ID

5877

Descrição

2012 ACCF / AHA Data Standard Abdominal Aortic Aneurysm (AAA) data elements see http://www.ncbi.nlm.nih.gov/pubmed/22144570

Link

http://www.ncbi.nlm.nih.gov/pubmed/22144570

Palavras-chave

Versões (6)
  1. 01/11/2014 01/11/2014 - Martin Dugas
  2. 01/11/2014 01/11/2014 - Martin Dugas
  3. 01/11/2014 01/11/2014 - Martin Dugas
  4. 01/11/2014 01/11/2014 - Martin Dugas
  5. 02/11/2014 02/11/2014 - Martin Dugas
  6. 13/04/2021 13/04/2021 - Dr. rer. medic Philipp Neuhaus
Transferido a

1 de novembro de 2014

DOI

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Licença

Creative Commons BY-NC 3.0 Legacy
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Abdominal Aortic Aneurysm (AAA) data elements

Alemão Inglês

Abdominal Aortic Aneurysm (AAA) data elements

1 Formulários  
Patient history (AAA)
Descrição

Patient history (AAA)

Alias
UMLS CUI-1
C0679831
UMLS CUI-2
C0162871
History of present illness (AAA)
Descrição

History of present illness (AAA). Indicate if the patient has been having any of the following symptoms and specify duration. Choose all that apply:

Tipo de dados

integer

Past medical history (AAA)
Descrição

Indicate if the patient has any of the following past medical history

Tipo de dados

integer

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0162871
Family history (AAA)
Descrição

Indicate if the patient has any of the following family history regarding AAA

Tipo de dados

integer

Alias
UMLS CUI-1
C0241889
UMLS CUI-2
C0162871
Physical Assessment Abdominal Aorta
Descrição

Physical Assessment Abdominal Aorta

Alias
UMLS CUI-1
C0031809
Body habitus
Descrição

Indicate the patient’s body habitus

Tipo de dados

integer

Alias
UMLS CUI-1
C1318474
Aortic pulsations
Descrição

Indicate the presence or absence of palpable abdominal aortic pulsations

Tipo de dados

boolean

Alias
UMLS CUI-1
C0425670
Aortic pulsation characteristics
Descrição

Indicate the characteristics of aortic pulsation

Tipo de dados

integer

Aortic diameter
Descrição

Estimate the diameter of AAA by palpation

Tipo de dados

float

Unidades de medida
  • cm
Alias
UMLS CUI-1
C0579133
cm
Abdominal bruit
Descrição

Indicate the presence of abdominal bruit

Tipo de dados

boolean

Alias
UMLS CUI-1
C0221755
Abdominal aortic area tenderness
Descrição

Indicate the presence of tenderness in the abdominal aortic area

Tipo de dados

boolean

Abdominal tenderness
Descrição

Indicate the presence of abdominal tenderness in areas other than the abdominal aortic area

Tipo de dados

boolean

Alias
UMLS CUI-1
C0232498
Abdominal tenderness location
Descrição

Indicate location of abdominal tenderness

Tipo de dados

text

Lumbar spinal tenderness
Descrição

Indicate the presence of lumbar spinal tenderness

Tipo de dados

boolean

Pulses
Descrição

Indicate the characteristics of pulses in the following locations: - Femoral - Popliteal - Dorsalis pedis - Posterior tibial Indicate if pulses are: 0: Absent 1: Diminished 2: Normal 3: Bounding or expansile

Tipo de dados

text

Alias
UMLS CUI-1
C0489442
Diagnostic procedures: noninvasive
Descrição

Diagnostic procedures: noninvasive

Alias
UMLS CUI-1
C0259832
Ultrasonography
Descrição

Ultrasonography Date of procedure Type of aneurysm: Fusiform / Saccular / Pseudoaneurysm Aneurysm size [mm] in anteroposterior, transverse, and longitudinal dimensions. Indicate the distance from the most proximal portion of the aneurysm to its most distal portion in millimeters. Thrombus: yes/no Dissection: yes/no Leak: yes/no

Tipo de dados

text

Alias
UMLS CUI-1
C0041618
Magnetic Resonance Imaging
Descrição

Magnetic Resonance Imaging Date of procedure Method of MRA: - Contrast-enhanced MRA: White blood angiogram obtained by lowering the T1 relaxation time of blood below the surrounding tissue - Time-of-flight MRA: White blood angiogram generated by using the in-flow effect Contrast (gadolinium) used: yes/no Location of the aneurysm - Thoracoabdominal: Type 1 / 2 / 3 / 4 - Abdominal: proximal extent -- Suprarenal -- Juxtarenal -- Infrarenal - Abdominal: distal extent of the aneurysm is the aorta or whether it involves the iliac arteries. -- Aorta -- Aortoiliac: Bi-iliac / Left iliac / Right iliac Type of aneurysm: Fusiform / Saccular / Pseudoaneurysm Aneurysm: size [mm] by recording the maximum axial dimension measured from outer margin to outer margin. The axial dimension should be perpendicular to blood flow. Indicate the distance from the most proximal portion of the aneurysm to the most distal portion in millimeters. Thrombus: yes/no Dissection: yes/no Leak: yes/no Indicate other arteries imaged and indicate the patency or severity of stenosis - Celiac artery - Superior mesenteric artery - Inferior mesenteric femoral artery - Right renal artery - Left renal artery - Right/left CIA - Right/left external iliac artery - Right/left common femoral artery - Right/left internal iliac artery

Tipo de dados

text

Alias
UMLS CUI-1
C0024485
Computed Tomography
Descrição

CT method: Standard /Spiral (helical) / Electron beam Date of procedure Contrast used: - Ionic - Nonionic; specify: -- Monomer -- Dimer Contrast volume [ml] Slice thickness [mm] Format: raw images were reviewed: yes/no Format: reconstructed images were reviewed: yes, Shaded surface images / yes, Maximum intensity projection / no Aneurysm location: - Thoracoabdominal: Type 1 / 2 / 3 / 4 - Abdominal,proximal extent of the aneurysm: Suprarenal / Juxtarenal / Infrarenal — Abdominal, distal extent of the aneurysm is the aorta or whether it involves the iliac arteries: -- Aorta -- Aortoiliac -- Bi-iliac -- Left iliac -- Right iliac Type of aneurysm: - Fusiform - Saccular - Pseudoaneurysm Aneurysm size [mm] by recording the maximum axial dimension from outer margin to outer margin. The axial dimension should be perpendicular to blood flow. Distance from the most proximal portion of the aneurysm to the most distal portion in millimeters. Aortic neck morphology: - Presence or absence of calcification - Presence or absence of thrombus within the neck - Degree of angulation in the neck - Diameter of the neck - Length of the neck from the lowest renal artery to the origin of the aneurysm Thrombus: yes/no Dissection: yes/no Leak: yes/no Indicate other arteries imaged and the patency or severity of stenosis. Choose all that apply: - Celiac artery - Superior mesenteric artery - Inferior mesenteric femoral artery - Right renal artery - Left renal artery - Right/left CIA - Right/left external iliac artery - Right/left common femoral artery

Tipo de dados

text

Alias
UMLS CUI-1
C0040405
Diagnostic Procedures: Invasive
Descrição

Diagnostic Procedures: Invasive

Alias
UMLS CUI-1
C0430022
UMLS CUI-2
C0205281
Catheter Angiography
Descrição

Catheter Angiography Date of procedure Contrast type Contrast amount [ml] Indicate the total fluoroscopy time recorded to the nearest 0.10 min. Time recorded should include the total time for the procedure. Aneurysm location: - Thoracoabdominal: Type 1 / 2 / 3 / 4 - Abdominal, proximal extent: Suprarenal / Juxtarenal / Infrarenal — Abdominal, distal extent: Aorta / Aorto-iliac / Bi-iliac / Left iliac / Right iliac Type of aneurysm: Fusiform / Saccular / Pseudoaneurysm Size of aneurysm [mm] by recording the maximum axial dimension measured from outer margin to outer margin. The axial dimension should be perpendicular to blood flow. Distance from the most proximal portion of the aneurysm to the most distal portion in millimeters. Thrombus: yes/no Dissection: yes/no Leak: yes/no Indicate other arteries imaged and the patency or severity of stenosis. Choose all that apply: - Celiac artery - Superior mesenteric artery - Inferior mesenteric femoral artery - Right renal artery - Left renal artery - Right/left CIA - Right/left external iliac artery - Right/left common femoral artery

Tipo de dados

text

Alias
UMLS CUI-1
C0002979
Treatment: Invasive Therapeutic Procedures
Descrição

Treatment: Invasive Therapeutic Procedures

Alias
UMLS CUI-1
C0087111
Open AAA Repair
Descrição

Open AAA Repair Date of procedure Operator name Extent of aneurysm: - Thoracoabdominal: Type 1 / 2 / 3 / 4 - Associated dissection: yes/no Infrarenal: - Aorta - Aortoiliac -- Bi-iliac -- Left iliac -- Right iliac Proximal clamping site: - Thoracoabdominal: -- Above the mesenteric arteries -- Descending thoracic aorta -- Hypothermic circulatory arrest (no clamp) -- Distal to left subclavian artery -- Proximal to left subclavian artery - Infrarenal: -- Infrarenal -- Supraceliac -- Suprarenal Clamp time proximal Clamp time to restoration of visceral flow Total clamp time Distal clamping site: - Thoracic Clamp site - Segmental clamping: yes/no - Infrarenal: -- Aorta -- CIA -- EIA and IIA Neuroprotection technique (thoracoabdominal) - Clamp and sew (no protection) - Preoperative imaging of spinal perfusion - Retrograde perfusion -- Atrial-femoral bypass -- Axillo-femoral bypass -- Femoro-femoral bypass -- Shunt -- Others: specify - Neurologic monitoring - CSF drainage - Systemic cooling - Epidural cooling - Reimplantation of intercostal arteries: Specify how many Type of graft: - Polyester woven - Polyester knitted - PTFE - Infrarenal: -- Tube graft -- Bifurcated graft -- Site of distal anastomoses (iliac or femoral arteries) Management of visceral segment for thoracoabdominal - Visceral patch, including celiac artery, SMA, right renal artery, and left renal artery. - Visceral patch, including celiac artery, SMA, and right renal artery with left renal artery either bypassed or implanted into aortic graft separately - Individual bypasses to visceral and renal arteries. - Indicate if visceral organ protection was used. If so, specify type (perfusion, cold infusion) Management of inferior mesenteric artery - Chronically occluded - Oversewn - Reimplanted Intraoperative Details for Open AAA Repair Additional procedures: - Renal artery bypass/endarterectomy - Visceral artery procedure (specify) - Other (specify) Intraoperative complications: Yes (specify) / No

Tipo de dados

text

Endovascular AAA Repair
Descrição

Endovascular AAA Repair Date of procedure Operator name Aortic and iliac diameters and lengths - Aortic diameter at lowest renal artery - Aortic diameter 1.5 cm below lowest renal artery - Aortic diameter at terminal aorta - Maximum diameter of right CIA - Maximum diameter of left CIA - Minimum diameter of right EIA - Minimum diameter of left EIA - Length of aorta from lowest renal artery to aortic bifurcation - Length from aortic bifurcation to right IIA - Length from aortic bifurcation to left IIA Type of graft used: - Fixation -- Infrarenal -- Suprarenal - Unibody - Bifurcated -- 1 docking limb -- 2 docking limbs Number of hypogastric arteries excluded: 0 / 1 / 2 Management of inferior mesenteric artery: - Chronically occluded/covered - Coil occluded Extension used: - Distal -- Number and size placed -- Landing zone: CIA / EIA - Proximal — Number and size placed Adjunctive procedures: - Adjunctive angioplasty or stent required. Specify the following: -- Side: indicate left or right -- Location: CIA, IIA, EIA -- Indication - Conduit used for insertion of endograft. Specify the following: -- Side: indicate left or right -- Size and type of graft material of conduit -- Indication - Accessory renal artery management. Specify the following: -- Side: indicate left or right -- Site of artery -- Size of artery -- Treatment: Embolization / Coverage - Iliac embolization. Specify the following: -- Side: indicate left or right -- Size: balloon or stent -- Indication Endograft configuration: - Aorto–bi-iliac - Aorto–uni-iliac graft with femoral artery to femoral artery bypass and iliac artery occlusion Aortic neck morphology: - Presence or absence of calcification - Presence or absence of thrombus within neck - Degree of angulation in the neck. Specify C-arm correction angle in degrees. - Diameter of the neck - Length of the neck from the lowest renal artery to the origin of the aneurysm Intraoperative Details for Endovascular AAA Repair Endoleak present at the end of the case: - Type I - Type II - Type III - Type IV - Undetermined Limb kinking If present, specify the following: - Site - Size - How it was resolved Patency of arteries: - Right/left renal arteries: -- Number - Right/left accessory renal arteries -- Number - Right/left common/external iliac arteries Intraoperative complications: - No - Arterial injury -- Indicate right or left side -- Indicate artery injured - Embolization: --Indicate site — Inadvertent covering of artery -- Indicate site

Tipo de dados

text

Estimated blood loss
Descrição

Estimated blood loss

Tipo de dados

integer

Unidades de medida
  • ml
Alias
UMLS CUI-1
C0019080
ml
Transfused blood products
Descrição

Indicate the blood products transfused to the patient

Tipo de dados

integer

Alias
UMLS CUI-1
C0456388
Operative time
Descrição

Indicate the total time of procedure in hours:minutes.

Tipo de dados

durationDatetime

Unidades de medida
  • hh:mm
Alias
UMLS CUI-1
C3494201
hh:mm
Time to extubation
Descrição

Indicate when the patient was extubated post procedure. Choose 1 of the following:

Tipo de dados

integer

Indicate the day of oral intake.
Descrição

Indicate the day of oral intake.

Tipo de dados

integer

Unidades de medida
  • day
day
Length of stay in ICU
Descrição

Indicate the length of stay in the ICU. Specify the number of days or indicate not applicable.

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI-1
C3699612
days
Length of stay in step-down unit
Descrição

Indicate the length of stay in a step-down unit. Specify the number of days or indicate not applicable.

Tipo de dados

integer

Unidades de medida
  • days
days
Postoperative complications
Descrição

Indicate postoperative complications

Tipo de dados

integer

Alias
UMLS CUI-1
C0032787
Total length of stay
Descrição

Indicate total length of stay in the hospital in number of days.

Tipo de dados

integer

Unidades de medida
  • days
Alias
UMLS CUI-1
C0023303
days
Discharge status
Descrição

Indicate the patient’s discharge status. Discharged to home or self-care includes discharge to home; jail or law enforcement; home on oxygen if DME only; any other DME only; group home, foster care, and other residential care arrangements; outpatient programs such as partial hospitalization or outpatient chemical dependency programs; assisted living facilities that are not state designated.

Tipo de dados

integer

Alias
UMLS CUI-1
C0586514
Patient Education/Counseling
Descrição

Patient Education/Counseling

Alias
UMLS CUI-1
C1160863
Medication instruction
Descrição

Verbal and written medication instructions provided to patient and/or family

Tipo de dados

text

Alias
UMLS CUI-1
C2064717
Recognition of new or worsening symptoms
Descrição

Verbal and written instructions provided to patient and/or family (by physician or nurse) about new or worsening symptoms and when to call the physician

Tipo de dados

text

Diet counseling
Descrição

Advice given or discussion held with patient and/or family about the importance of diet in relation to lowering cardiovascular risk

Tipo de dados

integer

Alias
UMLS CUI-1
C0204932
Smoking cessation counseling
Descrição

Advice given or discussion held with patient (by physician, nurse, or other personnel) about the importance of stopping smoking

Tipo de dados

integer

Alias
UMLS CUI-1
C3702254
Activity counseling
Descrição

Advice given or discussion held with patient and/or family about activity level and restrictions in activity and/or exercise recommendations

Tipo de dados

text

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Similar models

Abdominal Aortic Aneurysm (AAA) data elements

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Patient history (AAA)
C0679831 (UMLS CUI-1)
C0162871 (UMLS CUI-2)
Item
History of present illness (AAA)
integer
History of present illness (AAA)
Code List
History of present illness (AAA)
CL Item
No symptoms (0)
CL Item
Abdominal pain (1)
CL Item
Back pain (2)
CL Item
Groin pain (3)
CL Item
Leg pain (4)
Item
Past medical history (AAA)
integer
C0262926 (UMLS CUI-1)
C0162871 (UMLS CUI-2)
Past medical history (AAA)
Code List
Past medical history (AAA)
CL Item
Aneurysms or dissection (Indicate location(s) and extent) (1)
CL Item
Prior aneurysm surgery (2)
CL Item
Marfan syndrome (3)
CL Item
Ehlers-Danlos syndrome (4)
CL Item
Aortic surgery or endovascular repair (Indicate location(s), type, and extent of repair) (5)
CL Item
Aortitis (6)
CL Item
Other inflammatory or infectious disorders (Giant cell arteritis, Takayasu’s arteritis, Behc¸et’s syndrome, Infection) (7)
Item
Family history (AAA)
integer
C0241889 (UMLS CUI-1)
C0162871 (UMLS CUI-2)
Family history (AAA)
Code List
Family history (AAA)
CL Item
Aneurysms or dissections (Indicate location(s)) (1)
CL Item
Marfan syndrome (2)
CL Item
Ehlers-Danlos syndrome (3)
CL Item
Loeys-Dietz syndrome (4)
CL Item
Other (5)
Item Group
Physical Assessment Abdominal Aorta
C0031809 (UMLS CUI-1)
Item
Body habitus
integer
C1318474 (UMLS CUI-1)
Body habitus
Code List
Body habitus
CL Item
Thin (1)
CL Item
Normal (2)
CL Item
Obese (3)
Aortic pulsations
Item
Aortic pulsations
boolean
C0425670 (UMLS CUI-1)
Item
Aortic pulsation characteristics
integer
Aortic pulsation characteristics
Code List
Aortic pulsation characteristics
CL Item
Normal (1)
CL Item
Expansile (2)
Aortic diameter
Item
Aortic diameter
float
C0579133 (UMLS CUI-1)
Abdominal bruit
Item
Abdominal bruit
boolean
C0221755 (UMLS CUI-1)
Abdominal aortic area tenderness
Item
Abdominal aortic area tenderness
boolean
Abdominal tenderness
Item
Abdominal tenderness
boolean
C0232498 (UMLS CUI-1)
Abdominal tenderness location
Item
Abdominal tenderness location
text
Lumbar spinal tenderness
Item
Lumbar spinal tenderness
boolean
Arterial pulse quality
Item
Pulses
text
C0489442 (UMLS CUI-1)
Item Group
Diagnostic procedures: noninvasive
C0259832 (UMLS CUI-1)
Ultrasonography
Item
Ultrasonography
text
C0041618 (UMLS CUI-1)
Magnetic Resonance Imaging
Item
Magnetic Resonance Imaging
text
C0024485 (UMLS CUI-1)
Computed Tomography
Item
Computed Tomography
text
C0040405 (UMLS CUI-1)
Item Group
Diagnostic Procedures: Invasive
C0430022 (UMLS CUI-1)
C0205281 (UMLS CUI-2)
Catheter Angiography
Item
Catheter Angiography
text
C0002979 (UMLS CUI-1)
Item Group
Treatment: Invasive Therapeutic Procedures
C0087111 (UMLS CUI-1)
Open AAA Repair
Item
Open AAA Repair
text
Endovascular AAA Repair
Item
Endovascular AAA Repair
text
Blood loss
Item
Estimated blood loss
integer
C0019080 (UMLS CUI-1)
Item
Transfused blood products
integer
C0456388 (UMLS CUI-1)
Blood products
Code List
Transfused blood products
CL Item
Auto transfused blood (specify volume) (1)
CL Item
Packed RBCs (2)
CL Item
Fresh frozen plasma (3)
CL Item
Platelets (4)
CL Item
Other (specify) (5)
Operative time
Item
Operative time
durationDatetime
C3494201 (UMLS CUI-1)
Item
Time to extubation
integer
Time to extubation
Code List
Time to extubation
CL Item
Immediate (0)
CL Item
Postoperative day (specify day number) (1)
Oral intake
Item
Indicate the day of oral intake.
integer
Length of stay in ICU
Item
Length of stay in ICU
integer
C3699612 (UMLS CUI-1)
Length of stay in step-down unit
Item
Length of stay in step-down unit
integer
Item
Postoperative complications
integer
C0032787 (UMLS CUI-1)
Postoperative complications
Code List
Postoperative complications
CL Item
None (0)
CL Item
Bleeding (1)
CL Item
Cardiac (2)
CL Item
Infections (3)
CL Item
Pulmonary (4)
CL Item
Renal (5)
CL Item
Neurological (6)
CL Item
Reoperation (7)
CL Item
Other (specify) (8)
Length of stay, total
Item
Total length of stay
integer
C0023303 (UMLS CUI-1)
Item
Discharge status
integer
C0586514 (UMLS CUI-1)
Discharge status
Code List
Discharge status
CL Item
Discharged to home or self-care (1)
CL Item
Discharged/transferred to short-term general hospital for inpatient care (2)
CL Item
Discharged/transferred to SNF with Medicare certification in anticipation of skilled care (3)
CL Item
Discharged/transferred to ICF (4)
CL Item
Discharged/transferred to standard rehabilitation facility (5)
CL Item
Discharged/transferred to ventilator rehabilitation facility (6)
CL Item
Discharged/transferred to another type of healthcare institution other than the above (7)
CL Item
Patient died (8)
Item Group
Patient Education/Counseling
C1160863 (UMLS CUI-1)
Medication instruction
Item
Medication instruction
text
C2064717 (UMLS CUI-1)
Recognition of new or worsening symptoms
Item
Recognition of new or worsening symptoms
text
Item
Diet counseling
integer
C0204932 (UMLS CUI-1)
Diet counseling
Code List
Diet counseling
CL Item
Sodium restriction (1)
CL Item
Fluid restriction (2)
CL Item
Referral to dietitian for weight management and/or advanced nutritional instruction (3)
CL Item
Other (specify) (4)
Item
Smoking cessation counseling
integer
C3702254 (UMLS CUI-1)
Smoking cessation
Code List
Smoking cessation counseling
CL Item
Counseling (may be basic or advanced) (1)
CL Item
Written materials (2)
CL Item
Referral to smoking cessation program (3)
CL Item
Drugs to help with smoking cessation (4)
Activity counseling
Item
Activity counseling
text
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