
UMLS CUI [1]
C0028961
Acute Kidney Failure
Beschrijving

Acute Kidney Failure

Datatype

boolean

Alias
UMLS CUI [1]
C0022660
Thrombocytopenia
Beschrijving

Thrombocytopenia

Datatype

boolean

Alias
UMLS CUI [1]
C0040034
Metabolic acidosis
Beschrijving

Metabolic acidosis

Datatype

boolean

Alias
UMLS CUI [1]
C0220981
Exclusion criteria at time of first onset of sepsis-associated organ dysfunction
Beschrijving

Exclusion criteria at time of first onset of sepsis-associated organ dysfunction

Was the sepsis therapy initiated at another hospital?
Beschrijving

Was the sepsis therapy initiated at another hospital?

Datatype

boolean

Alias
UMLS CUI [1,1]
C0243026
UMLS CUI [1,2]
C0087111
Has necessary treatment been withheld due to therapy limitations?
Beschrijving

Has necessary treatment been withheld due to therapy limitations?

Datatype

boolean

Alias
UMLS CUI [1]
C0871549
Has the treatment been started without transfer of patient to intensive care?
Beschrijving

Has the treatment been started without transfer of patient to intensive care?

Datatype

boolean

Alias
UMLS CUI [1,1]
C0085559
UMLS CUI [1,2]
C0030704
Clinical data within the first 24 hours of treatment
Beschrijving

Clinical data within the first 24 hours of treatment

Simplified acute physiology score
Beschrijving

Simplified acute physiology score

Datatype

integer

Alias
UMLS CUI [1]
C0451480
Glasgow Coma Scale
Beschrijving

Glasgow Coma Scale

Datatype

integer

Alias
UMLS CUI [1]
C1271007
Horowitz index - oxygenation ratio (paO2/FiO2)
Beschrijving

Horowitz index

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C1977592
mmHg
Temperature
Beschrijving

Temperature

Datatype

integer

Maateenheden
  • °C
Alias
UMLS CUI [1]
C0039476
°C
Heart rate
Beschrijving

Heart rate

Datatype

integer

Maateenheden
  • 1/min
Alias
UMLS CUI [1]
C0018810
1/min
Respiration
Beschrijving

Respiration

Datatype

integer

Alias
UMLS CUI [1]
C0035203
Cardiovascular finding
Beschrijving

single selection - worst score

Datatype

integer

Alias
UMLS CUI [1]
C0425560
Diuresis
Beschrijving

Diuresis

Datatype

integer

Maateenheden
  • ml/24h
Alias
UMLS CUI [1]
C0012797
ml/24h
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Similar models

Sepsis-associated organ dysfunction report form MEDUSA project

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Header module
subject id
Item
Study Subject ID
integer
C2348585 (UMLS CUI [1])
document creator
Item
document creator
integer
C1707531 (UMLS CUI [1])
Item Group
Patient demographics
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Item
Sex
integer
C0079399 (UMLS CUI [1])
Sex
Code List
Sex
CL Item
Male (1)
C1706180 (UMLS CUI-1)
CL Item
Female (2)
C0086287 (UMLS CUI-1)
Hospital admission
Item
Hospital admission
date
C0184666 (UMLS CUI [1])
Admission to intensive care unit
Item
Admission to intensive care unit
date
C0583239 (UMLS CUI [1])
Item
Reason for admission to intensive care
integer
C0021708 (UMLS CUI [1])
reason for admission to intensive care
Code List
Reason for admission to intensive care
CL Item
Planned surgery (1)
C0515633 (UMLS CUI-1)
CL Item
internal Medicine (2)
C0021782 (UMLS CUI-1)
CL Item
Surgery not planned - emergency (3)
C2216322 (UMLS CUI-1)
CL Item
other (4)
C0205394 (UMLS CUI-1)
CL Item
Injury (5)
C0175677 (UMLS CUI-1)
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Item Group
Sepsis
Sepsis ODF
Item
Sepsis ODF start time and date
date
C0342959 (UMLS CUI [1])
Item
Place of first onset of sepsis-associated organ dysfunction
integer
C0342959 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Place of first onset of sepsis-associated organ dysfunction
Code List
Place of first onset of sepsis-associated organ dysfunction
CL Item
Emergency room (1)
C0583237 (UMLS CUI-1)
CL Item
Intensive care unit (2)
C0021708 (UMLS CUI-1)
CL Item
Normal ward (3)
C0085559 (UMLS CUI-1)
CL Item
Emergency physician (4)
C0420374 (UMLS CUI-1)
CL Item
Intermediate Care (5)
C0021767 (UMLS CUI-1)
Item
Origin of infection
integer
C0449689 (UMLS CUI [1,1])
C0009450 (UMLS CUI [1,2])
Origin of infection
Code List
Origin of infection
CL Item
Community-Acquired Infection  (1)
C0206171 (UMLS CUI-1)
CL Item
Nosocomial (Normal ward)  (2)
C0205721 (UMLS CUI-1)
C0085559 (UMLS CUI-2)
CL Item
Nosocomial (intensive care unit)  (3)
C0205721 (UMLS CUI-1)
C0085559 (UMLS CUI-2)
CL Item
Nosocomial Nursing Homes (4)
C0205721 (UMLS CUI-2)
C0028688 (UMLS CUI-3)
Item
Source of infection
integer
C0449426 (UMLS CUI [1])
Source of infection
Code List
Source of infection
CL Item
Pneumonia  (1)
C0032285 (UMLS CUI-1)
CL Item
Intraabdominal  (2)
C1112209 (UMLS CUI-1)
CL Item
Bacteremia  (3)
C0004610 (UMLS CUI-1)
CL Item
Wound Infection  (4)
C0043241 (UMLS CUI-1)
CL Item
Bones  (5)
C0262950 (UMLS CUI-1)
CL Item
Catheter infection  (6)
C0742006 (UMLS CUI-1)
CL Item
Respiratory System (7)
C0035237 (UMLS CUI-1)
CL Item
gastrointestinal (8)
C0521362 (UMLS CUI-1)
CL Item
genitourinary system (9)
C0042066 (UMLS CUI-1)
CL Item
thoracal (10)
C0817096 (UMLS CUI-1)
CL Item
cardiovascular (11)
C3887460 (UMLS CUI-1)
CL Item
cns (12)
C0686377 (UMLS CUI-1)
CL Item
unknown (13)
C0439673 (UMLS CUI-1)
Item Group
New sepsis-associated organ dysfunction within first 12 hours
Vigilance
Item
Vigilance
boolean
C0920048 (UMLS CUI [1])
Oxygenation impairment
Item
Oxygenation impairment
boolean
C0231940 (UMLS CUI [1,1])
C0221099 (UMLS CUI [1,2])
Hypotension
Item
Hypotension
boolean
C0020649 (UMLS CUI [1])
Vasopressor
Item
Vasopressor
boolean
C0042397 (UMLS CUI [1])
Inotropic agent
Item
Inotropic agent
boolean
C0304509 (UMLS CUI [1])
Oliguria
Item
Oliguria
boolean
C0028961 (UMLS CUI [1])
Item
Acute Kidney Failure
integer
C0022660 (UMLS CUI [1])
Acute Kidney Failure
Code List
Acute Kidney Failure
CL Item
Yes - with Dialysis (1)
C0011946 (UMLS CUI-1)
CL Item
Yes - without Dialysis (2)
CL Item
No (3)
C1298908 (UMLS CUI-1)
Thrombocytopenia
Item
Thrombocytopenia
boolean
C0040034 (UMLS CUI [1])
metabolic acidosis
Item
metabolic acidosis
boolean
C0220981 (UMLS CUI [1])
Item Group
First manifestation of sepsis-associated organ dysfunction
C1280464 (UMLS CUI-1)
Vigilance
Item
Vigilance
boolean
C0920048 (UMLS CUI [1])
Oxygenation impairment
Item
Oxygenation impairment
boolean
C0231940 (UMLS CUI [1,1])
C0221099 (UMLS CUI [1,2])
Hypotension
Item
Hypotension
boolean
C0020649 (UMLS CUI [1])
Vasopressor
Item
Vasopressor
boolean
C0042397 (UMLS CUI [1])
Inotropic agent
Item
Inotropic agent
boolean
C0304509 (UMLS CUI [1])
Oliguria
Item
Oliguria
boolean
C0028961 (UMLS CUI [1])
Acute Kidney Failure
Item
Acute Kidney Failure
boolean
C0022660 (UMLS CUI [1])
Thrombocytopenia
Item
Thrombocytopenia
boolean
C0040034 (UMLS CUI [1])
Metabolic acidosis
Item
Metabolic acidosis
boolean
C0220981 (UMLS CUI [1])
Item Group
Exclusion criteria at time of first onset of sepsis-associated organ dysfunction
Was the sepsis therapy initiated at another hospital?
Item
Was the sepsis therapy initiated at another hospital?
boolean
C0243026 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Has necessary treatment been withheld due to therapy limitations?
Item
Has necessary treatment been withheld due to therapy limitations?
boolean
C0871549 (UMLS CUI [1])
Has the treatment been started without transfer of patient to intensive care?
Item
Has the treatment been started without transfer of patient to intensive care?
boolean
C0085559 (UMLS CUI [1,1])
C0030704 (UMLS CUI [1,2])
Item Group
Clinical data within the first 24 hours of treatment
Item
Simplified acute physiology score
integer
C0451480 (UMLS CUI [1])
SAPS-II- Score
Code List
Simplified acute physiology score
CL Item
unknown (1)
C0439673 (UMLS CUI-1)
Glasgow Coma Scale
Item
Glasgow Coma Scale
integer
C1271007 (UMLS CUI [1])
Horowitz index
Item
Horowitz index - oxygenation ratio (paO2/FiO2)
integer
C1977592 (UMLS CUI [1])
Temperature
Item
Temperature
integer
C0039476 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Item
Respiration
integer
C0035203 (UMLS CUI [1])
Respiration
Code List
Respiration
CL Item
normal  (1)
C0436691 (UMLS CUI-1)
CL Item
Tachypnea (2)
C0231835 (UMLS CUI-1)
CL Item
Beatmung/ CPAP (3)
C0199451 (UMLS CUI-1)
C0199470 (UMLS CUI-2)
CL Item
Unknown (4)
C0439673 (UMLS CUI-1)
Item
Cardiovascular finding
integer
C0425560 (UMLS CUI [1])
Cardiovascular finding
Code List
Cardiovascular finding
CL Item
MAP ≥ 70 mmHg (without catecholamines)  (1)
C0428886 (UMLS CUI-1)
C0007412 (UMLS CUI-2)
CL Item
MAP < 70 mmHg (with catecholamines) (2)
C0428886 (UMLS CUI-1)
CL Item
Dopamin [≤ 5 μg/kg/min] or Dobutamin (3)
C0013030 (UMLS CUI-1)
CL Item
Dopamin [> 5 μg/kg/min] or Epinephrin [≤ 0,1 μg/kg/min] or Norepinephrin [≤ 0,1 μg/kg/min] (4)
C0014563 (UMLS CUI-1)
CL Item
Dopamin [> 15 μg/kg/min] or Epinephrin [> 0,1 μg/kg/min] or Norepinephrin [> 0,1 μg/kg/min] (5)
C0028351 (UMLS CUI-1)
Diuresis
Item
Diuresis
integer
C0012797 (UMLS CUI [1])
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