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141 Search results.

EUROASPIRE III (Hospital Arm) - Stroke Part Patient Record Questionnaire - Stroke Part Patient Record Questionnaire

- 9/17/21 - 1 form, 4 itemgroups, 322 items, 1 language

Itemgroups: Inclusion criteria, Personal information, Patient Record Questionnaire, Discharge evaluation

Provided by Prof. Keil Source: Kotseva K, Wood D, De Backer G, De Bacquer D, Pyörälä K, Keil U; EUROASPIRE Study Group. Cardiovascular prevention guidelines in daily practice: a comparison of EUROASPIRE I, II, and III surveys in eight European countries. Lancet. 2009 Mar 14;373(9667):929-40. doi: 10.1016/S0140-6736(09)60330-5. PubMed PMID: 19286092

EUROASPIRE III- (Hospital Arm) Stroke Part Patient Interview Questionnaire - Stroke Part Patient Interview Questionnaire

- 9/17/21 - 1 form, 16 itemgroups, 319 items, 1 language

Itemgroups: Demographic Information, Medical history since discharge from hospital, Living Situation, Disability (Barthel Index), Neurological impairment at the time of interview, Rehabilitation, Smoking, Diet/Body weight, Physical activity, Blood pressure,Cholesterol and Diabetes, Risk factor awareness and targets, Lifestyle changes, Rehabilitation program, Medication, Physical measurements, Blood sample

Provided by Prof. Keil Source: Kotseva K, Wood D, De Backer G, De Bacquer D, Pyörälä K, Keil U; EUROASPIRE Study Group. Cardiovascular prevention guidelines in daily practice: a comparison of EUROASPIRE I, II, and III surveys in eight European countries. Lancet. 2009 Mar 14;373(9667):929-40. doi: 10.1016/S0140-6736(09)60330-5. PubMed PMID: 19286092

Pocket Note MS Outpatient Department Neurology University Hospital Essen - Pocket Note

- 9/17/21 - 1 form, 3 itemgroups, 20 items, 1 language

Itemgroups: Administrative, Diagnosis, Cerebrovascular accident

Documentation form "Kitteltaschenzettel"converted to ODM format. Routine documentation of University Hospital of Essen. Publication granted by: Priv.-Doz. Dr. med. Benedikt, University Hospital of Essen, Essen, Germany.

Prodast Dabigatran NCT02507856 dropout

- 9/17/21 - 1 form, 1 itemgroup, 12 items, 1 language

Itemgroup: Studienabbruch

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 drop-out form. https://clinicaltrials.gov/ct2/show/NCT02507856

Eligibility NCT01120301 Acute Ischemic Stroke - Eligibility

- 9/17/21 - 1 form, 2 itemgroups, 21 items, 2 languages

Itemgroups: Inclusion Criteria, Exclusion Criteria

ODM derived from http://clinicaltrials.gov/show/NCT01120301

Prodast Dabigatran NCT02507856 Inclusion

- 9/17/21 - 1 form, 4 itemgroups, 37 items, 1 language

Itemgroups: Studieneinschluss, NIHSS und Modifizierte Rankin-Skala, Labor, Komplikationen zwischen Indexereignis und Studieneinschluss

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 inclusion form containing NIHSS, Rankin-Scale, laboratory values and complications.

Eligibility Stroke NCT01855035

- 6/21/21 - 1 form, 2 itemgroups, 13 items, 1 language

Itemgroups: Inclusion Criteria, Exclusion Criteria

Finding Atrial Fibrillation in Stroke - Evaluation of Enhanced and Prolonged Holter Monitoring; ODM derived from: https://clinicaltrials.gov/show/NCT01855035

Persönliches Interview SHIP-Trend-1 Schlaganfall

- 2/13/21 - 1 form, 1 itemgroup, 20 items, 1 language

Itemgroup: Schlaganfall

Schlaganfall form of SHIP Study (Study of Health in Pomerania), conducted by the University Medicine of Greifswald. SHIP unique domain name TREND.TREND1.INT.KHK.STRO. ODM derived from https://www.fvcm.med.uni-greifswald.de/dd_service/data_use_explore.php. Further information: http://www2.medizin.uni-greifswald.de/cm/fv/ship.html. Publication granted by Prof. Völzke. Reference: Völzke H, et al. Cohort profile: the study of health in Pomerania. Int J Epidemiol. 2011;40(2):294-307. PMID: 20167617

Stroke Secondary to Atrial Fibrillation, NCT01925755 - Eligibility Stroke Secondary to Atrial Fibrillation, NCT01925755

- 9/28/20 - 1 form, 2 itemgroups, 9 items, 1 language

Itemgroups: Inclusion Criteria, Exclusion Criteria

Non-interventional Local Study on Prescription Behavior of Anticoagulation Therapy in Secondary Stroke Prevention in Atrial Fibrillation Patients; ODM derived from: https://clinicaltrials.gov/show/NCT01925755

Measurement Instrument Database for the Social Science (MIDSS) - The Functional Behavior Profile (FBP)

- 9/4/20 - 1 form, 1 itemgroup, 27 items, 1 language

Itemgroup: The Functional Behavior Profile

Baum, C., Edwards, D.F., Morrow-Howell, N. (1993). The Functional Behavior Profile (FBP). Measurement Instrument Database for the Social Science. Retrieved 04.09.2020, from www.midss.ie Key references: Baum, C Edwards, D.F. Morrow-Howell, N. (1993). Identification and measurement of productive behaviours in senile dementia of the Alzheimer type. The Gerontologist, 33, 403-408. Baum, M. C. and Edwards, D. F. (2000). Documenting productive behaviors. Using the functional behavior profile to plan discharge following stroke. J Gerontol Nurs, 26, 34-40; quiz 41-33. Burgener, S., Twigg, P., et al. (2005). "Measuring psychological well-being in cognitively impaired persons." Dementia 4(4): 463. Goverover, Y., Kalmar, J., et al. (2005). "The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis." Arch Phys Med Rehabil 86(12): 2303-2308. Primary use / Purpose: The Functional Behavior Profile (FBP) is a clinical assessment measure used to inform placement and discharge planning decisions following stroke. The FBP provides caregivers with a method of describing the impaired person’s capabilities in performing tasks, social interactions, and problem-solving. It was developed to guide treatment planning, documenting change, and identifying helpful community resources. Background: The Functional Behavior Profile (FBP) comprises 27 items concerning performance of daily activities by the cognitively impaired individual. The items are sectioned into three areas: Task Performance, Problem Solving, and Social Interaction. Each item is rated from 0 (never) to 4 (always) according to the subject’s behavior over the past 7 days. The checklist may be completed by the therapist by interviewing the primary caregiver or by the caregiver independently. Administration of the test takes, on average, 15 minutes. The FBP yields three scores for the factors of Task Performance, Problem Solving, and Social Interaction. An institutional version of the profile is also available for residents of facilities. Psychometrics: Internal consistency and criterion validity scores are provided in Baum et al. (2000) and Baum et al. (1993), respectively. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.258 The FBP is designed to obtain from the primary caregiver the overall capacity for their loved one to engage in tasks, social interactions and problem solving. All of the questions relate to how their loved one performs in their daily activities. As a reference, the caregiver should respond based upon the person's behavior during the past week. (It can be administered in interview or self scored format). Scoring: Total those marked according to the following key. You can use the task performance, social interaction, and problem solving scales separately or use a total score. Key: T: score items 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 P: score items 9, 10, 21, 22, 23, 24, 25, 26, 27 S: score items 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21

ICHOM Conditions and Treatment Approaches Covered for Stroke - Follow-up, Annually post index event - Administrative data

- 4/30/20 - 1 form, 2 itemgroups, 4 items, 1 language

Itemgroups: Administrative data, Survival and disease control

ICHOM Stroke data collection Version 2.0.1 Revised: June 21th, 2018 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Notice: This work was conducted using resources from ICHOM, the International Consortium for Health Outcomes Measurement (www.ICHOM.org). The content is solely the responsibility of the authors and does not necessarily represent the official views of ICHOM. For stroke, the following conditions and treatment approaches (or interventions) are covered by our Standard Set. Conditions: Patients who have been hospitalized for an index ischemic stroke (IS) or intracereberal hemorrhage (ICH). Patients with subarachnoid hemorrhage (SAH) are excluded. Inclusion of transient ischemic attack (TIA) or patients with IS or ICH who are evaluated but not hospitalized is not required. Treatment Approaches: IV Thrombolysis | Thrombectomy | Hemicraniectomy This form contains Follow-up, Annually post index event - Administrative data form. This items tracks annually for 5 years (when hospital is able to track this ongoing). If a second stroke occurs between discharge and the “90 day post index” collection, you should reset the measurement scale, treating them as a new patient. Questionnaires used in this standard set: PROMIS-10. It is free for all health care organizations, and a license is not needed. There are translations available for Spanish, French, German,and Dutch. As http://www.nihpromis.org is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. Simplified Modified Rankin Scale Questionnaire (smRSq) – Clinician. There is no patent on thes smRSq or fee for using it in clinical practice; however Lippincott Williams & Wilkins (LWW) own the rights to the published article where the smRSq is introduced. Therefore here only the total score is included. The smRSq flow chart can be found at http://stroke.ahajournals.org/content/42/8/2276 “Simplified Modified Rankin Scale Questionnaire Reproducibility Over the Telephone and Validation With Quality of Life” Stroke 2011; 42: 2276-2279 © 2011 American Heart Association, Inc. Wolters Kluwer Health. Publication: Salinas J, Sprinkhuizen SM, Ackerson T, et al. An International Standard Set of Patient-Centered Outcome Measures After Stroke. Stroke. 2015;47(1):180–186. doi:10.1161/STROKEAHA.115.010898 The Stroke Standard Set is supported by the American Heart Association and the American Stroke Association. For this version of the standard set, semantic annotation with UMLS CUIs has been added.

ICHOM Conditions and Treatment Approaches Covered for Stroke - Follow-up - Clinical

- 4/30/20 - 1 form, 2 itemgroups, 3 items, 1 language

Itemgroups: Administrative Data, Clinician reported health status

ICHOM Stroke data collection Version 2.0.1 Revised: June 21th, 2018 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Notice: This work was conducted using resources from ICHOM, the International Consortium for Health Outcomes Measurement (www.ICHOM.org). The content is solely the responsibility of the authors and does not necessarily represent the official views of ICHOM. For stroke, the following conditions and treatment approaches (or interventions) are covered by our Standard Set. Conditions: Patients who have been hospitalized for an index ischemic stroke (IS) or intracereberal hemorrhage (ICH). Patients with subarachnoid hemorrhage (SAH) are excluded. Inclusion of transient ischemic attack (TIA) or patients with IS or ICH who are evaluated but not hospitalized is not required. Treatment Approaches: IV Thrombolysis | Thrombectomy | Hemicraniectomy This form contains Follow-up - Clinical form. The items cover Discharge +7 and 90 days post index. If a second stroke occurs between discharge and the “90 day post index” collection, you should reset the measurement scale, treating them as a new patient. Questionnaires used in this standard set: PROMIS-10. It is free for all health care organizations, and a license is not needed. There are translations available for Spanish, French, German,and Dutch. As http://www.nihpromis.org is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. Simplified Modified Rankin Scale Questionnaire (smRSq) – Clinician. There is no patent on thes smRSq or fee for using it in clinical practice; however Lippincott Williams & Wilkins (LWW) own the rights to the published article where the smRSq is introduced. Therefore here only the total score is included. The smRSq flow chart can be found at http://stroke.ahajournals.org/content/42/8/2276 “Simplified Modified Rankin Scale Questionnaire Reproducibility Over the Telephone and Validation With Quality of Life” Stroke 2011; 42: 2276-2279 © 2011 American Heart Association, Inc. Wolters Kluwer Health. Publication: Salinas J, Sprinkhuizen SM, Ackerson T, et al. An International Standard Set of Patient-Centered Outcome Measures After Stroke. Stroke. 2015;47(1):180–186. doi:10.1161/STROKEAHA.115.010898 For the Stroke Standard Set ICHOM was supported by the American Heart Association and the American Stroke Association. For this version of the standard set, semantic annotation with UMLS CUIs has been added.

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