SECTION 1: INTRODUCTION TO DATA COLLECTION SHEET · AIS External Whole Number, Leave Blank if no...
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EtCO2 Data Dictionary SECTION 1: INTRODUCTION TO DATA COLLECTION SHEET 1. Please collect all of your data in the provided ‘Data Collection Sheet’ 2. The sheet has been broken up into two tabs to help expedite data collection: a. Center Information b. Demographics, (Clinical Data, Outcomes) c. Serial EtCO2 Values d. Serial Prehospital Vitals 3. For Demographics, Clinical Data, and Outcomes – each row will represent a new patient. Rows have been pre- labeled with patient IDs for your convenience. Should you need more patient IDs simply drag down the last patient ID and “fill series”. If you have less patients than the provided IDs please delete these before your final data submission. 4. For the remaining tabs (Serial EtCO2 Values and Serial Prehospital Vitals) – each patient will have multiple rows depending on how many of each item the patient had. For example, if a patient had three EtC02 Values and four sets of Prehospital vital sets: Study ID Date/Time EtCO2 Value EtCO2 Value *Note all ETCO2 are prehospital values 001 001 001 Subject ID Time SBP DBP HR RR SpO2 ETCO2 GCS Intubated Temp 001 001 001 001 SECTION 2: SITE INFORMATION 1. Variables: Variable Type/Options Description/Additional Information Site Name Free text Enter legal name of your center here Data Entry Contact Free text Please enter the name of the person gathering data (Name and Email) for data queries Trauma Level Level 1, Level 2, Level 3, Level 4, Level 5 Select from the drop down menu the level of trauma designation Average Trauma Volume/Year Number >1 Enter a rough estimate of your yearly trauma volume admitted to your institution Adult Trauma Age 14 and up, 15 and up, 18 and up Select from drop down menu Enter the age at which your institution treats as adults Blood Product Amounts Number >1 Enter the amount of mLs per unit of each type of blood product at your institution Base Deficit & Excess Free Text Please describe how your institution collects base deficit and excess Therefore, the IDs have not been pre-filled in. Please be sure that each row as an ID associated with it
Transcript of SECTION 1: INTRODUCTION TO DATA COLLECTION SHEET · AIS External Whole Number, Leave Blank if no...
EtCO2 Data Dictionary
SECTION 1: INTRODUCTION TO DATA COLLECTION SHEET 1. Please collect all of your data in the provided ‘Data Collection Sheet’ 2. The sheet has been broken up into two tabs to help expedite data collection:
a. Center Information b. Demographics, (Clinical Data, Outcomes) c. Serial EtCO2 Values d. Serial Prehospital Vitals
3. For Demographics, Clinical Data, and Outcomes – each row will represent a new patient. Rows have been pre-
labeled with patient IDs for your convenience. Should you need more patient IDs simply drag down the last patient ID and “fill series”. If you have less patients than the provided IDs please delete these before your final data submission.
4. For the remaining tabs (Serial EtCO2 Values and Serial Prehospital Vitals) – each patient will have multiple rows depending on how many of each item the patient had. For example, if a patient had three EtC02 Values and four sets of Prehospital vital sets:
Study ID
Date/Time EtCO2 Value
EtCO2 Value *Note all ETCO2 are prehospital values
001 001 001
Subject ID Time SBP DBP HR RR SpO2 ETCO2 GCS Intubated Temp
001 001 001 001
SECTION 2: SITE INFORMATION 1. Variables:
Variable Type/Options Description/Additional Information
Site Name Free text Enter legal name of your center here
Data Entry Contact Free text Please enter the name of the person gathering data (Name and Email) for data queries
Trauma Level Level 1, Level 2, Level 3, Level 4, Level 5 Select from the drop down menu the level of trauma designation
Average Trauma Volume/Year
Number >1 Enter a rough estimate of your yearly trauma volume admitted to your institution
Adult Trauma Age 14 and up, 15 and up, 18 and up Select from drop down menu Enter the age at which your institution treats as adults
Blood Product Amounts
Number >1 Enter the amount of mLs per unit of each type of blood product at your institution
Base Deficit & Excess Free Text Please describe how your institution collects base deficit and excess
Therefore, the IDs have not been pre-filled in. Please be sure that each row as an ID associated with it
EtCO2 Data Dictionary
SECTION 3: DEMOGRAPHICS, CLINICAL DATA, OUTCOMES 1. Patient ID – these have been pre-filled through 200 patients.
Should you need more patient IDs simply drag down the last patient ID and “fill series”. If you have less patients than the provided IDs please delete these before your final data submission.
2. Optional MRN Line – if you would like to pre-fill MRNs to help with your data collection please do so. However,
be sure to DELETE THESE MRNS BEFORE SUBMISSION. 3. Variables:
Variable Type/Options Description/Additional Information
Date/Time Injury MM/DD/YY HH:MM (24hr clock) Date/time of patient’s injury. Source Hierarchy: Trauma Registry data, EMS trip sheets, estimation based on time of arrival
Date/Time EMS Arrival to Scene
MM/DD/YY HH:MM (24hr clock) Date/time of EMS arrival on scene/at OSH
Date/Time Hospital Arrival
MM/DD/YY HH:MM (24hr clock) Date/time of patient’s arrival to Hospital.
Age ≥ 14 Enter patients age at the time of their trauma admission
Sex M, F, Other Enter patients sex at time of trauma admission, for M → F, F → M transitions, other sex/gender identification use ‘Other’
Race White, Black/African American, Asian, Native American, Pacific Islander, Other
Patients race as listed in medical records
Ethnicity Hispanic/Latino, Not Hispanic/Latino For patients who are Hispanic without associated ‘Race’ please enter “White” for race, and Hispanic/Latino as ethnicity
Injury Type Blunt, Penetrating, Thermal Categorize patients injuries as blunt injuries, penetrating injuries, or thermal (hypothermia, burn)
Cause of Injury MCV (Car Crash), MCC (motorcycle), PVA (Pedestrian vs. Auto), BVC/BVG (Bike Crash), Fall, Fall >10 feet (i.e. off balcony etc.), Assault, GSW (gunshot wound), SW (stab wound), Sport Injury
Mechanism of injury
ISS Whole Number Patients overall Injury Severity Score. Source: Trauma Registry
AIS Head/Neck Whole Number, Leave Blank if no injury Patients Head/Neck AIS score. Source: Trauma Registry
AIS Face Whole Number, Leave Blank if no injury Patients Face AIS score. Source: Trauma Registry
AIS Chest Whole Number, Leave Blank if no injury Patients Chest/Thorax AIS Score. Source: Trauma Registry
AIS Abdomen Whole Number, Leave Blank if no injury Patients Abdomen/Pelvis AIS Score. Source: Trauma Registry
AIS Extremity Whole Number, Leave Blank if no injury Patients Extremity AIS Score. Source: Trauma Registry
AIS External Whole Number, Leave Blank if no injury Patients External (skin) AIS Score. Source: Trauma Registry
Transport From Scene, Outside Hospital Was the patient brought directly from the scene or transported from another hospital to study hospital
EtCO2 Data Dictionary
Intubated Prehospital Yes/No **All should be “Yes” as this is inclusion for this study
Airway Method ET Tube, iGel, Nasal, Other How the patient was intubated, if patient intubated using multiple methods (i.e. nasally first, then successful ET tube, please note which EtCO2 values came from which intubation type in the “Serial EtCO2 Values” tab
Total Hospital Days Number ≥1 Total hospital days, Day of Admission= Day 1
Total ICU Days Number ≥1 Total ICU days, Day of Admission= Day 1
Total Vent Days Number ≥1 Total Vent days, Day of Admission= Day 1 Includes days on a trach – if patient requires a ventilator at all, regardless of delivery method
Discharge Date/Time MM/DD/YYYY HH:MM (24hr clock) Date/Time of Discharge from hospital. If patient expired, date/time of death
Discharge Status Alive, Dead Was the patient alieve or dead at discharge?
Discharge Location Home, Acute Hospital, Rehab, LTAC, SNF, Hospice, Custody, AMA, Morgue, Other
Where was the patient discharged too?
Death Location Prehospital, ED, OR, SICU, Floor, Other Where did the patient expire?
ED Arrival VS Numeric First set of each vital sign HR=heart rate, SBP=systolic blood pressure, GCS=Glasgow coma scale ETCO2=end tidal carbon dioxide
ED lowest/highest VS Numeric Lowest or highest of specific VS during ED
Reintubated in ED Y/N Y if ED providers had to reintubate patient in ED
Any ED Procedure ED Procedure 1 ED Procedure 2
Y/N Was any major ED procedure performed on this patient? Examples include, chest tube, thoracotomy, massive transfusion, etc. This will be done as free-text and combined during data analysis (ED Procedure 1, 2)
ED CPR Y/N Was CPR performed in the ED?
Emergent Surgery? Y/N Was the patient taken for surgery immediately following ED?
OR w/in 6 hours? Y/N Was the patient taken to the OR within six hours of arrival to hospital? I.e. if patient was initially taken to the ICU and then had to be taken back urgently to the OR.
Laparotomy 6h Y/N Procedure requiring entering abdomen within 6h of hospital arrival
Thoracotomy 6h Y/N Procedure requiring entering chest within 6h of hospital arrival
Craniotomy 6h Y/N Procedure requiring entering skull within 6h of hospital arrival (not including isolated ICP monitor or ventriculostomy)
Other 6h Y/N Other OR procedure within 6 h of hospital arrival
Other free text Free text Other OR procedures not included above
IR 6h Y/N Was the patient taken for an IR procedure within 6 hours of arrival
EtCO2 Data Dictionary
SECTION 4: Serial EtCO2 Vaues 1. Patient ID – when patients have multiple blood gases (as many of these patients will) the patient will have
multiple lines. 2. Optional MRN - if you would like to pre-fill MRNs to help with your data collection please do so. However, be
sure to DELETE THESE MRNS BEFORE SUBMISSION. 3. Variables:
Variable Type/Options Description/Additional Information
Date/Time EtCO2 Value
MM/DD/YYYY HH:MM (24hr clock) List the date//time when each individual EtCO2
EtCO2 Value Number Value
Enter number values for each EtCO2
SECTION 5: Serial Prehospital Vitals 1. Patient ID – when patients have multiple EtCO2 values (as many of these patients will) the patient will have
multiple lines. 2. Optional MRN - if you would like to pre-fill MRNs to help with your data collection please do so. However, be
sure to DELETE THESE MRNS BEFORE SUBMISSION. 3. Variables:
Variable Type/Options Description/Additional Information
Date/Time EtCO2 MM/DD/YYYY HH:MM (24hr clock) List the date//time when each individual ABG was collected
Vital Signs SBP = Systolic Blood Pressure, DBP = Diastolic Blood Pressure, HR = Heart Rate, RR = respiratory rate, SpO2 = oxygen saturation, GCS = Glasgow Coma Scale & components, Intubation Status for this set of vitals, Temperature in degrees C
Enter all pre-hospital vital signs. Please enter incomplete “sets”. For example, there might be five blood pressure readings and only one GCS score. Please leave BLANK if no value for that vital sign at that date/time
SECTION 6: BLOOD PRODUCTS – Enter all Blood Products from the ED through the first 24 hours. 1. Patient ID – some patients might not have blood products, there will be no row for these patients. Patients will
have a max of one row. 2. Optional MRN - if you would like to pre-fill MRNs to help with your data collection please do so. However, be
sure to DELETE THESE MRNS BEFORE SUBMISSION. 3. Variables:
Variable Type/Options Description/Additional Information
ED Blood Product #Units _____
Whole number The number of units of that type of blood product (PRBC, FFP, Platelet, given in the Emergency Department
Blood Product X hours #Units _____
Whole number The number of units of that type of blood product (PRBC, FFP, Platelet, crypo given from 0-X number of hours. This will be cumulative. So if patient received 2 units of PRBC in ED and 2 units in the OR at 3 hours after arrival the PRBC in 4 hour total would be 4 units.
SITE INFORMATION
1. SITE NAME:
2. Data Entry Contact:
3. Trauma Level
4. Average Trauma Volume/Year
5. Adult Trauma Age
6. Blood Product amounts
PRBC (mL) mL
FFP (mL) mL
Platelets (mL) mL
Cryo (mL) mL
7. Base Deficit & Excess
EAST MCT, EtCO2 as a Predictor of Massive Transfusion, PI: Eric Campion, MD
Study IDMR# (delete prior
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Date/Time EMS
arrival to scene
Hosp Arrival
Date/Time Age (years) Sex Race Ethnicity
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Injury Type Cause of Injury AIS Head Neck AIS Face AIS Chest
AIS
Abdomen/Pelvis AIS Extremities AIS External ISS
Injury Information
Transport From
Intubated
Prehospital
If Transport from OSH,
Intubated at OSH or en
route to study hospital Airway MethodHosp LOS in
Days ICU LOS in Days Vent Days
Discharge
Date/Time
OutcomesInjury Information
Discharge Status
Discharge
Location
Location of
Death ED arrival HR ED arrival SBP ED arrival GCS ED arrival ETCO2 ED highest HR ED lowest SBP
Outcomes
ED lowest GCS ED lowest ETCO2
Reintubated in
ED
Any ED
procedure ED Procedure 1 ED Procedure 2
ED/OR Data
ED CPR
Emergent
Surgery? OR w/in 6 Hrs Laparotomy 6h Thoracotomy 6h Craniotomy 6h Other 6h Other Free text IR 6h
ED/OR Data
